Evidence map›Paper›PMID 36257288›Full record

Trial reportObesity facts2023

Efficacy and Safety of Intragastric Balloon Therapy Compared to a Multidisciplinary Weight Loss Program (OPTIFAST) in a Real-World Population: A Propensity Score Matching Analysis.

Miriam Oster, Nathalena Hein, Aysegül Aksan, Heiner Krammer, Sophia Theodoridou, Jürgen Stein

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity facts, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
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

6 authors at 5 institutions in 1 country.

Miriam OsterKlinik für Allgemein- und Viszeralchirurgie, Hospital zum Heiligen Geist, Frankfurt am Main, Germany.
Nathalena HeinObesity Center, DGD Kliniken Sachsenhausen, Frankfurt am Main, Germany.
Aysegül AksanInstitute of Nutritional Science, Justus-Liebig-Universität, Giessen, Germany.
Heiner KrammerUniversitätsklinikum Mannheim, Mannheim, Germany.
Sophia TheodoridouChirurgische Klinik V, Sana Klinikum Offenbach GmbH, Offenbach am Main, Germany.
Jürgen SteinObesity Center, DGD Kliniken Sachsenhausen, Frankfurt am Main, Germany.
Justus-Liebig-Universität Gießen · DEHeidelberg University · DEHospital zum Heiligen Geist · DEKrankenhaus Sachsenhausen · DESana Klinikum Offenbach · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObesity is a major global health problem associated with comorbidities such as diabetes, cardiovascular disease, and cancer. Bariatric surgery is recognized to be the most effective weight loss intervention, but it is highly invasive and costly and can have serious side effects. Intragastric balloon (IGB) placement by endoscopy and hypocaloric diets are among a number of techniques that have been used in patients unsuitable for, or unwilling to undergo, obesity surgery. In this study, we compared the efficacy, safety, and cost-effectiveness of the hypocaloric OPTIFAST program (OPT) with endoscopic IGB placement for weight loss.

methodsIn this retrospective observational cohort propensity score-weighted comparison (performed May 2014 to December 2020), participants with a BMI of 30-55 kg/m2, aged 18-70 years, were randomized to OPT or IGB for 26 weeks, followed by a weight maintenance phase. Patients were matched according to age, gender, and BMI. The study outcomes were percentage excess body weight lost, total body weight lost (TBWL), and percentage TBWL (%TBWL).

resultsA total of 148 participants (75% of those randomized; 74 OPT, 74 IGB) made up the ITT population. Mean age was 44.1 ± 10.4 years, and the patients were predominantly female (77%). Baseline BMI was 44.1 ± 10.4 kg/m2. At 26 weeks, %TBWL in the OPT group was 19.6 ± 6.8% versus 11.9 ± 6.7% for IGB (p < 0.001). At 52 weeks, %TBWL for OPT was 18.2 ± 9.0% versus 12.0 ± 6.6% for IGB (p < 0.001). The OPT cohort also experienced significantly fewer adverse events compared with the IGB group.

conclusionIGB placement and OPT induce clinically meaningful weight loss. However, OPT appears to induce clinically superior weight loss and has economic advantages through lower rates of complications and adverse events.

Indexed as

Gastric BalloonObesity, MorbidWeight Reduction ProgramsAdultFemaleHumansMaleMiddle AgedObesityPropensity ScoreRetrospective StudiesTreatment OutcomeWeight GainWeight LossBody mass indexBody weightHypocaloric dietIntragastric balloonObesityWeight loss

Identifiers

PMID36257288
PMCPMC9889727
OpenAlexW4306721658

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.