Evidence map›Paper›PMID 36103080›Full record

ArticleObesity surgery2022

Trends in Adolescent Bariatric Procedures: a 15-Year Analysis of the National Inpatient Survey.

Fereshteh Salimi-Jazi, Tamta Chkhikvadze, Junxin Shi, Arian Pourmehdi-Lahiji, Amin Moshksar, Talha A Rafeeqi, Janey Pratt, Matias Bruzoni, Stephanie Chao

Abstract read
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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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

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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

9 authors at 4 institutions in 1 country.

Fereshteh Salimi-JaziDivision of Pediatric Surgery, Department of Surgery, Stanford University School of Medicine, 453 Quarry Road, MC 5733, Palo Alto, CA, 94304, USA.
Tamta ChkhikvadzeDepartment of Internal Medicine, NYU Grossman School of Medicine New York, New York City, NY, USA.
Junxin ShiThe Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Arian Pourmehdi-LahijiDepartment of Pathology, University of Texas Medical Branch, Galveston, TX, USA.
Amin MoshksarDepartment of Radiology, University of Texas Medical Branch, Galveston, TX, USA.
Talha A RafeeqiDivision of Pediatric Surgery, Department of Surgery, Stanford University School of Medicine, 453 Quarry Road, MC 5733, Palo Alto, CA, 94304, USA.
Janey PrattDivision of Pediatric Surgery, Department of Surgery, Stanford University School of Medicine, 453 Quarry Road, MC 5733, Palo Alto, CA, 94304, USA.
Matias Bruzoni *Division of Pediatric Surgery, Department of Surgery, Stanford University School of Medicine, 453 Quarry Road, MC 5733, Palo Alto, CA, 94304, USA.
Stephanie Chao *Division of Pediatric Surgery, Department of Surgery, Stanford University School of Medicine, 453 Quarry Road, MC 5733, Palo Alto, CA, 94304, USA. sdchao1@stanford.edu.ORCID 0000-0003-0139-8551
Stanford University · USThe University of Texas Medical Branch at Galveston · USNationwide Children's Hospital · USNew York University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescents with severe obesity achieve superior health outcomes following metabolic and bariatric surgery (MBS) than medical treatment alone. Surgery results in significant and sustained decrease in BMI and reduces associated comorbidity. We characterized the changing demographics of adolescents who had MBS over a 15-year time period.

methodsUsing ICD-9 and ICD-10 codes, the 2005-2019 National Inpatient Sample database was queried for patients < 20 years who underwent MBS. National trends, socio-demographics, and hospital resource utilization were analyzed.

resultsBetween 2005 and 2019, there were 16,381 pediatric hospitalizations for MBS. The annual MBS procedures increased from 839 cases in 2005 to 1785 in 2019. There was a significant shift away from laparoscopic gastric bypass (LGB) to sleeve gastrectomy (SG). Initially, LGB represented 67% of cases with no SG. In 2019, SG constituted 85% of MBS procedures, while LGB comprised only 14%. Patients were predominantly female (76%) and White (56%). Over time, there were considerable increases in patients with public insurance (12 to 46%) and Hispanics (11 to 30%). There was also a shift away from urban, non-teaching hospitals to urban, teaching hospitals. The average length of stay (LOS) decreased, while mean charges remained similar.

conclusionOur study demonstrates a gradual increase in the utilization of MBS among adolescents and a significant shift to SG. We observed a shift in MBS cases to teaching institutions, along with an increase in Hispanics and patients with public insurance. However, MBS remains underutilized, and effort should be made to increase early referral of adolescents for MBS evaluation.

Indexed as

Bariatric SurgeryGastric BypassObesity, MorbidAdolescentChildFemaleGastrectomyHumansInpatientsMaleRetrospective StudiesTreatment OutcomeAdolescent obesityBariatric surgeryHealthcare disparityTrend analysis

Identifiers

PMID36103080
OpenAlexW4295563392

What OpenQuestion holds

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Registered trials

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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.