Evidence map›Paper›PMID 36180301›Full record

ArticleAmerican journal of surgery2023

Socioeconomic disparities and bariatric surgery outcomes: A qualitative analysis.

Luke M Funk, Esra Alagoz, Jacqueline A Murtha, Catherine R Breuer, Bhabna Pati, Lindsey Eierman, Dawda Jawara, Dorothy Farrar-Edwards, Corrine I Voils

Abstract read
In one paragraph

Article in American journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  19. Racial and Ethnic Disparities in the Diagnosis and Treatment of Thyroid Disease.The Journal of clinical endocrinology and metabolism · 2024
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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.

Luke M FunkDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin-Madison, Madison, WI, USA; William S. Middleton Memorial Veterans Administration Hospital, Madison, WI, USA. Electronic address: funk@surgery.wisc.edu.
Esra AlagozDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin-Madison, Madison, WI, USA.
Jacqueline A MurthaDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin-Madison, Madison, WI, USA.
Catherine R BreuerDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin-Madison, Madison, WI, USA.
Bhabna PatiDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin-Madison, Madison, WI, USA.
Lindsey EiermanDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin-Madison, Madison, WI, USA.
Dawda JawaraDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin-Madison, Madison, WI, USA.
Dorothy Farrar-EdwardsCollaborative Center for Health Equity, University of Wisconsin, Madison, WI, USA.
Corrine I VoilsDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin-Madison, Madison, WI, USA; William S. Middleton Memorial Veterans Administration Hospital, Madison, WI, USA.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
TRAINING IN NUTRITIONT32DK007665 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI GUY E GROBLEWSKI, Chi- Liang Eric Yen · 1993 to 2026
$9.2M
Institutional Clinical and Translational Science AwardKL2TR000428 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$6.2M
Impact of Financing on Outcomes of Methadone MaintenanceR01DA015060 · NIDA · RMC RESEARCH CORPORATION · PI DECK, DENNIS D · 2002 to 2004
$1.4M
Addressing Disparities in Bariatric Surgery outcomes for Medicaid PatientsR21MD012655 · NIMHD · UNIVERSITY OF WISCONSIN-MADISON · PI FUNK, LUKE M · 2018 to 2019
$421k
Identifying and Addressing Barriers to Bariatric Surgery within VAIK2HX002064 · VA · WM S. MIDDLETON MEMORIAL VETERANS HOSP · PI FUNK, LUKE M · 2018 to 2020
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HSRD VA IK2 HX002064NCATS NIH HHS KL2 TR000428NCATS NIH HHS UL1 TR002373NIDA NIH HHS R01 DA015060NIDDK NIH HHS T32 DK007665NIMHD NIH HHS R21 MD012655
6 · The paper itself

Abstract

backgroundDisparities in socioeconomic status (SES) have been associated with less weight loss after bariatric surgery. The objective of this study was to identify socioeconomic barriers to weight loss after bariatric surgery.

methodsWe performed semi-structured interviews with bariatric surgery patients and providers from April-November 2020. Participants were asked to describe their post-operative experiences regarding dietary habits, physical activity, and follow-up care. Interview data were coded using Directed Content Analysis based on domains in Andersen's Behavioral Model of Health Services Use and Torain's Surgical Disparities Model.

results24 patients (median of 4.1 years post-operatively; mean age 50.6 ± 10.7 years; 12 bypass and 12 sleeve; 83% female) and 21 providers (6 bariatric surgeons, 5 registered dietitians, 4 health psychologists, and 6 primary care providers) were interviewed. Barriers to weight loss included: 1) challenging employment situations; 2) limited income; 3) unreliable transportation; 4) unsafe/inconvenient neighborhoods; and 5) limited health literacy.

conclusionsInterventions targeting socioeconomic barriers to weight loss are needed to support patients, particularly those who are socioeconomically disadvantaged.

Indexed as

Bariatric SurgeryObesity, MorbidAdultEmploymentFemaleHumansIncomeMaleMiddle AgedSocioeconomic Disparities in HealthWeight LossBariatric surgeryQualitative researchSocioeconomic status

Identifiers

PMID36180301
PMCPMC10033325

What OpenQuestion holds

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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.