Evidence map›Paper›PMID 33491308›Full record

ArticleObesity (Silver Spring, Md.)2021

Obesity Pharmacotherapy is Effective in the Veterans Affairs Patient Population: A Local and Virtual Cohort Study.

Jay Pendse, Franco Vallejo-García, Andrew Parziale, Mae Callanan, Craig Tenner, José O Alemán

Open access · greenAbstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

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

  1. Prevalence, risk factors, and interventions for obesity in Saudi Arabia: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Pooled it
  2. Article
  3. Recent Studies on the Effectiveness and Safety of Anti-Obesity Medications: A Scoping Review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Five-year Weight Loss Maintenance With Obesity Pharmacotherapy.The Journal of clinical endocrinology and metabolism · 2023
    Article
  9. Review
  10. 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

6 authors at 1 institution in 1 country.

Jay Pendse *Division of Endocrinology, Department of Medicine, Manhattan Campus of the VA New York Harbor Healthcare System, New York, New York, USA.
Franco Vallejo-García *Division of Endocrinology, Department of Medicine, Manhattan Campus of the VA New York Harbor Healthcare System, New York, New York, USA.ORCID 0000-0002-2758-0186
Andrew ParzialeDivision of Endocrinology, Department of Medicine, Manhattan Campus of the VA New York Harbor Healthcare System, New York, New York, USA.
Mae CallananDepartment of Medicine, Manhattan Campus of the VA New York Harbor Healthcare System, New York, New York, USA.
Craig TennerDepartment of Medicine, Manhattan Campus of the VA New York Harbor Healthcare System, New York, New York, USA.
José O AlemánDivision of Endocrinology, Department of Medicine, Manhattan Campus of the VA New York Harbor Healthcare System, New York, New York, USA.ORCID 0000-0003-3753-6717
VA NY Harbor Healthcare System · US

Funding

Training Program in Cardiovascular SciencesT32HL098129 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Glenn I Fishman, Ira J Goldberg · 2009 to 2026
$5.9M
Metabolic Flux Analysis of Obesity-Associated Inflammation in Weight LossK08DK117064 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ALEMAN, JOSE ORLANDO · 2019 to 2022
$823k
NHLBI NIH HHS T32 HL098129NIDDK NIH HHS K08 DK117064NIDDK NIH HHS L30 DK126094
6 · The paper itself

Abstract

objectiveObesity is a major public health challenge, and the US military veteran population is disproportionately affected. Using deidentified records from a local weight management clinic and a national clinical data repository, obesity pharmacotherapy use and effectiveness for weight loss and obesity comorbidities in this vulnerable population were assessed.

methodsDuring the initial year of the local clinic, 43 records with monthly follow-up of MOVE! lifestyle intervention augmented by obesity pharmacotherapy were found. Nationally, more than 2 million records of prescribed obesity pharmacotherapy compared with metformin as control were identified. Records with detailed documentation of weight trends from 1 year before to 1 year after the prescription date for further analysis were selected for review.

resultsThe most commonly prescribed medications in the local clinic were metformin, liraglutide, and combination phentermine/topiramate. On average, weight loss of -4.0 ± 2.1 kg over the initial 6-month intervention was observed. In the national cohort, 577,491 records with an obesity or control metformin prescription and adequate weight documentation were identified. The most effective pharmacotherapy in the national cohort was phentermine/topiramate (-0.0931 ± 0.0198 kg/wk difference), followed by liraglutide, lorcaserin, and orlistat.

conclusionsObesity pharmacotherapy is effective in achieving clinically meaningful weight loss in veterans as part of an integrated care approach.

Indexed as

Veterans HealthAdultAgedAnti-Obesity AgentsCohort StudiesFemaleHumansLife StyleMaleMiddle AgedObesityRetrospective StudiesWeight LossAnti-Obesity Agents

Identifiers

PMID33491308
PMCPMC8112812
OpenAlexW3125019090

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.