Evidence map›Paper›PMID 35676471›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2022

Can a free weight management program "move the needle" for obese patients preparing for hernia surgery?: outcomes of a novel pilot program.

S M Maskal, A M Boyd-Tressler, L J Heinberg, K C Montelione, C C Petro, D M Krpata, M J Rosen, A S Prabhu

Abstract read
PubMed Publisher
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. The effect of clinically significant weight loss prior to open ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Article
  6. Preoperative optimization in hernia surgery: are we really helping or are we just stalling?Hernia : the journal of hernias and abdominal wall surgery · 2024
    Review
  7. 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

8 authors at 1 institution in 1 country.

S M MaskalCleveland Clinic Center for Abdominal Core Health, Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA. sara.maskal@gmail.com.ORCID 0000-0001-7072-1944
A M Boyd-TresslerCleveland Clinic Center for Abdominal Core Health, Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA.
L J HeinbergDpartment of Psychiatry and Psychology, Cleveland Clinic Foundation, Cleveland, OH, USA.
K C MontelioneCleveland Clinic Center for Abdominal Core Health, Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA.
C C PetroCleveland Clinic Center for Abdominal Core Health, Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA.
D M KrpataCleveland Clinic Center for Abdominal Core Health, Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA.
M J RosenCleveland Clinic Center for Abdominal Core Health, Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA.
A S PrabhuCleveland Clinic Center for Abdominal Core Health, Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA.
Cleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObesity is known to result in increased morbidity and risk of hernia recurrence after ventral hernia repair; however, many patients lack the resources to pursue guided weight loss. We sought to evaluate the effectiveness of a free Weight Management Navigator (WMN) program on preoperative weight loss for patients with Class 2 or 3 obesity and complex ventral hernias seeking surgical repair.

methodsFrom September 2019 and December 2020, all patients with BMI ≥ 35 kg/m

resultsOne hundred ninety one patients were identified. Most patients declined to participate in a weight loss program, were unable to be reached, or did not respond to the WMN (58.1%). Eighty patients enrolled in a WMN program, forty-four of which were lost to follow-up (55%). Seventeen patients underwent hernia repair, nine of which were enrolled in a WMN program. Mean weight loss for those enrolled in a program was 5.97 kg compared to 1.8 kg for those who did not participate (p = 0.01).

conclusionEnrollment in weight loss programs was low despite encouragement from surgeons, free programs, and accessible platforms. Participation in the WMN correlated with more successful weight loss. Our findings suggest that inability to lose weight may be multifactorial. Further study should be devoted to determining other common barriers to weight loss.

Indexed as

Hernia, VentralWeight Reduction ProgramsHerniorrhaphyHumansObesityPilot ProjectsRetrospective StudiesTreatment OutcomeWeight LossHerniaObesityPreoptimizationWeight loss

Identifiers

PMID35676471
OpenAlexW4282942618

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.