Evidence map›Paper›PMID 33125675›Full record

ArticleObesity surgery2021

The Bariatric Experience Long Term (BELONG): Factors Related to Having Bariatric Surgery in a Large Integrated Healthcare System.

Darren D Moore, David E Arterburn, Yun Bai, Melissa Cornejo, Cecelia L Crawford, Adam Drewnowski, Marlaine Figueroa Gray, Ming Ji, Kristina H Lewis, Silvia Paz and 4 more

Open access · greenAbstract read
PubMed Full text at PMC 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

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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

14 authors at 5 institutions in 1 country.

Darren D MooreMarriage and Family Therapy Program, Touro University Worldwide, Los Alamitos, CA, USA.
David E ArterburnHealth Research Institute, Kaiser Permanente Washington, Seattle, WA, USA.
Yun BaiCollege of Nursing, University of South Florida, Tampa, FL, USA.
Melissa CornejoDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Cecelia L CrawfordRegional Nursing Research Program, Kaiser Permanente Southern California, Pasadena, CA, USA.
Adam DrewnowskiCenter for Public Health Nutrition, University of Washington, Seattle, WA, USA.
Marlaine Figueroa GrayHealth Research Institute, Kaiser Permanente Washington, Seattle, WA, USA.
Ming JiCollege of Nursing, University of South Florida, Tampa, FL, USA.
Kristina H LewisSM Division of Public Health Sciences, Department of Epidemiology & Prevention, Wake Forest University Health Sciences, Winston-Salem, NC, USA.
Silvia PazDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Brianna TaylorDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Tae K YoonDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Deborah Rohm YoungDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Karen J ColemanDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA. Karen.J.Coleman@kp.org.ORCID http://orcid.org/0000-0002-2052-0885
Kaiser Permanente · USKaiser Permanente Washington Health Research Institute · USUniversity of South Florida · USUniversity of Washington · USWake Forest University · US

Funding

Predictors of Weight Loss Failure and Regain in Bariatric PatientsR01DK108522 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI COLEMAN, KAREN JACQUELINE · 2015 to 2019
$3.1M
The Bariatric Experience Long Term (BELONG) II for Racial and Ethnic Minority PatientsR01MD013874 · NIMHD · KAISER FOUNDATION RESEARCH INSTITUTE · PI COLEMAN, KAREN JACQUELINE · 2019 to 2022
$2.9M
NIDDK NIH HHS R01 DK108522NIMHD NIH HHS R01 MD013874
6 · The paper itself

Abstract

purposeBariatric surgery is the most effective treatment for severe obesity, but currently, only 1-2% of all eligible patients undergo surgery each year. This study examined which factors were associated with a patient receiving bariatric surgery after referral in a real-world healthcare setting. MATERIALS AND

methodsThe current study used the baseline survey and electronic medical record (EMR) data from the Bariatric Experience Long Term (BELONG) study (n = 1975). Predictors of who did (n = 1680) and who did not (n = 295) have surgery were analyzed using multivariate logistic regression.

resultsParticipants (n = 1975; 42.4% response rate) were primarily women (84%) and either non-Hispanic Black or Hispanic (60%). In the fully adjusted multivariate model, the strongest predictors of having surgery were being a woman (OR = 3.17; 95% CI = 2.15, 4.68; p < .001) and losing at least 5% of their body weight in the year before surgery (OR = 3.16; 95% CI = 2.28, 4.38; p < .001). The strongest predictors of not having surgery were a ≥ BMI 50 kg/m

conclusionsPractices such as 5-10% total weight loss before surgery and selection of patients with safer operative risk profiles (younger with lower comorbidity burden) may inadvertently contribute to under-utilization of bariatric surgery among some demographic subpopulations who could most benefit from this intervention.

Indexed as

Bariatric SurgeryDelivery of Health Care, IntegratedObesity, MorbidFemaleHumansTreatment OutcomeWeight LossGender differencesHealth disparitiesSurgical decision-making

Identifiers

PMID33125675
PMCPMC7855040
OpenAlexW3096541464

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.