Evidence map›Paper›PMID 34783959›Full record

ArticleObesity surgery2022

The Impact of Psychiatric History and Peri-operative Psychological Distress on Weight Loss Outcomes 1 Year After Bariatric Surgery.

Taylor Legatto, Valerie H Taylor, Biniam Kidane, Mehran Anvari, Jennifer M Hensel

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Article in Obesity surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Taylor LegattoDepartment of Psychiatry, University of Manitoba, Psychealth, 771 Bannatyne Ave, Winnipeg, MB, R3E 3N4, Canada.
Valerie H TaylorDepartment of Psychiatry, University of Calgary, Calgary, AB, T2N 1N4, Canada.
Biniam KidaneDepartment of Surgery, University of Manitoba, Winnipeg, MB, R3A 1R9, Canada.
Mehran AnvariDepartment of Surgery, McMaster University, Hamilton, ON, L8N 4A6, Canada.
Jennifer M HenselDepartment of Psychiatry, University of Manitoba, Psychealth, 771 Bannatyne Ave, Winnipeg, MB, R3E 3N4, Canada. jhensel@hsc.mb.ca.ORCID 0000-0003-4194-6049
University of Manitoba · CAMcMaster University · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo determine if self-reported baseline psychological distress moderates the association between lifetime psychiatric diagnosis and weight loss 1 year after bariatric surgery. An exploratory analysis assessed change in psychological distress from baseline on weight loss at 1 year.

methodsA retrospective cohort study using data from the Ontario Bariatric Registry for all individuals undergoing surgery between January 1, 2012, and December 31, 2018, with a complete baseline psychological assessment and 1-year post-operative weight recorded (N = 11,159). Multiple linear regressions assessed the relationship between psychiatric diagnosis and percentage of excess body mass index loss (%EBMIL) at 1-year post-surgery, controlling for baseline body mass index, socio-demographics, medical co-morbidities, and surgical complications. Baseline psychological distress, measured with the EQ-5D-5L anxiety/depression rating, was examined as a moderator of this relationship. %EBMIL was separately regressed on change in psychological distress from baseline to 1 year, controlling for psychiatric diagnosis.

resultsIn the adjusted model, psychiatric diagnosis was associated with lower %EBMIL at 1 year (B =  - 1.00, P = .008). Baseline psychological distress was not a moderator, but had a significant main effect on %EBMIL (B =  - .84, P = .001). Those who experienced a decrease in psychological distress at 1 year, or remained low throughout, fared better than those who increased or had persistently high symptoms.

conclusionsThese findings support use of a self-report assessment for psychological distress prior to bariatric surgery. Addressing active psychological distress prior to and/or following surgery may increase the likelihood of successful outcomes.

Indexed as

Bariatric SurgeryObesity, MorbidPsychological DistressBody Mass IndexHumansRetrospective StudiesTreatment OutcomeWeight LossAnxietyBariatric surgeryDepressionMental disordersPsychological distressWeight loss

Identifiers

PMID34783959
OpenAlexW3212395607

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.