Evidence map›Paper›PMID 37227607›Full record

Observational studyJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2023

Textbook Outcome in Bariatric Surgery: Evolution During 15 Years in a Referral Center.

Silvia Carbonell-Morote, Sergio Ortiz-Sebastián, José Luis Estrada-Caballero, Ester Gracia-Alegria, Emilio Ruiz de la Cuesta Tapia, Celia Villodre, Carlos Felipe Campo-Betancourth, Juan Jesus Rubio-García, David Velilla-Vico, José Manuel Ramia

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. 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

10 authors.

Silvia Carbonell-MoroteDepartment of Surgery, Hospital General Universitario Dr. Balmis, Pintor Baeza 11, 03010, Alicante, Spain. sayasilv@hotmail.com.ORCID 0000-0002-5013-3923
Sergio Ortiz-SebastiánDepartment of Surgery, Hospital General Universitario Dr. Balmis, Pintor Baeza 11, 03010, Alicante, Spain.
José Luis Estrada-CaballeroDepartment of Surgery, Hospital General Universitario Dr. Balmis, Pintor Baeza 11, 03010, Alicante, Spain.
Ester Gracia-AlegriaDepartment of Surgery, Hospital General Universitario Dr. Balmis, Pintor Baeza 11, 03010, Alicante, Spain.
Emilio Ruiz de la Cuesta TapiaDepartment of Surgery, Hospital General Universitario Dr. Balmis, Pintor Baeza 11, 03010, Alicante, Spain.
Celia VillodreDepartment of Surgery, Hospital General Universitario Dr. Balmis, Pintor Baeza 11, 03010, Alicante, Spain.
Carlos Felipe Campo-BetancourthDepartment of Surgery, Hospital General Universitario Dr. Balmis, Pintor Baeza 11, 03010, Alicante, Spain.
Juan Jesus Rubio-GarcíaDepartment of Surgery, Hospital General Universitario Dr. Balmis, Pintor Baeza 11, 03010, Alicante, Spain.
David Velilla-VicoDepartment of Surgery, Hospital General Universitario Dr. Balmis, Pintor Baeza 11, 03010, Alicante, Spain.
José Manuel RamiaDepartment of Surgery, Hospital General Universitario Dr. Balmis, Pintor Baeza 11, 03010, Alicante, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTextbook outcome (TO) is a multidimensional measure used to assess the quality of care. It is the "ideal" surgical result, based on a series of established indicators. In the field of bariatric surgery (BS), only one publication on TO is available.

objectivesTo determine TO in our BS unit and identify the factors linked to TO.

settingUniversity public hospital in Alicante (Spain).

methodsRetrospective observational study of all primary BS was performed. TO for BS was defined in relation to the following features: no major postoperative complications (Clavien-Dindo >II), hospital stay <75th percentile, and no mortality or readmissions within 30 days of surgery. Comparative analysis of the characteristics of the TO and non-TO groups was performed, as well as univariate and multivariate logistic regressions, to identify the independent factors associated with obtaining TO.

resultsIn 970 patients, TO was achieved in 71.5%. The hospital stay was the one that most affected achievement of TO. Analysis according to the type of procedure (sleeve gastrectomy and gastric bypass) did not reveal any differences between both procedures in terms of obtaining TO (71.5 vs 71.26%). Logistic regression identified smoking, heart disease, operative time, and upper gastrointestinal bleeding as independent factors associated with obtaining TO (p<0.05). Analysis of the annual evolution of TO reveals a progressive increase in its achievement (7.7-86.4%).

conclusionIn our series, TO was obtained in 71.5% of patients. The standardization of the technique and the experience gained over the years has improved our TO results.

Indexed as

Bariatric SurgeryGastric BypassLaparoscopyObesity, MorbidGastrectomyHumansPostoperative ComplicationsRetrospective StudiesTreatment OutcomeWeight LossBenchmarkObesity surgeryRoux-en-Y gastric bypassSleeve gastrectomySurgical qualityTextbook outcome

Identifiers

PMID37227607

What OpenQuestion holds

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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.