Evidence map›Paper›PMID 34363141›Full record

ArticleObesity surgery2021

Centile Charts for Monitoring of Weight Loss Trajectories After Bariatric Surgery in Asian Patients.

Sarah Ying Tse Tan, Nicholas L Syn, Daryl J Lin, Chin Hong Lim, Sonali Ganguly, Hock Soo Ong, Jeremy Tian Hui Tan, Phong Ching Lee

Abstract read
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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 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
2.5field-weighted citation impact, top 10% 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, 14 citations in OpenAlex.

  1. Obesity in South and Southeast Asia-A new consensus on care and management.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023
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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

8 authors at 3 institutions in 1 country.

Sarah Ying Tse TanDepartment of Endocrinology, Singapore General Hospital, Singapore, Singapore.
Nicholas L SynYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Daryl J LinYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Chin Hong LimDepartment of Upper Gastrointestinal & Bariatric Surgery, Singapore General Hospital, Singapore, Singapore.
Sonali GangulyDepartment of Endocrinology, Singapore General Hospital, Singapore, Singapore.
Hock Soo OngDepartment of Upper Gastrointestinal & Bariatric Surgery, Singapore General Hospital, Singapore, Singapore.
Jeremy Tian Hui TanDepartment of Upper Gastrointestinal & Bariatric Surgery, Singapore General Hospital, Singapore, Singapore.
Phong Ching LeeDepartment of Endocrinology, Singapore General Hospital, Singapore, Singapore. lee.phong.ching@singhealth.com.sg.ORCID http://orcid.org/0000-0002-9446-2032
SingHealth · SGNational University of Singapore · SGSingapore General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFollowing bariatric surgery, accurate charting of weight loss and regain is crucial. Various preoperative factors affect postoperative weight loss, including age, sex, ethnicity, and surgical type. These are not considered by current weight loss metrics, limiting comparison of weight loss outcomes between patients or centers and across time.

methodsPatients (n=1022) who underwent sleeve gastrectomy (n=809) and gastric bypass (n=213) from 2008 to 2020 in a single center were reviewed. Weight loss outcomes (% total weight loss) were measured for 60 months postoperatively. Longitudinal centile lines were plotted using the post-estimation predictions of quantile regression models, adjusted for type of procedure, sex, ethnicity, and baseline BMI.

resultsMedian regression showed that %TWL was 1.0% greater among males than females (β = +1.1, 95% CI: +0.6 to +1.7, P = <0.0001). Participants who underwent SG had less %TWL compared to GB (β = -1.3, 95% CI: -1.9 to -0.8, P < 0.0001). There was a trend towards less %TWL among the Indian and Malay participants compared to Chinese. Age and diabetes were not significant predictors. Reference centile charts were produced for the overall cohort, as well as specific charts adjusted for type of bariatric procedure, sex, ethnicity, and baseline BMI.

conclusionCentile charts provide a clinically relevant method for monitoring of weight trajectories postoperatively and aid in realistic and personalised goal setting, and the early identification of "poor responders". This is the first study to present post-bariatric surgery centile charts for an Asian cohort.

Indexed as

Bariatric SurgeryBody-Weight TrajectoryGastric BypassObesity, MorbidFemaleGastrectomyHumansMaleRetrospective StudiesTreatment OutcomeEthnicityGastric bypassMetabolic bariatric surgeryObesityPost-bariatric surveillanceSleeve gastrectomy

Identifiers

PMID34363141
OpenAlexW3187265188

What OpenQuestion holds

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Registered trials

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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.