Evidence map›Paper›PMID 38343107›Full record

Observational studyHealth technology assessment (Winchester, England)2024

Clinical outcomes and adverse events of bariatric surgery in adults with severe obesity in Scotland: the SCOTS observational cohort study.

Ruth M Mackenzie, Abdulmajid Ali, Duff Bruce, Julie Bruce, Ian Ford, Nicola Greenlaw, Eleanor Grieve, Mike Lean, Robert S Lindsay, Joanne O'Donnell and 4 more

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Health technology assessment (Winchester, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 97% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 0 citations in OpenAlex.

  1. Experienced Weight Stigma Changes Following Bariatric Surgery: a Systematic Review and Meta-Analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  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

14 authors at 6 institutions in 1 country.

Ruth M MackenzieInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.ORCID 0000-0003-2041-5038
Abdulmajid AliUniversity Hospital Ayr, NHS Ayrshire and Arran, Ayr, UK.ORCID 0000-0001-9473-4950
Duff BruceNHS Grampian, Aberdeen, UK.ORCID 0000-0002-0838-9896
Julie BruceClinical Trials Unit, University of Warwick, Warwick, UK.ORCID 0000-0002-8462-7999
Ian FordRobertson Centre for Biostatistics, University of Glasgow, Glasgow, UK.ORCID 0000-0001-5927-1823
Nicola GreenlawRobertson Centre for Biostatistics, University of Glasgow, Glasgow, UK.ORCID 0000-0003-3847-1126
Eleanor GrieveInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0002-4115-2882
Mike LeanSchool of Medicine, University of Glasgow, Glasgow, UK.ORCID 0000-0003-2216-0083
Robert S LindsayInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.ORCID 0000-0002-9868-5217
Joanne O'DonnellInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.ORCID 0000-0002-1433-4226
Naveed SattarInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.ORCID 0000-0002-1604-2593
Sally StewartDepartment of Nursing and Community Health, Glasgow Caledonian University, Glasgow, UK.ORCID 0000-0002-9014-8601
Jennifer LogueLancaster Medical School, Lancaster University, Lancaster, UK.ORCID 0000-0001-9549-2738
SCOTS investigators
University of Glasgow · GBGlasgow Caledonian University · GBLancaster University · GBNHS Ayrshire and Arran · GBNHS Grampian · GBUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bariatric surgery is a common procedure worldwide for the treatment of severe obesity and associated comorbid conditions but there is a lack of evidence as to medium-term safety and effectiveness outcomes in a United Kingdom setting. Objective: To establish the clinical outcomes and adverse events of different bariatric surgical procedures, their impact on quality of life and the effect on comorbidities. Design: Prospective observational cohort study. Setting: National Health Service secondary care and private practice in Scotland, United Kingdom. Participants: Adults (age >16 years) undergoing their first bariatric surgery procedure. Main outcome measures: Change in weight, hospital length of stay, readmission and reoperation rate, mortality, diabetes outcomes (HbA1c, medications), quality of life, anxiety, depression. Data sources: Patient-reported outcome measures, hospital records, national electronic health records (Scottish Morbidity Record 01, Scottish Care Information Diabetes, National Records Scotland, Prescription Information System). Results: Between December 2013 and February 2017, 548 eligible patients were approached and 445 participants were enrolled in the study. Of those, 335 had bariatric surgery and 1 withdrew from the study. Mean age was 46.0 (9.2) years, 74.7% were female and the median body mass index was 46.4 (42.4; 52.0) kg/m Limitations: Due to low numbers of bariatric surgery procedures in Scotland, recruitment was stopped before achieving the intended 2000 participants and follow-up was reduced from 10 years to 3 years. Conclusions: Bariatric surgery is a safe and effective treatment for obesity. Patients in Scotland, UK, appear to be older and have higher body mass than international comparators, which may be due to the small number of procedures performed. Future work: Intervention studies are required to identify the optimal pre- and post surgery pathway to maximise safety and cost-effectiveness. Study registration: This study is registered as ISRCTN47072588. Funding details: This award was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme (NIHR award ref: 10/42/02) and is published in full in

Indexed as

Bariatric SurgeryDiabetes Mellitus, Type 2Obesity, MorbidAdultCohort StudiesCost-Benefit AnalysisFemaleGlycated HemoglobinHumansMaleMiddle AgedObesityProspective StudiesQuality of LifeScotlandState MedicineGlycated HemoglobinBARIATRIC SURGERYCOHORT STUDIESDIABETES MELLITUSELECTRONIC HEALTH RECORDSPATIENT-REPORTED OUTCOME MEASURESPOSTOPERATIVE COMPLICATIONSTYPE 2WEIGHT LOSS

Identifiers

PMID38343107
PMCPMC11017628
OpenAlexW4391759001

What OpenQuestion holds

Textmetadata
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.