Evidence map›Paper›PMID 35066783›Full record

ArticleObesity surgery2022

Outcomes of Bariatric Surgery in Patients on Chronic Opioids: Can Bariatric Surgery Assist with Decreasing Long-term Opioid Utilization?

Gabriel Mekel, Brian J Dessify, Anthony T Petrick, Jon D Gabrielsen, Alexandra M Falvo, Ryan D Horsley, David M Parker

Abstract read
PubMed Publisher
In one paragraph

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

7 authors at 2 institutions in 1 country.

Gabriel MekelDepartment of Bariatric and Foregut Surgery, Geisinger Medical Center, 100 N Academy Ave., Danville, PA, 17822, USA.
Brian J DessifyDepartment of Bariatric and Foregut Surgery, Geisinger Medical Center, 100 N Academy Ave., Danville, PA, 17822, USA.
Anthony T PetrickDepartment of Bariatric and Foregut Surgery, Geisinger Medical Center, 100 N Academy Ave., Danville, PA, 17822, USA.
Jon D GabrielsenDepartment of Bariatric and Foregut Surgery, Geisinger Medical Center, 100 N Academy Ave., Danville, PA, 17822, USA.
Alexandra M FalvoDepartment of Bariatric and Foregut Surgery, Geisinger Community Medical Center, 1800 Mulberry St., Scranton, PA, 18510, USA.
Ryan D HorsleyDepartment of Bariatric and Foregut Surgery, Geisinger Community Medical Center, 1800 Mulberry St., Scranton, PA, 18510, USA.
David M ParkerDepartment of Bariatric and Foregut Surgery, Geisinger Medical Center, 100 N Academy Ave., Danville, PA, 17822, USA. dparker@geisinger.edu.
Geisinger Medical Center · USCommunity Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of our study was to assess long-term opioid use following bariatric surgery in patients on preoperative narcotics.

methodsWe evaluated patients utilizing preoperative opioids (OP) who underwent primary laparoscopic Roux-en-Y gastric bypass (LRYGB) from 2013 to 2020. Patients were propensity-matched to those without preoperative opioid use (NOP) by demographics and comorbidities. Our objectives were to compare opioid use at 1 and 3 years after surgery and evaluate perioperative outcomes.

resultsA total of 806 patients, matched 1:1 were evaluated, with 82.7% being females. Mean age was 46.5 years in the OP and 45.6 years in the NOP (p = 0.0018), preoperative BMI was 45.8 in the OP and 46.1 in the NOP (p = 0.695). All patients were followed up for 1 year. In the OP, 156 (38.7%) patients were taking opioids 1 year after surgery as opposed to 27 (6.7%) in the NOP (p < 0.0001). Three years after surgery, 74 (37.5%) patients in the OP and 27 (14.4%) in the NOP were taking outpatient opioids (p < 0.0001). There was no statistically significant difference between OP and NOP groups in terms of readmissions (9.4% vs. 5.7% p = 0.06), reinterventions (3.7 vs. 1.7% p = 0.13), reoperations (3.5% vs. 1.5% p = 0.11), or emergency room visits (8.9% vs. 7.2% p = 0.44). There were no mortalities.

conclusionMost patients requiring preoperative opioids can be weaned off after bariatric surgery. Enhanced recovery pathways are key to obtaining these results. Preoperative opioid use is not associated with increased complications compared to opioid-naïve patients.

Indexed as

Bariatric SurgeryGastric BypassLaparoscopyObesity, MorbidAnalgesics, OpioidFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAnalgesics, OpioidBariatric surgeryEnhanced recovery after surgeryLaparoscopic Roux-en-Y gastric bypassMorbid obesityMultimodal analgesiaOpioid crisisOpioid use

Identifiers

PMID35066783
OpenAlexW4207078769

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.