Evidence map›Paper›PMID 33298045›Full record

Observational studyBMC dermatology2020

Skin manifestations after bariatric surgery.

Yada Itthipanichpong, Wilawan Damkerngsuntorn, Natsinee Tangkijngamvong, Suthep Udomsawaengsup, Patchaya Boonchayaanant, Chanat Kumtornrut, Stephen J Kerr, Pravit Asawanonda, Pawinee Rerknimitr

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in BMC dermatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Acanthosis Nigricans: Pointer of Endocrine Entities.Diagnostics (Basel, Switzerland) · 2022
    Review
  9. Article
  10. The Link Between Obesity and the Skin.Frontiers in nutrition · 2022
    Review
  11. 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

9 authors at 1 institution in 1 country.

Yada ItthipanichpongDivision of Dermatology, Department of Medicine, Faculty of Medicine, Skin and Allergy Research Unit, Chulalongkorn University, 1873 Rama IV Road, Pathumwan, Bangkok, 10330, Thailand.
Wilawan DamkerngsuntornDivision of Dermatology, Department of Medicine, Faculty of Medicine, Skin and Allergy Research Unit, Chulalongkorn University, 1873 Rama IV Road, Pathumwan, Bangkok, 10330, Thailand.
Natsinee TangkijngamvongDivision of Dermatology, Department of Medicine, Faculty of Medicine, Skin and Allergy Research Unit, Chulalongkorn University, 1873 Rama IV Road, Pathumwan, Bangkok, 10330, Thailand.
Suthep UdomsawaengsupDepartment of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Patchaya BoonchayaanantDivision of Endocrinology and Metabolism, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Chanat KumtornrutDivision of Dermatology, Department of Medicine, Faculty of Medicine, Skin and Allergy Research Unit, Chulalongkorn University, 1873 Rama IV Road, Pathumwan, Bangkok, 10330, Thailand.
Stephen J KerrCenter for Excellence in Biostatistics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Pravit AsawanondaDivision of Dermatology, Department of Medicine, Faculty of Medicine, Skin and Allergy Research Unit, Chulalongkorn University, 1873 Rama IV Road, Pathumwan, Bangkok, 10330, Thailand.
Pawinee RerknimitrDivision of Dermatology, Department of Medicine, Faculty of Medicine, Skin and Allergy Research Unit, Chulalongkorn University, 1873 Rama IV Road, Pathumwan, Bangkok, 10330, Thailand. Pawinee.r@chula.ac.th.ORCID 0000-0003-2051-5573
Chulalongkorn University · TH

Funding

Ratchadapisek Somphot Endowment Fund RA 61/025
6 · The paper itself

Abstract

backgroundSkin signs observed in morbid obesity may change as the weight reduces, especially post-bariatric surgery (BaS). Data concerning the skin findings exclusively in post-BaS patients remain limited.

methodsSeventy post-BaS patients were examined for cutaneous abnormalities. The patients were divided into those with successful weight loss (% excessive body weight loss (EBWL) of at least 50%) and a non-successful group (%EBWL < 50%).

resultsForty-six patients with successful weight loss demonstrated a significantly lower prevalence of acanthosis nigricans on the neck, axillae and inguinal areas, keratosis pilaris (KP) and pebble fingers. However, a higher prevalence of alopecia was observed. After adjustment with patients' factors, KP (adjusted odds ratio (aOR) = 0.21, 95%CI 0.06-0.74, p = 0.02) and pebble fingers (aOR = 0.09, 95%CI 0.01-0.89, p = 0.04) remained significantly less likely in patients with successful weight loss. Laboratory results comparing pre- and post-surgery values revealed significant decreases in fasting plasma glucose, hemoglobin A1c, and triglyceride and an increase of high-density lipoproteins in both groups. However, significant decreases of liver aminotransferases (AST and ALT) were observed only in the successful group (p = 0.04, 0.003). Nonetheless, a decrease in vitamin B12 (p = 0.01) was observed in the successful group.

conclusionWeight loss after BaS provided an improvement for metabolic profiles. Successful weight reduction resulted in better skin improvement. However, nutritional supplements may be necessary.

trial registrationThai Clinical Trials Registry TCTR20171003002 . Registered October 3. 2017, retrospectively registered.

Indexed as

Bariatric SurgeryAdultBody Mass IndexCross-Sectional StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedObesity, MorbidPostoperative PeriodPrevalenceProspective StudiesSkin DiseasesThailandTreatment OutcomeBariatric surgeryCutaneous signObesitySkinWeight loss

Identifiers

PMID33298045
PMCPMC7726855
OpenAlexW3112925241

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.