Evidence map›Paper›PMID 32637723›Full record

ArticleContemporary clinical trials communications2020

A randomized controlled trial comparing intensive non-surgical treatment with bariatric surgery in adolescents aged 13-16 years (AMOS2): Rationale, study design, and patient recruitment.

Annika Janson, Kajsa Järvholm, Eva Gronowitz, Lovisa Sjögren, Sven Klaesson, My Engström, Markku Peltonen, Kerstin Ekbom, Jovanna Dahlgren, Torsten Olbers

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02378259 (AMOS2), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

NCT02378259 naactive not recruitingnot on this map

AMOS2 (Adolescent Morbid Obesity Surgery)

TypeinterventionalSponsorGöteborg UniversityRan2014 to 2034Enrolled50ConditionsObesity, Diabetes, Hypertension, SteatohepatitisArmsLaparoscopic Roux-en-Y gastric bypass, Intense conservative treatment
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Surgery for the treatment of obesity in children and adolescents.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Long-term Outcomes Following Adolescent Metabolic and Bariatric Surgery.The Journal of clinical endocrinology and metabolism · 2023
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Annika JansonNational Childhood Obesity Centre, Karolinska University Hospital, Sweden.
Kajsa JärvholmChildhood Obesity Unit, Skåne University Hospital, Malmö, Sweden.
Eva GronowitzRegion Västra Götaland, Pediatric Obesity Center, Sahlgrenska University Hospital, Gothenburg, Sweden.
Lovisa SjögrenRegion Västra Götaland, Pediatric Obesity Center, Sahlgrenska University Hospital, Gothenburg, Sweden.
Sven KlaessonDepartment of Women's and Children's Health, Södertälje Hospital, Sweden.
My EngströmInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Markku PeltonenNational Institute for Health and Welfare, Helsinki, Finland.
Kerstin EkbomDivision of Pediatric Endocrinology, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Jovanna DahlgrenRegion Västra Götaland, Pediatric Obesity Center, Sahlgrenska University Hospital, Gothenburg, Sweden.
Torsten OlbersDepartment of Gastrosurgical Research, Sahlgrenska University Hospital, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious non-randomized studies show similar outcomes in adolescents and adults after bariatric surgery. We describe the study protocol, recruitment, and selected baseline data of patients in a randomized multi-center study, the Adolescent Morbid Obesity Surgery 2 (AMOS2).

methodsThree clinics in Sweden collaborated in designing the study and recruitment of patients from August 1, 2014 to June 30, 2017. Patients were selected among adolescents 13-16 years of age attending third-level obesity care for at least one year. Patients were randomized 1:1 to bariatric surgery (predominantly Roux-en-Y gastric bypass) or intensive non-surgical treatment starting with an eight-week low-calorie-diet.

resultsFifty adolescents (37 girls) were randomized, 25 (19 girls) to bariatric surgery. Mean age was 15.7 years (range 13.3-16.9), weight 122.6 kg (range 95-183.3), Body Mass Index (BMI) 42.6 kg/m

conclusionsThis clinical trial, randomizing adolescents with severe obesity to bariatric surgery or intensive non-surgical treatment, aims at informing about whether it is beneficial to undergo bariatric surgery in early adolescence. It will also enlighten the outcome of comprehensive non-surgical treatment. The study was registered at www.clinicalTrials.gov number NCT02378259.

Indexed as

AdolescentsAMOS2, Adolescence Morbid Obesity Study 2Bariatric surgeryBMI, Body Mass IndexBORIS, Swedish Childhood Obesity Treatment RegisterDXA, Dual Energy X-Ray AbsorptiometryGB, Roux-en-Y Gastric BypassLCD, Low-Calorie DietLow-calorie dietObesityPediatricRoux-en Y gastric BypassSOReg, Scandinavian Obesity Surgery Registry

Identifiers

PMID32637723
PMCPMC7330152

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Registered trials

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.