Evidence map›Paper›PMID 32241069›Full record

ArticleSingapore medical journal2021

Long-term effects of bariatric surgery on cardiovascular risk factors in Singapore.

Vinay Panday, Asim Shabbir, Ivandito Kuntjoro, Eric Yin Hao Khoo, Jimmy Bok Yan So, Kian Keong Poh

Open access · diamondAbstract read
In one paragraph

Article in Singapore medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Resilience amidst winds of change.Singapore medical journal · 2022
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Vinay PandayDepartment of Medicine, National University Health System, Singapore.
Asim ShabbirDepartment of Surgery, National University Hospital, Singapore.
Ivandito KuntjoroDepartment of Cardiology, National University Heart Centre, National University Health System, Singapore.
Eric Yin Hao KhooDepartment of Medicine, National University Health System, Singapore.
Jimmy Bok Yan SoDepartment of Surgery, National University Hospital, Singapore.
Kian Keong PohDepartment of Cardiology, National University Heart Centre, National University Health System, Singapore.
National University Health System · SGNational University Hospital · SGUniversity Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBariatric surgery is considered an effective treatment for weight loss and for improving the metabolic profile of patients with obesity. Obesity-related comorbidities such as hyperlipidaemia and type 2 diabetes mellitus (DM) are significant cardiovascular risk factors. Additionally, prospective clinical trials have shown that statins increase the risk of development of DM, and many patients with obesity are on statins. We retrospectively examined the effect of bariatric surgery on lipid profile, DM control and weight loss at the five-year follow-up.

methodsIn total, 104 patients undergoing bariatric surgery from 2008 to 2012 were retrospectively studied. 36 patients were on preoperative statins. Their lipid profile, DM control and weight loss were examined at the one-year and five-year follow-ups.

resultsBoth high-density lipoprotein and triglyceride levels showed significant improvement at the one-year and five-year follow-ups (p = 0.01). Total cholesterol showed significant improvement at the one-year follow-up (-0.30 mmol/dL, p = 0.0338); however, better control was not sustained at the five-year follow-up (-0.15 mmol/dL, p = 0.133). Low-density lipoprotein did not show any considerable improvement at the one- and five-year follow-ups (-0.27 mmol/dL, p = 0.150 and -0.24 mmol/dL, p = 0.138, respectively). A statistically significant improvement in DM control was observed in these patients and in those on preoperative statins. Weight loss was sustained at one and five years.

conclusionBariatric surgery does not confer a uniform improvement in lipid profile in the long term. It does, however, induce efficient weight loss and improvement in diabetic profile, even in patients on preoperative statins.

Indexed as

Bariatric SurgeryCardiovascular DiseasesDiabetes Mellitus, Type 2Obesity, MorbidBody Mass IndexHeart Disease Risk FactorsHumansProspective StudiesRetrospective StudiesRisk FactorsSingaporeTreatment Outcomebariatric surgerycardiovascular risk factorsdiabetes mellituslipidslong term

Identifiers

PMID32241069
PMCPMC9251237
OpenAlexW3014400874

What OpenQuestion holds

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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.