Evidence map›Paper›PMID 36198928›Full record

ArticleObesity surgery2022

Evaluating the Bariatric Safety Net: Analysis of Socioeconomic Factors and Outcomes at a Bariatric Safety Net Program Compared to an Affiliated Private Center.

Jessica Wu, Jack P Silva, Tayo Toriola, Ryan C Palmer, Fergui Hernandez, Edward Compton, Stuart Abel, James D Nguyen, Adrian Dobrowolsky, Matthew J Martin and 1 more

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
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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

11 authors at 1 institution in 1 country.

Jessica WuDivision of Upper GI and General Surgery, Department of Surgery, University of Southern California, 1520 San Pablo Street, HCT 4300, Los Angeles, CA, 90033, USA. Jessica.wu@med.usc.edu.ORCID 0000-0002-0181-9398
Jack P SilvaDivision of Upper GI and General Surgery, Department of Surgery, University of Southern California, 1520 San Pablo Street, HCT 4300, Los Angeles, CA, 90033, USA.
Tayo ToriolaDivision of Upper GI and General Surgery, Department of Surgery, University of Southern California, 1520 San Pablo Street, HCT 4300, Los Angeles, CA, 90033, USA.
Ryan C PalmerDivision of Upper GI and General Surgery, Department of Surgery, University of Southern California, 1520 San Pablo Street, HCT 4300, Los Angeles, CA, 90033, USA.
Fergui HernandezDivision of Upper GI and General Surgery, Department of Surgery, University of Southern California, 1520 San Pablo Street, HCT 4300, Los Angeles, CA, 90033, USA.
Edward ComptonDivision of Upper GI and General Surgery, Department of Surgery, University of Southern California, 1520 San Pablo Street, HCT 4300, Los Angeles, CA, 90033, USA.
Stuart AbelDivision of Upper GI and General Surgery, Department of Surgery, University of Southern California, 1520 San Pablo Street, HCT 4300, Los Angeles, CA, 90033, USA.
James D NguyenDivision of Upper GI and General Surgery, Department of Surgery, University of Southern California, 1520 San Pablo Street, HCT 4300, Los Angeles, CA, 90033, USA.
Adrian DobrowolskyDivision of Upper GI and General Surgery, Department of Surgery, University of Southern California, 1520 San Pablo Street, HCT 4300, Los Angeles, CA, 90033, USA.
Matthew J MartinDivision of Upper GI and General Surgery, Department of Surgery, University of Southern California, 1520 San Pablo Street, HCT 4300, Los Angeles, CA, 90033, USA.
Kamran SamakarDivision of Upper GI and General Surgery, Department of Surgery, University of Southern California, 1520 San Pablo Street, HCT 4300, Los Angeles, CA, 90033, USA.
University of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObesity is prevalent among economically disadvantaged and racially underrepresented populations. It has been suggested that socioeconomic factors, race, and lifestyle habits are important factors associated with weight loss and comorbidity remission after bariatric surgery. This study analyzes outcomes of bariatric surgery at a private hospital (PH) versus an affiliated safety-net hospital (SNH).

methodsRetrospective review of laparoscopic sleeve gastrectomies (LSG) performed by the same surgeons at a PH and SNH in a large metropolitan setting. Demographics, socioeconomic status, insurance status, weight metrics, and perioperative outcomes were compared. A postoperative telephone survey was conducted to study dietary and lifestyle differences between cohorts.

resultsOf the 243 LSG performed, 141 (58%) occurred at PH versus 102 (42%) at SNH. Most patients at SNH were Hispanic, lower socioeconomic status, and had government-sponsored insurance. Based off the results from the postoperative telephone survey, there were no significant differences in dietary and lifestyle habits between both cohorts. Postoperative weight loss outcomes were similar across cohorts. The two groups had similar percent excess weight loss (EWL) at all time points up to 36 months and similar rates of failure to achieve 50% EWL at 12 months. However, patients at PH had greater resolution of diabetes and hypertension after surgery.

conclusionOur study demonstrates outcomes after bariatric surgery are similar at a PH and its affiliated SNH. Despite differences in race and socioeconomic factors between the two cohorts, perioperative outcomes, short-term postoperative weight loss, and weight loss failure rates were equivalent between SNH and PH patients.

Indexed as

Bariatric SurgeryLaparoscopyObesity, MorbidGastrectomyHumansRetrospective StudiesSocial ClassTreatment OutcomeWeight LossSafety-net hospitalSleeve gastrectomiesSocioeconomic disparities

Identifiers

PMID36198928
OpenAlexW4302278339

What OpenQuestion holds

Textmetadata
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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.