Evidence map›Paper›PMID 36169909›Full record

ArticleObesity surgery2022

Impact of Proceduralist Specialty on Outcomes Following Endoscopic Sleeve Gastroplasty.

Anuragh R Gudur, Calvin Geng, Peter Hallowell, Bruce Schirmer, Vanessa M Shami, Andrew Y Wang, Alexander Podboy

Abstract read
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In one paragraph

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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Anuragh R GudurDepartment of Medicine, University of Virginia, Charlottesville, VA, 22903, USA. ycq3qt@virginia.edu.ORCID 0000-0002-1348-9816
Calvin GengDepartment of Medicine, University of Virginia, Charlottesville, VA, 22903, USA.
Peter HallowellDepartment of Surgery, University of Virginia, Charlottesville, VA, 22903, USA.
Bruce SchirmerDepartment of Surgery, University of Virginia, Charlottesville, VA, 22903, USA.
Vanessa M ShamiDivision of Gastroenterology and Hepatology, Department of Medicine, University of Virginia, Charlottesville, VA, 22903, USA.
Andrew Y WangDivision of Gastroenterology and Hepatology, Department of Medicine, University of Virginia, Charlottesville, VA, 22903, USA.
Alexander PodboyDivision of Gastroenterology and Hepatology, Department of Medicine, University of Virginia, Charlottesville, VA, 22903, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEndoscopic sleeve gastroplasty (ESG) is a novel minimally invasive weight loss procedure designed to mimic gastric volume reduction of surgical sleeve gastrectomy. Currently, both bariatric surgeons and gastroenterologists perform ESG, and early reports suggest that ESG is safe and effective for weight loss. However, as gastroenterologists and bariatric surgeons have variations in training backgrounds, it is important to evaluate for potential differences in clinical outcomes. To date, there are no studies comparing the impact of proceduralist specialization on outcomes of ESG. This study aims to assess whether proceduralist specialization impacts short-term safety and efficacy after ESG.

methodsWe retrospectively analyzed over 6,000 patients who underwent ESG from 2016 to 2020 in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database. ESG patients were stratified into two groups depending on the specialty of the physician performing the procedure, and propensity matched using baseline patient characteristics. We primarily compared adverse events (AE), readmissions, re-operations, and re-interventions within 30 days after procedure. Secondary outcomes included procedure time, length of stay (LOS), early weight loss, and emergency department (ED) visits after procedure.

resultsThere was no difference in AE in ESG performed by gastroenterologists and bariatric surgeons. ESG performed by bariatric surgeons demonstrated a trend towards higher rate of re-operations within 30 days. ESG performed by gastroenterologists had more ED visits but did not lead to higher rate of re-intervention. LOS was shorter in ESG performed by gastroenterologists, but procedure time was longer.

conclusionsESG is safely performed by both gastroenterologists and bariatric surgeons.

Indexed as

GastroplastyObesity, MorbidHumansObesityRetrospective StudiesTreatment OutcomeWeight LossBariatric EndoscopyBariatric SurgeryFellowshipObesityTraining

Identifiers

PMID36169909

What OpenQuestion holds

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Read underepoch 390

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.