Evidence map›Paper›PMID 36795288›Full record

Observational studyObesity surgery2023

Bariatric Surgery Efficiency, Safety and Health Outcomes in Government Versus Privately Funded Hospitals.

Chiara Chadwick, Paul R Burton, Dianne Brown, Jennifer F Holland, Angus Campbell, Jenifer Cottrell, Andrew D MacCormick, Ian Caterson, Wendy A Brown

Abstract readComparative StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Obesity surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Chiara ChadwickDepartment of Surgery, Central Clinical School, Alfred Health, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, 3004, Australia. Chiara.Chadwick@monash.edu.ORCID http://orcid.org/0000-0002-5866-6919
Paul R BurtonDepartment of Surgery, Central Clinical School, Alfred Health, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, 3004, Australia.
Dianne BrownSchool of Public Health and Preventive Medicine, Bariatric Surgery Registry, Monash University, Melbourne, 3004, Australia.
Jennifer F HollandSchool of Public Health and Preventive Medicine, Bariatric Surgery Registry, Monash University, Melbourne, 3004, Australia.
Angus CampbellSchool of Public Health and Preventive Medicine, Bariatric Surgery Registry, Monash University, Melbourne, 3004, Australia.
Jenifer CottrellSchool of Public Health and Preventive Medicine, Bariatric Surgery Registry, Monash University, Melbourne, 3004, Australia.
Andrew D MacCormickSchool of Public Health and Preventive Medicine, Bariatric Surgery Registry, Monash University, Melbourne, 3004, Australia.
Ian CatersonBoden Initiative, Charles Perkins Centre, University of Sydney, New South Wales, 2006, Sydney, Australia.
Wendy A BrownDepartment of Surgery, Central Clinical School, Alfred Health, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, 3004, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to determine if the hospital efficiency, safety and health outcomes are equal in patients who receive bariatric surgery in government-funded hospitals (GFH) versus privately funded hospitals (PFH). MATERIALS AND

methodsThis is a retrospective observational study of prospectively maintained data from the Australia and New Zealand Bariatric Surgery Registry of 14,862 procedures (2134 GFH and 12,728 PFH) from 33 hospitals (8 GFH and 25 PFH) performed in Victoria, Australia, between January 1st, 2015, and December 31st, 2020. Outcome measures included the difference in efficacy (weight loss, diabetes remission), safety (defined adverse event and complications) and efficiency (hospital length of stay) between the two health systems.

resultsGFH treated a higher risk patient group who were older by a mean (SD) 2.4 years (0.27), P < 0.001; had a mean 9.0 kg (0.6) greater weight at time of surgery, P < 0.001; and a higher prevalence of diabetes at day of surgery OR = 2.57 (CI

conclusionsBariatric surgery performed in GFH and PFH yields comparable health outcomes (metabolic and weight loss) and safety. There was a small but statistically significant increased LOS following bariatric surgery in GFH.

Indexed as

Bariatric SurgeryObesityWeight LossAdultFemaleHospitals, PrivateHospitals, PublicHumansMaleMiddle AgedOutcome Assessment, Health CareRetrospective StudiesTreatment OutcomeBariatric surgeryEfficiencyObesityOutcomesSafety

Identifiers

PMID36795288
PMCPMC10079711

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.