Evidence map›Paper›PMID 32367174›Full record

Observational studyObesity surgery2020

Reoperation Incidence and Severity Within 6 Months After Bariatric Surgery: a Propensity-Matched Study from Nationwide Data.

Laurent Brunaud, Cecile Payet, Stephanie Polazzi, Florence Bihain, Didier Quilliot, Jean-Christophe Lifante, Antoine Duclos

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

7 authors at 4 institutions in 1 country.

Laurent BrunaudDepartment of Gastrointestinal, Metabolic, and Surgical Oncology (DCVMC). Multidisciplinary unit of obesity surgery (UMCO), University of Lorraine, CHRU Nancy, Brabois Hospital, 11 allée du morvan, 54511, Vandoeuvre-les-Nancy, France. l.brunaud@chru-nancy.fr.
Cecile PayetDepartment of Medical Information Evaluation and Research, Lyon University Hospital, Lyon, France Health Services and Performance Research Lab (EA 7425 HESPER), Lyon 1 Claude Bernard University, Lyon, France.
Stephanie PolazziDepartment of Medical Information Evaluation and Research, Lyon University Hospital, Lyon, France Health Services and Performance Research Lab (EA 7425 HESPER), Lyon 1 Claude Bernard University, Lyon, France.
Florence BihainDepartment of Gastrointestinal, Metabolic, and Surgical Oncology (DCVMC). Multidisciplinary unit of obesity surgery (UMCO), University of Lorraine, CHRU Nancy, Brabois Hospital, 11 allée du morvan, 54511, Vandoeuvre-les-Nancy, France.
Didier QuilliotDepartment of Endocrinology, Diabetology and Nutrition, University of Lorraine, CHRU Nancy, Brabois Hospital, Nancy, France.
Jean-Christophe LifanteDepartment of General and Endocrine Surgery, Lyon University Hospital, Lyon, France.
Antoine DuclosDepartment of Medical Information Evaluation and Research, Lyon University Hospital, Lyon, France Health Services and Performance Research Lab (EA 7425 HESPER), Lyon 1 Claude Bernard University, Lyon, France.
Université Claude Bernard Lyon 1 · FRUniversité de Lorraine · FRHospices Civils de Lyon · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData about incidence and severity of reoperations up to 6 months after bariatric surgery are currently limited. The aim of this cohort study was to evaluate the incidence and severity of reoperations after initial bariatric surgical procedures and to compare this between the 3 most frequent current surgical procedures (sleeve, gastric bypass, gastric banding). STUDY

designNationwide observational cohort study using data from French Hospital Information System (2013-2015) to evaluate incidence and severity of reoperations within 6 months after bariatric surgery. Hazard ratios (HR) of longitudinal comparison between historical propensity-matched cohorts were estimated from a Fine and Gray's model using competing risk of death.

resultsCumulative reoperation rates increased from postoperative day-30 to day-180. Consequently, 31.1 to 90.0% of procedures would have been missed if the reoperation rate was based solely on a 30-day follow-up. Reoperation rate at 6 months was significantly higher after gastric bypass than after sleeve (HR 0.64; IC 95% [0.53-0.77]) and corresponded to moderate-risk reoperations (HR 0.65; IC 95% [0.53-0.78]). Reoperation rate at 6 months was significantly higher after gastric banding than after sleeve (HR 0.08; IC 95% [0.07-0.09]) and corresponded to moderate-risk reoperations (HR 0.08; IC 95% [0.07-0.10]).

conclusionCumulative incidence of reoperations increased from 30 days to 6 months after sleeve, gastric bypass, or gastric banding and corresponded to moderate-risk surgical procedures. Consequently, 30-day reoperation rate should no longer be considered when evaluating complications and surgical performance after bariatric surgery.

Indexed as

Bariatric SurgeryGastric BypassLaparoscopyObesity, MorbidCohort StudiesGastrectomyHumansIncidencePostoperative ComplicationsReoperationRetrospective StudiesBariatric surgeryGastric bandingGastric bypassPostoperative complicationsSleeve gastrectomy

Identifiers

PMID32367174
OpenAlexW3022452924

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.