Evidence map›Paper›PMID 38443901›Full record

ArticleBMC surgery2024

Factors influencing the bariatric surgery treatment of bariatric surgery candidates in underdeveloped areas of China.

Xiangxin Kong, Yuan Zhang, Ruoer Li, Lei Yang, Yin Xian, Ming He, Ke Song, Aimei Jia, Qin Sun, Yixing Ren

Open access · goldAbstract read
In one paragraph

Article in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 18% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
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 at 1 institution in 1 country.

Xiangxin KongDepartment of Gastroenterology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China.
Yuan ZhangDepartment of Gastroenterology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China.
Ruoer LiNorth Sichuan Medical College, Nanchong, 637000, China.
Lei YangNorth Sichuan Medical College, Nanchong, 637000, China.
Yin XianDepartment of Gastroenterology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China.
Ming HeDepartment of Gastroenterology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China.
Ke SongDepartment of Gastroenterology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China.
Aimei JiaDepartment of Gastroenterology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China.
Qin SunNorth Sichuan Medical College, Nanchong, 637000, China. 271368022@qq.com.
Yixing RenDepartment of Gastroenterology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China. yixingren@nsmc.edu.cn.
North Sichuan Medical University · CN

Funding

Health Commission of Sichuan Province 23LCYJ031Nanchong city school cooperation project 20SXQT0312National Natural Science Foundation of China 82070535Natural Science Foundation of Sichuan Province 2022NSFSC0706North Sichuan Medical College Affiliated Hospital Research and Development Program Project 2022SK011
6 · The paper itself

Abstract

backgroundFrom year to year, the proportion of people living with overweight and obesity in China rises, along with the prevalence of diseases linked to obesity. Although bariatric surgery is gaining popularity, there are still several issues with its promotion compared to Western nations. Since less developed places in China are more widespread due to disparities in the development of different regions, there has been little exploration of the factors that might be related to acceptance of bariatric surgery in these regions.

methodsPatients who visited the Department of Gastrointestinal Surgery at the North Sichuan Medical College Affiliated Hospital from 2018 to 2022 and had obesity or other relevant metabolic problems were surveyed using a questionnaire. The relationship between demographic factors, socioeconomic status, and acceptance of bariatric surgery was analyzed.

resultsOf 334 patients, 171 had bariatric surgery. BMI, education level, marriage history, medical insurance, family support, and a history of type 2 diabetes were all linked to having bariatric surgery, according to a univariate analysis. In a multivariate analysis, BMI (P = 0.02), education (P = 0.02), family support (P<0.001), medical insurance coverage (P<0.001), and history of type 2 diabetes (P = 0.004) were all positively associated with a willingness to have bariatric surgery. Among 163 non-bariatric patients with obesity, 15.3% were not opposed to surgery but preferred trying medication first, 54.6% leaned towards medical therapy, and 30% were hesitant. Additionally, a majority of patients (48.55%) often lacked adequate knowledge about weight reduction therapy. Age, height, gender, smoking, drinking, family history of type 2 diabetes, education, and marital status did not significantly differ (P > 0.05).

conclusionsMany patients are concerned about the safety of surgical treatment and the possibility of regaining weight. Due to the relatively high cost of bariatric surgery, they tend to choose medical treatment. To enhance the acceptance of bariatric surgery in underdeveloped regions of China, it is crucial to focus on disseminating knowledge about bariatric surgery, offer pertinent health education to the community, and foster support from patients' families. The government should pay more attention to obesity and provide support in the form of medical insurance.

Indexed as

Bariatric SurgeryDiabetes Mellitus, Type 2ChinaHumansObesityOverweightBariatric surgeryChinaEconomic factorsFactorsObesityOverweight

Identifiers

PMID38443901
PMCPMC10913241
OpenAlexW4392461139

What OpenQuestion holds

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LicenceCC BY
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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.