Evidence map›Paper›PMID 33604869›Full record

Trial reportObesity surgery2021

Bariatric Surgery Decreases the Risk of Non-traffic Accident-Related Fractures in Patients with Obesity: Real-world Data from Taiwan.

Wei Leng Chin, Po-Jui Chi, Wei-Chieh Hung, Chi-Wei Lin, Chung-Yen Chen, Jian-Han Chen

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. 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

6 authors at 1 institution in 1 country.

Wei Leng ChinBariatric and Metabolic Surgery Center, E-Da Hospital, Kaohsiung, Taiwan.
Po-Jui ChiDevision of Nephorology, E-Da Hospital, Kaohsiung, Taiwan.
Wei-Chieh HungDepartment of Family Medicine, E-Da Hospital, Kaohsiung, Taiwan.
Chi-Wei LinDepartment of Family Medicine, E-Da Hospital, Kaohsiung, Taiwan.
Chung-Yen ChenBariatric and Metabolic Surgery Center, E-Da Hospital, Kaohsiung, Taiwan.
Jian-Han ChenBariatric and Metabolic Surgery Center, E-Da Hospital, Kaohsiung, Taiwan. JAMIHAN1981@gmail.com.ORCID http://orcid.org/0000-0001-7360-2238
E-Da Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study is to investigate the impact of bariatric surgery on non-traffic accident-related fractures in patients with obesity.

methodsThis retrospective cohort study was conducted using the Taiwan National Health Insurance Research Database. Patients aged 18 to 55 years with obesity diagnosis between 2003 and 2008 were enrolled and divided into two groups: non-surgical and bariatric surgery groups. Patients with endocrine bone disease and malignancy history were excluded. Healthy patients were also randomly selected from the database and assigned to the general population group. The development of fracture was the primary end point. All patients were followed until the end of 2013 or death, whichever came first.

resultsAfter propensity score matching, 1322, 1322, and 4359 subjects were included in the bariatric surgery (BS), non-surgical (NS), and general population (GP) groups, respectively. Based on multivariate analysis, the risk of overall fractures is similar between the BS group (hazard ratio [HR] = 0.774, p = 0.164) and the NS group; nevertheless, the risk of overall fractures was higher in the BS group (HR = 2.210, p<0.001) than in the GP group. The BS group had a significantly lower risk of non-traffic accident-related fractures (HR = 0.542, p = 0.010) than the NS group but a higher risk of non-traffic accident-related fractures (HR = 1.693, p = 0.023) than the GP group.

conclusionsBariatric surgery may decrease the risk of non-traffic accident-related fractures; however, the risk remains higher in patients with obesity than in the general population.

Indexed as

Bariatric SurgeryObesity, MorbidAdolescentAdultHumansMiddle AgedObesityRetrospective StudiesTaiwanYoung AdultAccidentsBariatric surgeryBone healthFractureOsteoporosis

Identifiers

PMID33604869
OpenAlexW3129638539

What OpenQuestion holds

Textmetadata
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.