Evidence map›Paper›PMID 31610540›Full record

ArticleObesity facts2019

Sleeve Gastrectomy in the Elderly.

Nadav Nevo, Shai Meron Eldar, Yonatan Lessing, Edmond Sabo, Ido Nachmany, David Hazzan

Open access · goldAbstract read
In one paragraph

Article in Obesity facts, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Predictors of complete remission of hypertension in patients over 65 years of age after bariatric surgery - a multicenter study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Nadav NevoGeneral Surgery Division, Tel-Aviv Sourasky Medical Center, Affiliated to the Sackler Faculty, Tel-Aviv-Yafo, Israel, dr.nevonadav@gmail.com.
Shai Meron EldarGeneral Surgery Division, Tel-Aviv Sourasky Medical Center, Affiliated to the Sackler Faculty, Tel-Aviv-Yafo, Israel.
Yonatan LessingGeneral Surgery Division, Tel-Aviv Sourasky Medical Center, Affiliated to the Sackler Faculty, Tel-Aviv-Yafo, Israel.
Edmond SaboDepartment of Pathology, Technion, Haifa, Israel.
Ido NachmanyGeneral Surgery Division, Tel-Aviv Sourasky Medical Center, Affiliated to the Sackler Faculty, Tel-Aviv-Yafo, Israel.
David HazzanGeneral Surgery Department C, Sheba Medical Center, Ramat Gan, Israel.
Tel Aviv Sourasky Medical Center · ILSheba Medical Center · ILTechnion – Israel Institute of Technology · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEven though risks are higher and long-term results may be less favorable, the elderly obese can still benefit from bariatric surgery. Whether the higher surgical risk is worth the benefits is yet to be determined. MATERIALS AND

methodsWe reviewed our database and identified all patients aged 65 or older who underwent sleeve gastrectomy between May 2010 and November 2015. We documented patient demographics, obesity-related comorbidities, body mass index (BMI) before and after the procedure, percent excess weight loss, comorbidity improvement or resolution, length of follow-up, postoperative complications, re-operations, and length of hospital stay. We compared our study group to a control group of sleeve gastrectomy patients under the age of 65.

resultsSixty-six patients (mean age 67.6 ± 2.6 years) underwent laparoscopic sleeve gastrectomy. Patients achieved an average of 53.5% excess BMI loss (EBMIL) after 21 months of follow-up. EBMIL was inferior to that achieved by the control group (EBMIL 77.3%, p < 0.0001). Elderly patients showed significant improvement or resolution in all obesity-related comorbidities. Complication and re-operation rates were similar between the 2 groups.

conclusionIn an elderly population, laparoscopic sleeve gastrectomy is safe and effective, yet weight loss outcomes are more modest when compared to a younger surgical population. Carefully selected elderly patients can benefit from bariatric surgery.

Indexed as

GastrectomyAgedAged, 80 and overAge FactorsAgingBody Mass IndexCase-Control StudiesComorbidityFeasibility StudiesFemaleHumansLaparoscopyLength of StayMaleObesity, MorbidPostoperative ComplicationsBariatric surgeryElderlySleeve gastrectomy

Identifiers

PMID31610540
PMCPMC6876611
OpenAlexW2980964271

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.