Evidence map›Paper›PMID 36483119›Full record

ArticleObesity science & practice2022

Obesity treatment initiation, retention, and outcomes in the Veterans Affairs MOVE! Program among rural and urban veterans.

Kathleen M Robinson, Mark Vander Weg, Helena H Laroche, Margaret Carrel, Jason Wachsmuth, Krista Kazembe, Mary Vaughan Sarrazin

Open access · goldAbstract read
In one paragraph

Article in Obesity science & practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed, 11 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Kathleen M RobinsonDepartment of Internal Medicine University of Iowa Carver College of Medicine Iowa City Iowa USA.ORCID https://orcid.org/0000-0002-5697-6323
Mark Vander WegCenter for Access & Delivery Research and Evaluation (CADRE) Iowa City VA Health Care System Iowa City Iowa USA.
Helena H LarocheCenter for Children's Healthy Lifestyles and Nutrition University of Missouri-Kansas City School of Medicine Kansas City Missouri USA.ORCID https://orcid.org/0000-0003-3708-5207
Margaret CarrelDepartment of Geography University of Iowa College of Liberal Arts Iowa City Iowa USA.ORCID https://orcid.org/0000-0003-0430-9235
Jason WachsmuthDepartment of Internal Medicine University of Iowa Carver College of Medicine Iowa City Iowa USA.
Krista KazembeMOVE! Treatment Program Iowa City VA Health Care System Iowa City Iowa USA.
Mary Vaughan SarrazinDepartment of Internal Medicine University of Iowa Carver College of Medicine Iowa City Iowa USA.ORCID https://orcid.org/0000-0001-8717-1061
University of Iowa · USChildren's Mercy Hospital · USIowa City VA Health Care System · US

Funding

Diabetes Research Training Program Diversity SupplementT32DK112751 · NIDDK · UNIVERSITY OF IOWA · PI Andrew W Norris · 2017 to 2026
$4.8M
Fatty Acid Defects & Oxidative Stress Modulate Islet Function in Cystic FibrosisR01DK097820 · NIDDK · UNIVERSITY OF IOWA · PI NORRIS, ANDREW W, UC, ALIYE · 2012 to 2016
$1.9M
NIDDK NIH HHS R01 DK097820NIDDK NIH HHS T32 DK112751
6 · The paper itself

Abstract

Objective: Rural veterans have high obesity rates. Yet, little is known about this population's engagement with the Veterans Affairs (VA) weight management program (MOVE!). The study objective is to determine whether MOVE! enrollment, anti-obesity medication use, bariatric surgery use, retention, and outcomes differ by rurality for veterans with severe obesity. Methods: This is a retrospective cohort study using Veterans Health Administration patient databases, including VA patients with severe obesity during 2015-2017. Patients were categorized using Rural-Urban Commuting Area codes. Primary outcomes included proportion of patients and risk-adjusted likelihood of initiating VA MOVE!, anti-obesity medication, or bariatric surgery and risk-adjusted highly rural|Hazard Ratio (HR) of any obesity treatment. Secondary outcomes included treatment retention (≥12 weeks) and successful weight loss (5%) among patients initiating MOVE!, and risk-adjusted odds of retention and successful weight loss. Results: Among 640,555 eligible veterans, risk-adjusted relative likelihood of MOVE! treatment was significantly lower for rural and HR veterans (HR = 0.83, HR = 0.67, respectively). Initiation rates of anti-obesity medication use were significantly lower as well, whereas bariatric surgery rates, retention, and successful weight loss did not differ. Conclusions: Overall treatment rates with MOVE!, bariatric surgery, and anti-obesity medications remain low. Rural veterans are less likely to enroll in MOVE! and less likely to receive anti-obesity medications than urban veterans.

Indexed as

bariatric surgerybehavior therapydrug treatmentpopulation studiestreatment outcomes

Identifiers

PMID36483119
PMCPMC9722450
OpenAlexW4281850736

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.