Evidence map›Paper›PMID 32986169›Full record

ArticleObesity surgery2021

Pharmacotherapy for Obesity-Trends Using a Population Level National Database.

Abbinaya Elangovan, Raj Shah, Zachary L Smith

Abstract read
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Sex Differences in Obesity and Its Treatment.Current psychiatry reports · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Evolving Approaches for Pharmacological Therapy of Obesity.Annual review of pharmacology and toxicology · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Impact of Obesity and Metabolic Syndrome on IBD Outcomes.Digestive diseases and sciences · 2024
    Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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

3 authors at 3 institutions in 1 country.

Abbinaya ElangovanDepartment of Internal Medicine-Pediatrics, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Raj ShahDivision of Gastroenterology and Liver Disease, University Hospitals, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Zachary L SmithDivision of Gastroenterology and Liver Disease, University Hospitals, Case Western Reserve University School of Medicine, Cleveland, OH, USA. zsmith@mcw.edu.ORCID http://orcid.org/0000-0002-0306-8364
Medical College of Wisconsin · USMetroHealth Medical Center · USUniversity School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the growing trend of obesity, the utilization of anti-obesity therapeutic interventions is not robust in the USA. We aimed to analyze the trends of anti-obesity pharmacotherapy using a population level database.

methodsWe used an electronic health record-derived database (Explorys, IBM Watson Health) to identify adults with obesity (body mass index ≥ 30 kg/m

resultsAmong 11,195,020 adults with obesity, 274,160 (2.4%) were prescribed anti-obesity medications during the study period with an increase from 1.1% in 2010 to 2.9% in 2019 (p < 0.0001). A total of 900 (3.5%) of those with morbid obesity were started on weight loss medications within 5 years of sleeve gastrectomy. Women [odds ratio (OR) 3.57, 95% confidence interval (CI) 3.51-3.58], individuals under 50 years (OR 1.59, CI 1.57-1.60), non-Hispanics (OR 1.12, 1.10-1.14, p < 0.0001), African Americans (OR 1.18, CI 1.16-1.19), Medicaid (OR 1.70, CI 1.67-1.73), and commercial insurance holders (OR 2.46, 2.43-2.49) were more likely to receive anti-obesity pharmacotherapy, p < 0.001 for all comparisons.

conclusionThere has been a modest increase in the prevalence of anti-obesity medications in the last 10 years, but they remain significantly underutilized. Further studies addressing the barriers to anti-obesity pharmacotherapy might help in increasing the utilization of these medications among adults with obesity.

Indexed as

Anti-Obesity AgentsBariatric SurgeryObesity, MorbidAdultBody Mass IndexFemaleGastrectomyHumansRetrospective StudiesTreatment OutcomeAnti-Obesity AgentsAnti-obesity drugsBariatric surgeryMorbid obesityObesityWeight loss

Identifiers

PMID32986169
OpenAlexW3089284022

What OpenQuestion holds

Textmetadata
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.