Evidence map›Paper›PMID 32621054›Full record

ArticleObesity surgery2020

Insurance-Related Delay in Access to Bariatric Surgery, Is It Helpful as Is Thought?

Emiliano Domeniconi, Carlos Martin Esquivel, Manuel Garcia, Matias Sosa, Pablo Arias, Fernando Martínez Lascano, José María Foscarini

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Article in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Emiliano DomeniconiGeneral and Bariatric Surgeon - Regional Hospital of Rios Gallegos, 98 José Ingenieros St., 9400, Río Gallegos, Santa Cruz, Argentina.
Carlos Martin EsquivelGeneral and Bariatric Surgeon, Sanatorio Allende of Córdoba, 5749 Pedro Simon Laplace st, 5000, Villa Belgrano, Córdoba, Argentina. dresquivelcarlos@gmail.com.ORCID http://orcid.org/0000-0001-7956-7314
Manuel GarciaGeneral and Bariatric Surgeon, Sanatorio Allende of Córdoba, 5749 Pedro Simon Laplace st, 5000, Villa Belgrano, Córdoba, Argentina.
Matias SosaGeneral and Bariatric Surgeon, Clínica Modelo of Paraná - Entre ríos, 1238 Gral. José de San Martín St., 3100, Paraná, Entre Ríos, Argentina.
Pablo AriasGeneral and Bariatric Surgeon, Clínica San Rafael, 566 Sarmiento Avenue, 4400, Salta, Salta, Argentina.
Fernando Martínez LascanoGeneral and Bariatric Surgeon, Sanatorio Allende of Córdoba, 5749 Pedro Simon Laplace st, 5000, Villa Belgrano, Córdoba, Argentina.
José María FoscariniGeneral and Bariatric Surgeon, Sanatorio Allende of Córdoba, 5749 Pedro Simon Laplace st, 5000, Villa Belgrano, Córdoba, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Argentina, health insurances demand a 24-month duration preoperative weight loss program (POWLP) before bariatric surgery. It is unknown whether it enhances weight loss before or after surgery, or even if it is related to comorbidity remission. The main objective of this study was to determine its effectiveness and reliability.

methodsAn observational, longitudinal, retrospective study was carried out from June 2009 to December 2016, enrolling patients who underwent bariatric surgery in Sanatorio Allende Hospital of Cordoba, Argentina. Patients were divided into three groups according time-to-surgery from preoperative assessment initiation (A = before the 6th month, B = from 6th to 24th month, and C = over 24th month; all related to the first visit as previously mentioned). BMI, %EWL, comorbidity remission BMI, %EWL, comorbidity remission, and complications rate were assessed after surgery at 1, 3, 6, 12 months, and then annually until the 5th postoperative year. Revisional surgeries were excluded.

resultsThree hundred seventy-six patients were recruited. There were no significant differences in the preoperative and postoperative weight loss, neither co-morbidities resolution between groups.

conclusionsInsurance-related delay in access to bariatric surgery is not associated to any benefit in comorbidity remission, as well as any improvement in weight loss in all groups studied.

Indexed as

Bariatric SurgeryGastric BypassLaparoscopyObesity, MorbidGastrectomyHumansReproducibility of ResultsRetrospective StudiesTreatment OutcomeBariatric surgeryGastrectomyLaparoscopic Roux-en-Y gastric bypassLaparoscopic sleevePreoperative weight loss programWeight loss

Identifiers

PMID32621054

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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.