Evidence map›Paper›PMID 32661957›Full record

ArticleObesity surgery2020

The Effect of Fasting during Ramadan on Outcomes after Bariatric Surgery at an Academic Medical Center in the Middle East.

Christine Tat, Juan S Barajas-Gamboa, Gabriel Diaz Del Gobbo, Michael Klingler, Mohammed Abdallah, Javed Raza, Carlos Abril, Ricard Corcelles, Matthew Kroh

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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. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
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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

9 authors.

Christine TatDepartment of General Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.ORCID http://orcid.org/0000-0002-7948-6845
Juan S Barajas-GamboaDepartment of General Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Gabriel Diaz Del GobboDepartment of General Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Michael KlinglerDepartment of General Surgery, Cleveland Clinic, Cleveland, OH, USA.
Mohammed AbdallahDepartment of General Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Javed RazaDepartment of General Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Carlos AbrilDepartment of General Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Ricard CorcellesDepartment of General Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Matthew KrohDepartment of General Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates. KrohM@ClevelandClinicAbuDhabi.ae.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRamadan is characterized by a month of fasting between dawn and sunset. Cleveland Clinic Abu Dhabi is located in the United Arab Emirates, where the majority of our patients observe Ramadan. In many practices, bariatric surgery has been delayed until after Ramadan in order to avoid postoperative complications. However, there are no studies that evaluate this theory.

objectivesOur study aimed to evaluate perioperative outcomes between bariatric surgeries performed before/during Ramadan and at times distant to Ramadan.

methodsAll patients who underwent primary bariatric surgery at Cleveland Clinic Abu Dhabi between September 2015 and July 2019 were retrospectively reviewed. The Pre-Ramadan (PR) cohort included patients that underwent surgery during the month of Ramadan and up to 3 months before Ramadan. The Non-Ramadan (NR) cohort included patients from the remainder 8 months.

resultsOur study included 542 patients: 185 patients in the PR cohort and 357 patients in the NR cohort. Baseline characteristics were similar. There were no statistically significant differences in perioperative outcomes, including emergency department (ED) visits (23.2% PR vs. 24.4% NR, p = .77), readmission rates (2.2% PR vs. 4.5% NR, p = .17), reoperation (1.1% PR vs. 3.6% NR, p = .09), and complications within 30 days (3.8% PR vs. 7.0% NR, p = .13).

conclusionsThere is no difference among patients who undergo surgery before/during Ramadan and at times distant to Ramadan. Based on this data, there does not appear to be an increased risk of performing bariatric surgery prior to or during Ramadan in a comprehensive, multi-disciplinary program.

Indexed as

Bariatric SurgeryObesity, MorbidAcademic Medical CentersFastingHumansIslamMiddle EastRetrospective StudiesUnited Arab EmiratesBariatric surgeryComplicationsMetabolic surgeryObesityRamadan

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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.