Evidence map›Paper›PMID 33191162›Full record

ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2021

Development and application of an ethical framework for pediatric metabolic and bariatric surgery evaluation.

Jaime M Moore, Jacqueline J Glover, Brian M Jackson, Curtis R Coughlin, Megan M Kelsey, Thomas H Inge, Richard E Boles

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In one paragraph

Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2021. 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
  2. Beyond surgery: a multimodal framework for a pediatric metabolic and bariatric surgery program in a safety-net children's hospital.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2026
    Article
  3. Article
  4. Ethics of Bariatric Surgery in Adolescence and Its Implications for Clinical Practice.International journal of environmental research and public health · 2023
    Review
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.

Jaime M MooreDepartment of Pediatrics, Section of Nutrition, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, Colorado. Electronic address: jaime.moore@cuanschutz.edu.
Jacqueline J GloverDepartment of Pediatrics, Center for Bioethics and Humanities, University of Colorado School of Medicine, Aurora, Colorado.
Brian M JacksonDepartment of Pediatrics, Section of Pediatric Critical Care, Center for Bioethics and Humanities, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, Colorado.
Curtis R CoughlinDepartment of Pediatrics, Center for Bioethics and Humanities, University of Colorado School of Medicine, Aurora, Colorado.
Megan M KelseyDepartment of Pediatrics, Section of Endocrinology, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, Colorado.
Thomas H IngeDepartment of Surgery, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, Colorado.
Richard E BolesDepartment of Pediatrics, Section of Nutrition, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, Colorado.

Funding

NIDDK National Research Service Award (NRSA) T32 Diversity Administrative SupplementT32DK007658 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Kristen Elizabeth Boyle, Ihuoma U Eneli · 1991 to 2026
$6.0M
NIDDK NIH HHS T32 DK007658
6 · The paper itself

Abstract

backgroundAs severe obesity continues to rise among youth, metabolic and bariatric surgery (MBS) will increasingly be used as a treatment of choice for durable weight loss and improvement of obesity-related complications. MBS for youth with intellectual and developmental disabilities (IDD) and for preadolescents has raised ethical questions.

objectivesThe purpose of this article is to present the creation and application of an ethical framework that supports why MBS should be considered in pediatrics based on the principle of justice without automatic exclusions. This framework also provides a guide for how to conduct a robust, ethically grounded evaluation of pediatric patients presenting for MBS in general, and among subpopulations including youth with IDD and preadolescents.

settingAcademic medical center, United States.

methodsAn ethical framework was developed and applied through a collaboration between an MBS center at a children's hospital and the institution's ethics consult service.

resultsApplication of the ethical framework to address 4 core ethical questions is illustrated using 2 hypothetical cases: 1 that highlights an adolescent with IDD and 1 that highlights a preadolescent.

conclusionsWe have demonstrated the application of a novel, overarching framework to conduct the ethical evaluation of youth presenting for MBS. This framework resulted from a collaboration between MBS and ethics consult teams and has the potential to be used as a prototype for other youth-focused MBS programs. Next steps include prospective data collection to test the framework and determine its validity in the target population.

Indexed as

Bariatric SurgeryObesity, MorbidPediatricsAdolescentChildHumansProspective StudiesUnited StatesWeight LossBariatric surgeryEthicsIntellectual and developmental disabilitiesJusticePediatrics

Identifiers

PMID33191162
PMCPMC7880864

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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.