Evidence map›Paper›PMID 31667614›Full record

ArticleSurgical endoscopy2020

Impact of age on morbidity and mortality following bariatric surgery.

Sean R Maloney, Nicholas Dugan, Tanushree Prasad, Paul D Colavita, Iain H Mckillop, Keith S Gersin, Timothy Kuwada, Selwan Barbat, Amanda Roberts, Abdelrahman Nimeri

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Short-Term Functional Trajectories After Surgery in Older Adults: National Patterns of Loss and Recovery in 436,471 Patients.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Article
  4. Article
  5. Article
  6. Racial disparities in reasons for mortality following bariatric surgery.Journal of racial and ethnic health disparities · 2023
    Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Sean R MaloneyDivision of Gastrointestinal & Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Nicholas DuganDivison of Bariatric Surgery, Department of Surgery, Carolinas Medical Center, 2630 E. 7th Street, Charlotte, NC, 28204, USA.
Tanushree PrasadDivision of Gastrointestinal & Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Paul D ColavitaDivision of Gastrointestinal & Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Iain H MckillopSurgical Research, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Keith S GersinDivision of Gastrointestinal & Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Timothy KuwadaDivision of Gastrointestinal & Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Selwan BarbatDivison of Bariatric Surgery, Department of Surgery, Carolinas Medical Center, 2630 E. 7th Street, Charlotte, NC, 28204, USA.
Amanda RobertsDivison of Bariatric Surgery, Department of Surgery, Carolinas Medical Center, 2630 E. 7th Street, Charlotte, NC, 28204, USA.
Abdelrahman NimeriDivision of Gastrointestinal & Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA. Abdelrahman.Nimeri@atriumhealth.org.ORCID 0000-0001-7844-163X
Carolinas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBariatric surgery is the most effective modality to treat obesity and obesity-related comorbidities. This study sought to utilize the MBASQIP® Data Registry to analyze the impact of age at time of surgery on outcomes following sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) procedures.

methodsThe MBSAQIP® Data Registry for patients undergoing SG or RYGB procedures between 2015 and 2016 was reviewed. Patients were divided into 4 age groups [18-44; 45-54; 55-64; > 65 years]. Minimal exclusions for revisional and/or emergency surgery were selected and combination variables created to classify complications as major or minor. A comorbidity index was constructed to include diabetes, gastroesophageal reflux disease (GERD), obstructive sleep apnea (OSA), and prior cardiac surgery. Univariate and multivariate logistic regression analyses were performed to compare age stratifications to the young adult (18-45 years) cohort.

resultsOf 301,605 cases, 279,419 cases (71.2% SG) remained after applying exclusion criteria (79.2% female, mean BMI 45.5 ± 8.1 kg/m

conclusionOverall, bariatric surgery (SG or RYGB) remains a low mortality risk procedure for all age groups. However, all age group classifications > 45 years had higher incidence of major complications and mortality compared to patients 18-45 years (despite older individuals having lower preoperative BMI) indicating delaying surgery is detrimental.

Indexed as

AdolescentAdultAgedAge FactorsBody Mass IndexCardiac Surgical ProceduresDiabetes ComplicationsFemaleGastrectomyGastric BypassGastroesophageal RefluxHumansMaleMiddle AgedObesity, MorbidPostoperative ComplicationsAgeBariatric surgeryMBSAQIP®Roux-en-Y gastric bypassSleeve gastrectomyWeight loss

Identifiers

PMID31667614
OpenAlexW2986354766

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.