Evidence map›Paper›PMID 34981224›Full record

ArticleSurgical endoscopy2022

Questioning the legitimacy of bariatric surgery: a qualitative analysis of individuals from the community who qualify for bariatric surgery.

Grace F Chao, Adrian Diaz, Amir A Ghaferi, Justin B Dimick, Mary E Byrnes

Open access · bronzeAbstract read
In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 7 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 1 institution in 1 country.

Grace F ChaoNational Clinician Scholars Program at the Institute for Healthcare Policy and Innovation, University of Michigan, 2800 Plymouth Road, Building 14, Suite G100, Ann Arbor, MI, 48109, USA. grace.f.chao@yale.edu.ORCID http://orcid.org/0000-0003-3133-9827
Adrian DiazNational Clinician Scholars Program at the Institute for Healthcare Policy and Innovation, University of Michigan, 2800 Plymouth Road, Building 14, Suite G100, Ann Arbor, MI, 48109, USA.
Amir A GhaferiCenter for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI, USA.
Justin B DimickCenter for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI, USA.
Mary E ByrnesCenter for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI, USA.
University of Michigan · US

Funding

Failure to Rescure-Patient Safety Learning Lab (FTR-PSLL) P30HS024403 · AHRQ · DARTMOUTH-HITCHCOCK · PI BLIKE, GEORGE T · 2015 to 2018
$3.8M
AHRQ HHS P30 HS024403
6 · The paper itself

Abstract

backgroundLittle is known about how individuals in the community who qualify for bariatric surgery perceive it and how this affects their likelihood to consider it for themselves. This study is the first qualitative study of a racially and ethnically diverse cohort to understand perceptions of bariatric surgery.

methodsWe designed a descriptive study to understand attitudes about bariatric surgery. We interviewed 32 individuals who met NIH criteria for bariatric surgery but have never considered bariatric surgery. We purposively sampled to ensure the majority of participants were non-white. Using an Interpretive Description framework, an exploratory, iterative method was used to code interviews and arrive at final themes.

resultsParticipants self-identified as 88% female, 75% Black, 3% Hispanic, 3% Pacific Islander, and 19% white. Three major themes emerged from our data regarding legitimacy of bariatric surgery. First, participants perceived bariatric surgery to be something commercialized rather than needed treatment. They equated bariatric surgery with "botulism of the lips" or "cool sculpting." Second, an important contributor to the lack of legitimacy as a medical treatment was that many had not heard about bariatric surgery before from their doctors. Doctors were trusted sources for legitimate information about health. Lastly, conflicting information over bariatric surgery-related diet and weight loss further diminished the legitimacy of bariatric surgery. As one participant reflected about pre-operative weight loss requirements, "[If] I'm going to do that, I might as well just keep losing the weight. Why even go do the surgery?".

conclusionThough bariatric surgery is a safe, effective, and durable therapy for patients with obesity, the majority of individuals we interviewed had concerns over the legitimacy of bariatric surgery as a medical treatment. Moving forward in reaching out to communities about bariatric surgery, healthcare providers and systems should consider the presentation of information to attenuate these concerns.

Indexed as

Bariatric SurgeryObesity, MorbidFemaleHispanic or LatinoHumansMaleObesityQualitative ResearchWeight LossBariatric surgery utilizationPatient perspectives

Identifiers

PMID34981224
PMCPMC8722749
OpenAlexW4206447818

What OpenQuestion holds

Textmetadata
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.