Evidence map›Paper›PMID 34429250›Full record

ReviewSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2021

Role of weight bias and patient-physician communication in the underutilization of bariatric surgery.

David B Sarwer, Hamlet Gasoyan, Sarah Bauerle Bass, Jacqueline C Spitzer, Rohit Soans, Daniel J Rubin

Open access · greenAbstract readReview
In one paragraph

Review in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.8field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 33 citations in OpenAlex.

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  9. Weight stigma and bariatric surgery: Prospective improvements, psychological health, and weight.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
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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

6 authors at 3 institutions in 1 country.

David B SarwerCenter for Obesity Research and Education, College of Public Health, Temple University, Philadelphia, Pennsylvania; Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, Pennsylvania. Electronic address: dsarwer@temple.edu.
Hamlet GasoyanDivision of Public Health Sciences, Department of Surgery, School of Medicine, Washington University in St. Louis, St. Louis, Missouri.
Sarah Bauerle BassDepartment of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, Pennsylvania.
Jacqueline C SpitzerCenter for Obesity Research and Education, College of Public Health, Temple University, Philadelphia, Pennsylvania.
Rohit SoansLewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania; Department of Surgery, Temple University, Philadelphia, Pennsylvania.
Daniel J RubinLewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania; Section of Endocrinology, Diabetes, and Metabolism, Temple University, Philadelphia, Pennsylvania.
Temple University · USTemple College · USWashington University in St. Louis · US

Funding

Diabetes reversal and the subgingival microbiotaR01DE026603 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI GRAVES, DANA T, GRIFFEN, ANN L · 2018 to 2022
$2.4M
Psychopathology, Disordered Eating, and Impulsivity as Predictors of Outcomes of Bariatric SurgeryR01DK108628 · NIDDK · TEMPLE UNIV OF THE COMMONWEALTH · PI SARWER, DAVID B · 2015 to 2019
$2.1M
NIDCR NIH HHS R01 DE026603NIDDK NIH HHS R01 DK108628
6 · The paper itself

Abstract

A growing body of evidence supports the efficacy and safety of bariatric surgery for clinically severe obesity. Despite this empirical support, bariatric surgery remains profoundly underutilized. The reasons for underutilization are likely multifactorial, including health insurance coverage and benefits design, lack of awareness about bariatric surgery by patients, and anecdotal concerns about safety. We believe that there are two other factors-the occurrence of weight stigma and bias and suboptimal communication between patients and providers-that also serve as barriers to greater utilization. The article reviews the existing literature related to these two factors. The review also highlights the science of shared medical decision-making as a potential strategy to promote appropriate conversations between patients and providers, both surgical and nonsurgical, about the efficacy and safety of bariatric surgery. Shared medical decision-making is used in other areas where complex medical decisions are required. We believe that it has great potential to contribute to the increased utilization for the millions of individuals who could benefit from bariatric surgery.

Indexed as

Bariatric SurgeryObesity, MorbidPhysiciansCommunicationHumansPhysician-Patient RelationsBariatric surgeryObesityShared decision-makingWeight biasWeight stigma

Identifiers

PMID34429250
PMCPMC8551024
OpenAlexW3184350290

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.