Evidence map›Paper›PMID 34120310›Full record

ArticleObesity surgery2021

An Exploration of the Patient Lived Experience of Remission and Relapse of Type 2 Diabetes Following Bariatric Surgery.

Alexis C Sudlow, Dimitri J Pournaras, Helen Heneghan, Zsolt Bodnar, Carel W le Roux, Deidre McGillicuddy

Open access · hybridAbstract read
In one paragraph

Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 3 institutions in 2 countries.

Alexis C SudlowDepartment of Upper GI Surgery, Southmead Hospital, Southmead Road, Bristol, BS10 5NB, UK.
Dimitri J PournarasDepartment of Upper GI Surgery, Southmead Hospital, Southmead Road, Bristol, BS10 5NB, UK.ORCID http://orcid.org/0000-0001-8798-920X
Helen HeneghanDepartment of Surgery, St Vincent's University Hospital, University College Dublin, Elm Park, Dublin, Ireland.
Zsolt BodnarDepartment of Surgery, Letterkenny University Hospital, Donegal, Ireland.
Carel W le RouxDepartment of Experimental Pathology, University College Dublin, Belfield, Dublin, Ireland. carel.leroux@ucd.ie.
Deidre McGillicuddySchool of Education, University College Dublin, Belfield, Dublin, Ireland.
University College Dublin · IESouthmead Hospital · GBLetterkenny University Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBariatric surgery is the most effective treatment for patients with obesity and type 2 diabetes (T2DM), inducing profound metabolic changes associated with improvements in glycaemic control. In spite of the recognition of the physiological changes associated with bariatric surgery, what remains underappreciated is the patient experience of surgery to treat T2DM.

objectivesThis study explored the patient experience with regard to motivations, expectations and outcomes, including remission and relapse of diabetes.

methodsAn in-depth qualitative approach was adopted, encompassing semi-structured interviews with patients (n=17) living with obesity and T2DM both pre- and postsurgery. Interpretive thematic analysis identified emergent themes using a grounded approach.

resultsAnalysis revealed a number of themes throughout the interviews which included motivations and perceived benefits of surgery, obesity stigma and its impact on self-worth as well as perceptions of remission or relapse and the implications for sense of control.

conclusionsThe motivation for undergoing bariatric surgery was driven by health concerns, namely T2DM and the desire to reduce the risk of developing diabetes-related complications. Patients highlighted social and self-stigmatisation associated with obesity and T2DM, leading to feelings of shame and an inability to seek support from family or healthcare professionals. Stigmatisation created a sense of failure and feeling of guilt for having T2DM. As a result, patients felt responsible for maintaining disease remission postoperatively and regarded the need for medication as a sign of treatment failure.

Indexed as

Bariatric SurgeryDiabetes Mellitus, Type 2Obesity, MorbidHumansObesityRecurrenceRemission InductionTreatment OutcomeBariatric surgeryObesityPatient-centred careType 2 diabetes mellitus

Identifiers

PMID34120310
PMCPMC8197677
OpenAlexW3168471674

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.