Evidence map›Paper›PMID 35920911›Full record

ArticleSurgical endoscopy2023

The avoidable delay in weight loss surgery for those with BMI over 50.

Alexander Hien Vu, Chau Hoang, Derek Lim, Yunzhi Qian, Loic Tchokouani, Nilufar Tursunova, George Ferzli

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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.

Alexander Hien VuDepartment of Surgery, New York University Langone Health, 150 55th Street, Brooklyn, NY, 11220, USA. alexander.vu@nyulangone.org.ORCID 0000-0002-7408-6076
Chau HoangDepartment of Surgery, New York University Langone Health, 150 55th Street, Brooklyn, NY, 11220, USA.
Derek LimDepartment of Surgery, New York University Langone Health, 150 55th Street, Brooklyn, NY, 11220, USA.
Yunzhi QianDepartment of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill,, NC, USA.
Loic TchokouaniDepartment of Surgery, New York University Langone Health, 150 55th Street, Brooklyn, NY, 11220, USA.
Nilufar TursunovaDepartment of Surgery, New York University Langone Health, 150 55th Street, Brooklyn, NY, 11220, USA.
George FerzliDepartment of Surgery, New York University Langone Health, 150 55th Street, Brooklyn, NY, 11220, USA.
NYU Langone Health · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany insurance companies mandate medically supervised weight loss programs (MSWLPs) prior to bariatric surgery. This retrospective study aims to elucidate whether the average 6-month preoperative medical-management period decreases preoperative BMI for those with BMI ≥ 50.

methodsAll adult patients with bariatric consultation at any time at the New York University Langone Health campuses during the period 2015 to 2021 were evaluated via electronic medical records. Only patients with ≥ BMI 50, without previous bariatric surgeries, and those with 6-month insurance-mandated medical visits were included. A paired t-test was performed on the difference in BMI and percent-weight loss among the subjects at least 6 months before surgery and on the day of surgery.

resultsOf the 130 patients with BMI ≥ 50, undergoing preoperative 6-month office weigh-ins, the mean difference in BMI was - 1.51 (P < 0.01). The mean total body weight loss was 4.8% (P < 0.01). There were no intraoperative complications nor 30-day complications or mortality in the group.

conclusionsWe found that there was weight loss during the 6-month insurance-mandated medical management prior to surgery, but the amount (4.8%) did not reach the goal target of 10% of body weight. We found that there were no complications and question the need for prolonged delay to surgery.

Indexed as

Bariatric SurgeryAdultBody Mass IndexHumansRetrospective StudiesTreatment OutcomeWeight LossBariatric surgeryBMI 50Insurance mandateMedically supervised weight loss programsPreoperative medical managementWeight-loss surgery

Identifiers

PMID35920911
OpenAlexW4289595440

What OpenQuestion holds

Textmetadata
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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.