Evidence map›Paper›PMID 36362536›Full record

ArticleJournal of clinical medicine2022

Analysis of the Lack of Follow-Up of Bariatric Surgery Patients: Experience of a Reference Center.

Marie Auge, Olivier Dejardin, Benjamin Menahem, Adrien Lee Bion, Véronique Savey, Guy Launoy, Véronique Bouvier, Arnaud Alves

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

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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

8 authors.

Marie AugeDepartment of Digestive Surgery, University Hospital of Caen, CEDEX 9, 14033 Caen, France.
Olivier DejardinL'Unité Anticipe (Inserm U1086), CEDEX 5, 14076 Caen, France.
Benjamin MenahemDepartment of Digestive Surgery, University Hospital of Caen, CEDEX 9, 14033 Caen, France.
Adrien Lee BionDepartment of Digestive Surgery, University Hospital of Caen, CEDEX 9, 14033 Caen, France.ORCID 0000-0003-3629-0268
Véronique SaveyDepartment of Digestive Surgery, University Hospital of Caen, CEDEX 9, 14033 Caen, France.
Guy LaunoyL'Unité Anticipe (Inserm U1086), CEDEX 5, 14076 Caen, France.
Véronique BouvierL'Unité Anticipe (Inserm U1086), CEDEX 5, 14076 Caen, France.ORCID 0000-0002-2016-0779
Arnaud AlvesDepartment of Digestive Surgery, University Hospital of Caen, CEDEX 9, 14033 Caen, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Few studies have evaluated the association between non-clinical and clinical determinants in terms of discontinuing follow-up after bariatric surgery. This cohort study aims to assess these associations. Data were collected from a prospectively maintained database of patients who underwent laparoscopic bariatric surgery from January 2012 to December 2019. The Cox model was used to assess the influence of preoperative determinants on follow-up interruptions for more than one year. Multilevel logistic regression was used to evaluate the association between clinical factors and post-operative weight loss with the regularity of follow-up. During the study period, 9607 consultations were performed on 1549 patients. The factors associated with a follow-up interruption from more than 365 days included male gender (HR = 1.323; CI = 1.146−1.527; p = 0.001) and more recent years of intervention (HR = 1.043; CI = 1.012−1.076; p = 0.0068). Revisional bariatric surgery was associated with a lower risk of follow-up interruption (HR = 0.753; CI = 0.619−0.916; p = 0.0045). Independent risk factors of an irregular follow up were higher age (HR = 1.01; CI = 1.002−1.017; p = 0.0086); male gender (OR = 1.272; CI = 1.047−1.545; p = 0.0153); and higher %TWL (Total Weight Loss) (OR = 1.040 CI = 1.033−1.048 p < 0.0001). A higher preoperative BMI (OR = 0.985; CI = 0.972−0.998; p = 0.0263) and revisional surgery (OR = 0.707; CI = 0.543−0.922; p = 0.0106) were protective factors of irregularity. This study suggests that the male gender and most recent dates of surgery are the two independent risk factors for follow-up interruption. Older age, male gender, and higher weight loss were all independent risk factors of an irregular follow-up. Revision bariatric surgery is a protective factor against interruption and irregular follow-up with a higher preoperative BMI. Further studies are needed to obtain long-term results in these patients with discontinued follow-ups.

Indexed as

bariatric surgeryfollow-upweight loss

Identifiers

PMID36362536
PMCPMC9658876

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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.