Evidence map›Paper›PMID 34912046›Full record

Observational studyInternational journal of obesity (2005)2022

30-day morbidity and mortality of sleeve gastrectomy, Roux-en-Y gastric bypass and one anastomosis gastric bypass: a propensity score-matched analysis of the GENEVA data.

Rishi Singhal, Victor Roth Cardoso, Tom Wiggins, Jonathan Super, Christian Ludwig, Georgios V Gkoutos, Kamal Mahawar, GENEVA Collaborators

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in International journal of obesity (2005), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
9.0field-weighted citation impact, top 1% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  6. One-anastomosis gastric bypassWorld journal of gastrointestinal surgery · 2026
    Article
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  8. One-anastomosis gastric bypassWorld journal of gastrointestinal surgery · 2025
    Article
  9. Article
  10. Identifying drivers of emergency department overutilization following bariatric surgery: insights from the MBSAQIP.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025
    Article
  11. Article
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  13. Surgical Strategies for the Management of Obesity.Methodist DeBakey cardiovascular journal · 2025
    Review
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  15. Article
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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 20 institutions in 35 countries.

Rishi Singhal *Upper GI Unit, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK. singhal_rishi@hotmail.com.ORCID http://orcid.org/0000-0002-2797-2569
Victor Roth Cardoso *Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-9588-6304
Tom Wiggins *Upper GI Unit, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK.
Jonathan SuperGeneral Surgery Department, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, UK.
Christian LudwigInstitute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Georgios V GkoutosInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Kamal MahawarBariatric Unit, South Tyneside and Sunderland NHS Trust, Sunderland, UK.
GENEVA Collaborators
Rijnstate Hospital · NLLuton and Dunstable Hospital · GBRoyal Derby Hospital · GBSt. Vincent's University Hospital · IENational and Kapodistrian University of Athens · GRTecnológico de Monterrey · MXAin Shams University Hospital · EGFırat University · TRHospital Clínico San Carlos · ESMarconi University · ITTel Aviv University · ILUniversity Hospitals Birmingham NHS Foundation Trust · GBVall d'Hebron Hospital Universitari · ESAin Shams University · EGAssuta Medical Center · ILCentro Médico ABC · MXClinical Emergency Hospital Bucharest · ROCUF Porto Hospital · PTFederico II University Hospital · ITGrigore T. Popa University of Medicine and Pharmacy · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a paucity of data comparing 30-day morbidity and mortality of sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and one anastomosis gastric bypass (OAGB). This study aimed to compare the 30-day safety of SG, RYGB, and OAGB in propensity score-matched cohorts. MATERIALS AND

methodsThis analysis utilised data collected from the GENEVA study which was a multicentre observational cohort study of bariatric and metabolic surgery (BMS) in 185 centres across 42 countries between 01/05/2022 and 31/10/2020 during the Coronavirus Disease-2019 (COVID-19) pandemic. 30-day complications were categorised according to the Clavien-Dindo classification. Patients receiving SG, RYGB, or OAGB were propensity-matched according to baseline characteristics and 30-day complications were compared between groups.

resultsIn total, 6770 patients (SG 3983; OAGB 702; RYGB 2085) were included in this analysis. Prior to matching, RYGB was associated with highest 30-day complication rate (SG 5.8%; OAGB 7.5%; RYGB 8.0% (p = 0.006)). On multivariate regression modelling, Insulin-dependent type 2 diabetes mellitus and hypercholesterolaemia were associated with increased 30-day complications. Being a non-smoker was associated with reduced complication rates. When compared to SG as a reference category, RYGB, but not OAGB, was associated with an increased rate of 30-day complications. A total of 702 pairs of SG and OAGB were propensity score-matched. The complication rate in the SG group was 7.3% (n = 51) as compared to 7.5% (n = 53) in the OAGB group (p = 0.68). Similarly, 2085 pairs of SG and RYGB were propensity score-matched. The complication rate in the SG group was 6.1% (n = 127) as compared to 7.9% (n = 166) in the RYGB group (p = 0.09). And, 702 pairs of OAGB and RYGB were matched. The complication rate in both groups was the same at 7.5 % (n = 53; p = 0.07).

conclusionsThis global study found no significant difference in the 30-day morbidity and mortality of SG, RYGB, and OAGB in propensity score-matched cohorts.

Indexed as

COVID-19Diabetes Mellitus, Type 2Gastric BypassObesity, MorbidGastrectomyHumansMorbidityPropensity ScoreRetrospective StudiesTreatment Outcome

Identifiers

PMID34912046
PMCPMC8671878
OpenAlexW4200349306

What OpenQuestion holds

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LicenceCC BY
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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.