Evidence map›Paper›PMID 32166550›Full record

ArticleSurgical endoscopy2021

Marijuana use does not affect the outcomes of bariatric surgery.

Nicole Shockcor, Sakib Mohammad Adnan, Ariel Siegel, Eric Wise, Syed Nabeel Zafar, Mark Kligman

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2021. 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
–field-weighted citation impact
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.

  1. Pooled it
  2. Article
  3. Review
  4. Cannabis smoking and abdominal wall reconstruction outcomes: a propensity score-matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Article
  5. Cannabis use following bariatric surgery is associated with anxiety and maladaptive eating.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2024
    Article
  6. Article
  7. Marijuana, e-cigarette, and tobacco product use in young adults who underwent pediatric bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2023
    Observational
  8. Cannabis use and post-operative complications in patients undergoing pancreatic resection.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. The Effects of Cannabis: Implications for the Surgical Patient.Plastic and reconstructive surgery. Global open · 2021
    Article
  13. Marijuana and Bariatric Surgery.Current psychiatry reports · 2021
    Review
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.

Nicole ShockcorUniversity of Maryland School of Medicine, 29 S. Greene St., Ste 105, Baltimore, MD, 21201, USA. nshockcor@som.umaryland.edu.
Sakib Mohammad AdnanUniversity of Maryland School of Medicine, Baltimore, MD, USA.
Ariel SiegelUniversity of Maryland School of Medicine, Baltimore, MD, USA.
Eric WiseUniversity of Maryland School of Medicine, Baltimore, MD, USA.
Syed Nabeel ZafarUniversity of Maryland School of Medicine, Baltimore, MD, USA.
Mark KligmanUniversity of Maryland School of Medicine, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe decriminalization of marijuana and legalization of derived products requires investigation of their effect on healthcare-related outcomes. Unfortunately, little data are available on the impact of marijuana use on surgical outcomes. We aimed to determine the effect of marijuana use on 30-day complications and 1-year weight loss following laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG).

methodsAt a large academic center, 1176 consecutive patients undergoing primary bariatric surgery from 2012 to 2017 were identified and separated into cohorts according to marijuana use. The only exclusions were 19 patients lost to follow-up. Propensity score matching, using logistic regression according to preoperative age, gender, BMI, and comorbid conditions, yielded 73 patient pairs for the control and study arms. All patients were followed two years postoperatively.

resultsExcess BMI lost did not differ between marijuana users and controls at 3 weeks (23.0% vs 18.9%, p = 0.095), 3 months (42.0% vs 38.1%, p = 0.416), 6 months (60.6% vs 63.1%, p = 0.631), 1 year (78.2% vs 77.3%, p = 0.789), or 2 years (89.1% vs 74.5%, p = 0.604). No differences in the rate of major 30-day postoperative complications, including readmission, infection, thromboembolic events, bleeding events and reoperation rates, were found between groups. Follow-up rate at two years was lower in marijuana users (12.3% vs 27.4%, p = 0.023).

conclusionThis study suggests marijuana use has no impact on 30-day complications or weight loss following bariatric surgery, and should not be a contraindication to bariatric surgery.

Indexed as

AdultBariatric SurgeryFemaleHumansMaleMarijuana UseObesity, MorbidPostoperative ComplicationsRetrospective StudiesTreatment OutcomeWeight LossBariatric surgeryCannabisMarijuanaObesityOutcomes

Identifiers

What OpenQuestion holds

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Registered trials

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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.