Evidence map›Paper›PMID 36167873›Full record

Observational studySurgical endoscopy2023

Impact of the COVID-19 Pandemic on Inpatient and Outpatient Utilization of Bariatric Surgery.

Jillian Angelo, Mark Soto, Dannie Dai, David Spector, E John Orav, Ali Tavakkoli, Thomas C Tsai

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Surgical endoscopy, 2023. 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
3.3field-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, 15 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Comment on: Ambulatory discharge of patients undergoing sleeve gastrectomy results in significantly more adverse outcomes.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2024
    Article
  8. The Long Haul to Surgery: Long COVID Has Minimal Burden on Surgical Departments.International journal of environmental research and public health · 2024
    Article
  9. Article
  10. Article
  11. 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

7 authors at 2 institutions in 1 country.

Jillian AngeloDepartment of Surgery, Brigham and Women's Hospital, 75 Francis St., Boston, MA, 02115, USA.
Mark SotoDepartment of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Dannie DaiDepartment of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
David SpectorDepartment of Surgery, Brigham and Women's Hospital, 75 Francis St., Boston, MA, 02115, USA.
E John OravDivision of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA.
Ali TavakkoliDepartment of Surgery, Brigham and Women's Hospital, 75 Francis St., Boston, MA, 02115, USA.
Thomas C TsaiDepartment of Surgery, Brigham and Women's Hospital, 75 Francis St., Boston, MA, 02115, USA. ttsai@bwh.harvard.edu.ORCID 0000-0002-9183-016X
Brigham and Women's Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring the COVID-19 pandemic, deferral of inpatient elective surgical procedures served as a primary mechanism to increase surge inpatient capacity. Given the benefit of bariatric surgery on treating obesity and associated comorbidities, decreased access to bariatric surgery may have long-term public health consequences. Understanding the extent of the disruption of the COVID-19 pandemic to bariatric surgery will help health systems plan for appropriate access. MATERIALS AND

methodsThis is an observational cohort study using the PINC AI Healthcare Database from 1/1/2019-6/31/2021. A Poisson regression model with patient characteristics and hospital-fixed effects was used to assess the relative monthly within-hospital reduction in surgical encounters, variations by race and ethnicity, and shift from inpatient to outpatient procedures. A multivariate linear probability model was used to assess the change in 30-day readmissions from 2020 and 2021 compared to 2019.

resultsAmong 309 hospitals, there were 46,539 bariatric procedures conducted in 2019 with a 14.8% reduction in volume to 39,641 procedures in 2020. There were 22,642 bariatric procedures observed from January to June of 2021. The most pronounced decrease in volume occurred in April with an 89.7% relative reduction from 2019. Black and Hispanic patients were more likely to receive bariatric surgery after the height of the pandemic compared to white patients. A clinically significant shift from inpatient to outpatient bariatric surgical procedures was not observed. Relative to 2019, there were no significant differences in bariatric surgical readmission rates.

conclusionDuring the pandemic there was a sizable decrease in bariatric surgical volume. There did not appear to be disparities in access to bariatric surgery for minority patients. We did not observe a meaningful shift toward outpatient bariatric surgical procedures. Post-pandemic, monitoring is needed to assess if hospitals have been able to meet the demand for bariatric surgical procedures.

Indexed as

Bariatric SurgeryCOVID-19HumansInpatientsOutpatientsPandemicsRetrospective StudiesBariatric surgeryCOVID-19RaceReadmissionUtilizationVolume

Identifiers

PMID36167873
PMCPMC9514883
OpenAlexW4297347525

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.