Evidence map›Paper›PMID 37605634›Full record

ArticleObesity (Silver Spring, Md.)2023

Long-term cancer outcomes after bariatric surgery.

Ted D Adams, Huong Meeks, Alison Fraser, Lance E Davidson, John Holmen, Michael Newman, Anna R Ibele, Mary Playdon, Sheetal Hardikar, Nathan Richards and 2 more

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Review
  5. Review
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  11. Review
  12. Cancer incidence following bariatric surgery in renal transplant recipients: a retrospective multi-center analysis.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2024
    Article
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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

12 authors.

Ted D AdamsIntermountain Surgical Specialties/Digestive Health Clinical Program, Intermountain Healthcare, Salt Lake, Utah, USA.ORCID 0000-0002-9853-446X
Huong MeeksUtah Population Database, University of Utah, Salt Lake, Utah, USA.
Alison FraserUtah Population Database, University of Utah, Salt Lake, Utah, USA.
Lance E DavidsonDivision of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake, Utah, USA.ORCID 0000-0002-1383-0666
John HolmenIntermountain Biorepository, Intermountain Healthcare, Salt Lake, Utah, USA.
Michael NewmanData Science Services, University of Utah Health, Salt Lake, Utah, USA.
Anna R IbeleDivision of General Surgery, Department of General Surgery, University of Utah, Salt Lake, Utah, USA.
Mary PlaydonDepartment of Nutrition and Integrative Physiology, University of Utah, Salt Lake, Utah, USA.ORCID 0000-0001-6082-0447
Sheetal HardikarPopulation Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake, Utah, USA.ORCID 0000-0003-0292-6168
Nathan RichardsIntermountain Surgical Specialties/Digestive Health Clinical Program, Intermountain Healthcare, Salt Lake, Utah, USA.
Steven C HuntDivision of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake, Utah, USA.
Jaewhan KimDepartment of Physical Therapy, College of Health, University of Utah, Salt Lake City, Utah, USA.

Funding

VIRAL DAMAGE TO BRAIN AND NEUROMUSCULAR SYSTEMM01RR000064 · NCRR · UNIVERSITY OF UTAH · PI LEPPERT, MARK · 1985 to 2008
$21.7M
MORBIDITY/MORTALITY RELATED TO GASTRIC BYPASS SURGERYR01DK055006 · NIDDK · UNIVERSITY OF UTAH · PI HOPKINS, PAUL N · 2000 to 2014
$7.8M
Ceramides as novel drivers of metabolic dysfunction and colorectal cancerU01CA272529 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Mary Christine Playdon, SCOTT A SUMMERS · 2022 to 2026
$4.7M
Diabetes, Medications and the Cost-Effectiveness of Screening for Colorectal NeoplasiaK07CA222060 · NCI · UNIVERSITY OF UTAH · PI HARDIKAR, SHEETAL · 2018 to 2022
$791k
Effects of Gastric Bypass Surgery and Sustained Weight Loss on Fracture RiskR21DK099619 · NIDDK · BRIGHAM YOUNG UNIVERSITY · PI DAVIDSON, LANCE ERIC · 2014 to 2015
$397k
Role of Nuclear IGFBP-3 in the Induction of Human Prostate Cancer Cell ApoptosisZ01DK055006 · NIDDK · DIABETES, DIGESTIVE, KIDNEY DISEASES · PI RECHLER, MATTHEW M · 1986 to 2007
$323k
Intramural NIH HHS Z01 DK055006NCI NIH HHS HHSN261201800016CNCI NIH HHS HHSN261201800016INCI NIH HHS K07 CA222060NCI NIH HHS U01 CA272529NCRR NIH HHS M01 RR000064NIDDK NIH HHS R01 DK055006NIDDK NIH HHS R21 DK099619
6 · The paper itself

Abstract

objectiveObesity is associated with increased cancer risk. Because of the substantial and sustained weight loss following bariatric surgery, postsurgical patients are ideal to study the association of weight loss and cancer.

methodsRetrospectively (1982-2019), 21,837 bariatric surgery patients (surgery, 1982-2018) were matched 1:1 by age, sex, and BMI with a nonsurgical comparison group. Procedures included gastric bypass, gastric banding, sleeve gastrectomy, and duodenal switch. Primary outcomes included cancer incidence and mortality, stratified by obesity- and non-obesity-related cancers, sex, cancer stage, and procedure.

resultsBariatric surgery patients had a 25% lower risk of developing any cancers compared with a nonsurgical comparison group (hazard ratio [HR] 0.75; 95% CI 0.69-0.81; p < 0.001). Cancer incidence was lower among female (HR 0.67; 95% CI 0.62-0.74; p < 0.001) but not male surgery patients, with the HR lower for females than for males (p < 0.001). Female surgery patients had a 41% lower risk for obesity-related cancers (i.e., breast, ovarian, uterine, and colon) compared with nonsurgical females (HR 0.59; 95% CI 0.52-0.66; p < 0.001). Cancer mortality was significantly lower after surgery in females (HR 0.53; 95% CI 0.44-0.64; p < 0.001).

conclusionsBariatric surgery was associated with lower all-cancer and obesity-related cancer incidence among female patients. Cancer mortality was significantly lower among females in the surgical group versus the nonsurgical group.

Indexed as

Bariatric SurgeryNeoplasmsFemaleHumansMaleObesityRetrospective StudiesWeight Loss

Identifiers

PMID37605634
PMCPMC10449359

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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.