Evidence map›Paper›PMID 35997768›Full record

ArticleFamily practice2023

Prelude to PATHWEIGH: pragmatic weight management in primary care.

Jessica Wild, Alexander Kaizer, Emileigh Willems, Erik Seth Kramer, Leigh Perreault

Open access · greenAbstract read
In one paragraph

Article in Family practice, 2023. 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
0.7field-weighted citation impact, top 26% 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, 2 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
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 1 country.

Jessica WildDepartment of Biostatistics and Informatics, Center for Innovative Design and Analysis, Colorado School of Public Health, Aurora, CO, United States.
Alexander KaizerDepartment of Biostatistics and Informatics, Center for Innovative Design and Analysis, Colorado School of Public Health, Aurora, CO, United States.ORCID 0000-0003-2334-5514
Emileigh WillemsDepartment of Biostatistics and Informatics, Center for Innovative Design and Analysis, Colorado School of Public Health, Aurora, CO, United States.ORCID 0000-0003-3088-8576
Erik Seth KramerDepartment of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
Leigh PerreaultDepartment of Medicine, Division of Endocrinology, Metabolism and Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID 0000-0002-1481-7535
Colorado School of Public Health · USUniversity of Colorado Anschutz Medical Campus · US

Funding

PATHWEIGH: pragmatic weight management in primary careR18DK127003 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI HOLTROP, JODI SUMMERS, PERREAULT, LEIGH · 2020 to 2024
$3.0M
NIDDK NIH HHS R18 DK127003
6 · The paper itself

Abstract

objectiveTreatment of obesity-related diseases, rather than obesity itself, remains the mainstay of medical care. The current study examined a novel approach that prioritizes weight management in primary care to shift this paradigm.

methodsPATHWEIGH is a weight management approach consisting of staff team training, workflow system management, and data capture from tools built into the electronic medical record (EPIC). PATHWEIGH was compared to standard of care (SOC) using two family medicine clinics in the same US healthcare system. Descriptive statistics compared patient-, provider-, and clinic-level factors between the groups among those with at least one weight-prioritized visit (WPV) and one follow-up weight over 14 months.

resultsGroups were similar in terms of total patient visits (7,353 vs. 7,984) and patients eligible for a WPV (i.e. >18 years + body mass index >25 kg/m2; 3,746 vs. 3,008, PATHWEIGH vs. SOC, respectively). However, more PATHWEIGH clinic patients (15.9% vs. 8.4%; P < 0.001) received at least one WPV. Although no difference was observed for average patient weight loss over 14 months (P = 0.991), the number of WPVs per patient was higher in PATHWEIGH (P < 0.001) and significantly associated with weight loss (P = 0.001), with an average decrease in weight of 0.55 kg per additional visit.

conclusionsResults from the current study demonstrate early success in changing the paradigm from treating weight-related comorbidities to treating weight in primary care.

Indexed as

ObesityWeight LossBody Mass IndexDelivery of Health CareHumansPrimary Health Careobesityobesity managementpatient educationprimary health carepublic health

Identifiers

PMID35997768
PMCPMC10047621
OpenAlexW4292749501

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.