Evidence map›Paper›PMID 31625056›Full record

ArticleObesity surgery2020

Primary Care Physicians' Perceptions of Bariatric Surgery and Major Barriers to Referral.

Eliza A Conaty, Woody Denham, Stephen P Haggerty, John G Linn, Raymond J Joehl, Michael B Ujiki

Abstract read
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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  12. Pharmacotherapy for Obesity: Recent Updates.Clinical pharmacology : advances and applications · 2025
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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 1 institution in 1 country.

Eliza A ConatyDepartment of Surgery, Evanston Hospital GCSI, NorthShore University HealthSystem, 2650 Ridge Ave., Suite B600, Evanston, Illinois, 60201, USA. eaconaty@gmail.com.ORCID 0000-0001-5327-8223
Woody DenhamDepartment of Surgery, Evanston Hospital GCSI, NorthShore University HealthSystem, 2650 Ridge Ave., Suite B600, Evanston, Illinois, 60201, USA.
Stephen P HaggertyDepartment of Surgery, Evanston Hospital GCSI, NorthShore University HealthSystem, 2650 Ridge Ave., Suite B600, Evanston, Illinois, 60201, USA.
John G LinnDepartment of Surgery, Evanston Hospital GCSI, NorthShore University HealthSystem, 2650 Ridge Ave., Suite B600, Evanston, Illinois, 60201, USA.
Raymond J JoehlDepartment of Surgery, Evanston Hospital GCSI, NorthShore University HealthSystem, 2650 Ridge Ave., Suite B600, Evanston, Illinois, 60201, USA.
Michael B UjikiDepartment of Surgery, Evanston Hospital GCSI, NorthShore University HealthSystem, 2650 Ridge Ave., Suite B600, Evanston, Illinois, 60201, USA.
NorthShore University HealthSystem · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEach year from 2011 to 2017, fewer than 1% of eligible Americans underwent bariatric surgery to treat obesity and obesity-related comorbidities. Recent studies have suggested that a lack of knowledge within the primary care specialty about the safety and efficacy of bariatric surgery greatly affects referral. This study aimed to analyze a large cohort of primary care physicians' (PCPs) clinical perceptions regarding bariatric surgery and to identify major barriers to referral that could inform the implementation of a future educational strategy to address underutilization of bariatric surgery. STUDY

designA prospective anonymous electronic survey was sent to all primary care physicians at a multicenter community-based academic hospital system between March and June of 2018, with 150 respondents, a response rate of 28%. The survey was composed of eleven questions in total, the first eight utilizing a five-point Likert scale, with answers including strongly disagree, disagree, neutral, agree, and strongly agree. The final three questions utilized freeform answers of numbers or text where appropriate.

resultsBetween 83 and 88% of PCPs responded favorably, either agree or strongly agree, to questions regarding the utility of bariatric surgery as an efficacious and valuable tool for the treatment of obesity and related comorbidities. PCPs reported an average body mass index (BMI) of 40.4 ± 5.0 kg/m

conclusionResults of this study indicate that despite largely positive attitudes toward the use of bariatric surgery in a patient population with obesity, primary care physicians report significant barriers to confidently referring their own patients. Further, bariatric surgery is overlooked in a large group of patients with BMIs between 35 and 40 kg/m

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticePerceptionAdultBariatric SurgeryBody Mass IndexFemaleHumansMaleMiddle AgedObesity, MorbidPhysicians, Primary CarePrimary Health CareProspective StudiesReferral and ConsultationSurveys and QuestionnairesAttitudesBariatric SurgeryEducationPrimary care physiciansReferral

Identifiers

PMID31625056
OpenAlexW2980541034

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.