Evidence map›Paper›PMID 32723692›Full record

ArticleDisability and health journal2021

Accommodating patients with obesity and mobility difficulties: Observations from physicians.

Nicole D Agaronnik, Tara Lagu, Christene DeJong, Aixa Perez-Caraballo, Kimberly Reimold, Julie Ressalam, Lisa I Iezzoni

Open access · greenAbstract read
In one paragraph

Article in Disability and health journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Structural weight stigma in healthcare toward preconception, pregnant, and postpartum women: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
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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

7 authors at 5 institutions in 1 country.

Nicole D AgaronnikHealth Policy Research Center, Mongan Institute, Massachusetts General Hospital, United States.
Tara LaguInstitute for Healthcare Delivery and Population Science and Department of Medicine, Baystate Health, Springfield, MA, United States; University of Massachusetts Medical School, United States.
Christene DeJongInstitute for Healthcare Delivery and Population Science and Department of Medicine, Baystate Health, Springfield, MA, United States.
Aixa Perez-CaraballoInstitute for Healthcare Delivery and Population Science and Department of Medicine, Baystate Health, Springfield, MA, United States.
Kimberly ReimoldUniversity of Massachusetts Medical School, United States.
Julie RessalamCenter for Bioethics and Humanities, University of Colorado School of Medicine, United States.
Lisa I IezzoniHealth Policy Research Center, Mongan Institute, Massachusetts General Hospital, United States; Department of Medicine, Harvard Medical School, United States. Electronic address: liezzoni@mgh.harvard.edu.
Baystate Health · USHarvard University · USMassachusetts General Hospital · USUniversity of Colorado Denver · USUniversity of Massachusetts Chan Medical School · US

Funding

Surveying Physicians to Understand Health Care Disparities Affecting Persons with Disability and Identify Approaches to Improve Their CareR01HD091211 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI IEZZONI, LISA I. · 2018 to 2020
$1.7M
NICHD NIH HHS R01 HD091211
6 · The paper itself

Abstract

backgroundGiven the growing population of U.S. adults with obesity and mobility disability, physicians will need to accommodate these patients.

objectiveTo explore attitudes and practices of US physicians related to caring for patients with obesity and mobility disability.

methodsThree open-ended, semi-structured, web-based focus group interviews with practicing physicians in selected specialties, which reached data saturation. Interviews were video recorded and transcribed for qualitative, conventional content analysis. Measurements included commonly expressed themes around caring for patients with obesity.

resultsPhysicians recognized obesity as a disability that poses challenges to high quality, safe, and efficient patient care. Observations coalesced around four themes: (1) difficulty routinely tracking weight; (2) reluctance to transfer obese patients to exam tables; (3) barriers to diagnostic testing; and (4) weight stigma. Physicians described difficulties accurately assessing weight, performing complete physical examinations, arranging diagnostic imaging, and providing prenatal care for obese patients. Lack of accessible medical diagnostic equipment impeded care for patients with obesity. Other participants did not contest comments of individual participants' that suggested weight stigma.

conclusionsOur findings suggest that important gaps may remain in providing equitable access to care for patients with obesity, requiring additional training and accessible medical diagnostic equipment to safely accommodate these patients.

Indexed as

Persons with DisabilitiesPhysiciansAdultDiagnostic EquipmentFemaleHumansObesityPregnancyPrenatal CareQualitative ResearchDisabilityExam tablesObesityPhysical accessWeight scales

Identifiers

PMID32723692
PMCPMC7762732
OpenAlexW3037664514

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.