Evidence map›Paper›PMID 32117495›Full record

ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2020

Outcomes of sleeve gastrectomy in patients older than 60 years: a multicenter matched case-control study.

Natalia Dowgiałło-Wnukiewicz, Michal R Janik, Pawel Lech, Piotr Major, Michał Pędziwiatr, Piotr K Kowalewski, Maciej Walędziak, Michał Wysocki, Maciej Michalik

Open access · goldAbstract read
In one paragraph

Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
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  6. Article
  7. 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
  8. Revisional bariatric procedures in the group of patients over 60 years of age: a multicenter cohort study (PROSS Study).Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Article
  9. Article
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  12. Long-term outcomes of laparoscopic sleeve gastrectomy - a single-center prospective observational study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019
    Article
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

9 authors at 3 institutions in 1 country.

Natalia Dowgiałło-WnukiewiczDepartment of General, Minimally Invasive and Elderly Surgery, University of Warmia and Mazury, Olsztyn, Poland.
Michal R JanikDepartment of General, Oncologic, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland.
Pawel LechDepartment of General, Minimally Invasive and Elderly Surgery, University of Warmia and Mazury, Olsztyn, Poland.
Piotr Major2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Michał Pędziwiatr2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Piotr K KowalewskiDepartment of General, Oncologic, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland.
Maciej WalędziakDepartment of General, Oncologic, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland.
Michał Wysocki2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Maciej MichalikDepartment of General, Minimally Invasive and Elderly Surgery, University of Warmia and Mazury, Olsztyn, Poland.
Jagiellonian University · PLUniversity of Warmia and Mazury in Olsztyn · PLWojskowy Instytut Medycyny Lotniczej · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe prevalence of obesity is increasing according to the World Health Organization. Furthermore, global aging is increasing, especially in developed countries in Europe. Whether bariatric surgery should be performed in elderly people is still controversial.

aimTo determine the clinical outcomes of sleeve gastrectomies (SG) in older central European patients. We compared the safety and efficacy of SG in patients older than 60 years with younger patients. MATERIAL AND

methodsEighty-nine patients older than 60 years, who underwent SG, were included in the study. Eighty-nine younger patients (aged 18-40 years) were matched according to body mass index (BMI) and comorbidities. The analyzed data included age, sex, total body weight, BMI, length of hospital stay, 30-day complications and improvement in comorbidities.

resultsThere was no significant difference in the complication rate between the 2 age groups (p = 0.59). An improvement in hypertension was observed in 73.1% of older patients and in 69.2% of younger patients (p = 0.67). There was improvement in diabetes mellitus in 40% of older patients and in 31.1% of younger patients (p = 0.25). The ΔBMI after 12, 24 and 36 months was significantly lower in older patients than in younger patients (p = 0.002, p = 0.001; p = 0.043, respectively). Percent excess BMI loss (%EBMIL) after 12, 24, and 60 months was significantly lower in older than in younger patients (p = 0.001, p = 0.001, p = 0.028, respectively).

conclusionsBetter weight loss is achieved in younger than in older patients, while maintaining a similar effect on the risk of complications and improvement in comorbidities. Therefore, SG is safe and effective in older people.

Indexed as

bariatric surgeryelderlyolder agesleeve gastrectomy

Identifiers

PMID32117495
PMCPMC7020714
OpenAlexW2915230240

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.