Evidence map›Paper›PMID 33243670›Full record

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

Association of prior metabolic and bariatric surgery with severity of coronavirus disease 2019 (COVID-19) in patients with obesity.

Ali Aminian, Alisan Fathalizadeh, Chao Tu, W Scott Butsch, Kevin M Pantalone, Marcio L Griebeler, Sangeeta R Kashyap, Raul J Rosenthal, Bartolome Burguera, Steven E Nissen

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study 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 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
10.2field-weighted citation impact, top 1% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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  20. Comment on: Prior bariatric surgery in COVID-19 positive patients may be protective.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021
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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

10 authors at 3 institutions in 1 country.

Ali AminianBariatric and Metabolic Institute, Department of General Surgery, Cleveland Clinic, Cleveland, Ohio. Electronic address: aminiaa@ccf.org.
Alisan FathalizadehBariatric and Metabolic Institute, Department of General Surgery, Cleveland Clinic, Cleveland, Ohio.
Chao TuDepartment of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.
W Scott ButschBariatric and Metabolic Institute, Department of General Surgery, Cleveland Clinic, Cleveland, Ohio.
Kevin M PantaloneEndocrinology and Metabolism Institute, Cleveland Clinic, Cleveland, Ohio.
Marcio L GriebelerEndocrinology and Metabolism Institute, Cleveland Clinic, Cleveland, Ohio.
Sangeeta R KashyapEndocrinology and Metabolism Institute, Cleveland Clinic, Cleveland, Ohio.
Raul J RosenthalBariatric and Metabolic Institute, Department of General Surgery, Cleveland Clinic, Weston, Florida.
Bartolome BurgueraEndocrinology and Metabolism Institute, Cleveland Clinic, Cleveland, Ohio.
Steven E NissenDepartment of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
Cleveland Clinic · USCleveland Clinic Florida · USCleveland Clinic Lerner College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a risk factor for poor clinical outcomes in patients with coronavirus disease 2019 (COVID-19).

objectivesTo investigate the relationship between prior metabolic surgery and the severity of COVID-19 in patients with severe obesity.

settingCleveland Clinic Health System in the United States.

methodsAmong 4365 patients who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) between March 8, 2020 and July 22, 2020 in the Cleveland Clinic Health System, 33 patients were identified who had a prior history of metabolic surgery. The surgical patients were propensity matched 1:10 to nonsurgical patients to assemble a cohort of control patients (n = 330) with a body mass index (BMI) ≥ 40 kg/m

resultsThe average BMI of the surgical group was 49.1 ± 8.8 kg/m

conclusionPrior metabolic surgery with subsequent weight loss and improvement of metabolic abnormalities was associated with lower rates of hospital and ICU admission in patients with obesity who became infected with SARS-CoV-2. Confirmation of these findings will require larger studies.

Indexed as

Body Mass IndexIntensive Care UnitsPandemicsBariatric SurgeryComorbidityCOVID-19FemaleHumansMaleMiddle AgedObesityOhioProspective StudiesSARS-CoV-2Bariatric surgeryCoronavirusCOVID-19DiabetesMetabolic surgeryObesitySARS-CoV-2Weight loss

Identifiers

PMID33243670
PMCPMC7682430
OpenAlexW3110149065

What OpenQuestion holds

Textmetadata
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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.