Evidence map›Paper›PMID 35115319›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

What patient factors influence bariatric surgery outcomes? A multiple regression analysis of Ontario Bariatric Registry data.

Uri Kaplan, Wael Zohdy, Scott Gmora, Dennis Hong, Mehran Anvari

Open access · diamondAbstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. 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

5 authors at 2 institutions in 3 countries.

Uri KaplanFrom the Department of General Surgery B, Emek Medical Center, Afula, Israel (Kaplan); the Faculty of Medicine, Cairo University, Cairo, Egypt (Zohdy); and the Department of Surgery, McMaster University, Hamilton, Ont. (Gmora, Hong, Anvari) kaplanuri@gmail.com.
Wael ZohdyFrom the Department of General Surgery B, Emek Medical Center, Afula, Israel (Kaplan); the Faculty of Medicine, Cairo University, Cairo, Egypt (Zohdy); and the Department of Surgery, McMaster University, Hamilton, Ont. (Gmora, Hong, Anvari).
Scott GmoraFrom the Department of General Surgery B, Emek Medical Center, Afula, Israel (Kaplan); the Faculty of Medicine, Cairo University, Cairo, Egypt (Zohdy); and the Department of Surgery, McMaster University, Hamilton, Ont. (Gmora, Hong, Anvari).
Dennis HongFrom the Department of General Surgery B, Emek Medical Center, Afula, Israel (Kaplan); the Faculty of Medicine, Cairo University, Cairo, Egypt (Zohdy); and the Department of Surgery, McMaster University, Hamilton, Ont. (Gmora, Hong, Anvari).
Mehran AnvariFrom the Department of General Surgery B, Emek Medical Center, Afula, Israel (Kaplan); the Faculty of Medicine, Cairo University, Cairo, Egypt (Zohdy); and the Department of Surgery, McMaster University, Hamilton, Ont. (Gmora, Hong, Anvari).
Emek Medical Center · ILMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs bariatric surgery evolves and gains popularity, statistical analysis of its outcomes could improve the process of decision-making and risk assessment. This study aimed to evaluate the influence of age and other factors on bariatric surgery outcomes in order to improve patient selection and outcomes.

methodsWe analyzed data from the Ontario Bariatric Registry to evaluate the influence of age and 10 other factors on early (< 90 d) and 1-year surgical outcomes among patients aged 18 years or older who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) between January 2010 and May 2013. Early outcomes included composite adverse events and readmission. The 1-year outcomes included percent excess body weight loss (%EBWL), and remission of diabetes mellitus and hypertension. We performed multiple regression analysis to identify independent variables that influenced these outcomes.

resultsWe identified 3166 patients (2655 women [83.9%] and 511 men [16.1%], mean age 44.8 yr, mean body mass index [BMI] 48.4) who underwent LRYGB (2839 [89.7%]) or LSG (327 [10.3%]) over the study period and completed their 1-year follow-up. Preoperative American Society of Anesthesiologists (ASA) score and history of angina were independent variables that influenced the composite adverse event outcome. Obstructive sleep apnea was the only factor that influenced early readmission. The independent factors that influenced %EBWL were age, type of surgery, BMI and baseline glycosylated hemoglobin (HbA

conclusionComplications after bariatric surgery can be predicted by preoperative ASA score and history of angina; patient age was not related to an increase in postoperative complications. These factors could help both surgeon and patient make appropriate surgical decisions.

Indexed as

Bariatric SurgeryObesity, MorbidAdultFemaleHumansMaleOntarioRegistriesRegression AnalysisTreatment Outcome

Identifiers

PMID35115319
PMCPMC8820836
OpenAlexW4210559586

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.