Evidence map›Paper›PMID 38589572›Full record

ArticleLangenbeck's archives of surgery2024

Risk factors for bariatric surgery in patients over 65 years of age-a multicenter retrospective cohort study.

Natalia Dowgiałło-Gornowicz, Paweł Lech, Bartosz Katkowski, Maciej Walędziak, Monika Proczko-Stepaniak, Michał Szymański, Izabela Karpińska, Piotr Major

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Natalia Dowgiałło-GornowiczDepartment of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, 10-045, Olsztyn, Poland. natalia.dowgiallo@gmail.com.ORCID http://orcid.org/0000-0002-2204-5088
Paweł LechDepartment of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, 10-045, Olsztyn, Poland.
Bartosz KatkowskiDepartment of General and Vascular Surgery, Specialist Medical Center, 57-320, Polanica Zdrój, Poland.
Maciej WalędziakDepartment of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, 04-141, Warsaw, Poland.
Monika Proczko-StepaniakDepartment of General, Endocrine and Transplant Surgery, Medical University of Gdansk, 80-214, Gdańsk, Poland.
Michał SzymańskiDepartment of General, Endocrine and Transplant Surgery, Medical University of Gdansk, 80-214, Gdańsk, Poland.
Izabela Karpińska2nd Department of General Surgery, Jagiellonian University Medical College, 30-688, Cracow, Poland.
Piotr Major2nd Department of General Surgery, Jagiellonian University Medical College, 30-688, Cracow, Poland.
Gdańsk Medical University · PLJagiellonian University · PLUniversity of Warmia and Mazury in Olsztyn · PLWojskowy Instytut Medycyny Lotniczej · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSocieties are aging, life expectancy is increasing, and as a result, the percentage of elderly people in the population is constantly increasing. When qualifying patients over 65 years of age for bariatric surgery, the benefits and risks should be carefully assessed. Weighing risk factors against each other to improve the quality of life and better control of obesity-related diseases. The study aimed to determine risk factors for bariatric surgery among patients over 65 years of age.

methodsA multicenter, retrospective analysis of patients undergoing laparoscopic bariatric procedures from 2008 to 2022. The patients were divided into two groups: complicated (C) and uncomplicated (UC). Uni- and multivariate logistic regression analysis was performed to obtain significant, independent risk factors.

resultsThere were 20 (7.0%) patients in C group and 264 (93.0%) patients in UC group. The most common complication was intraperitoneal bleeding (8, 2.8). There was no postoperative mortality. The mean follow-up was 47.5 months. In a multivariate logistic regression analysis, length of stay and %EWL significantly corresponded to general complications (OR 1.173, OR 1.020). A higher weight loss before surgery lowered the risk for hemorrhagic events after surgery (OR 0.889). A longer length of stay corresponded to leak after surgery (OR 1.175).

conclusionsBariatric and metabolic surgery appears to be a safe method of obesity treatment in patients over 65 years of age. The most common complication was intraperitoneal bleeding. A prolonged hospital stay may increase the risk of leakage, while a higher weight loss before the surgery may lower the risk of bleeding.

Indexed as

Bariatric SurgeryLaparoscopyObesity, MorbidAgedHumansObesityPostoperative ComplicationsQuality of LifeRetrospective StudiesRisk FactorsTreatment OutcomeWeight LossBariatric surgeryElderlyMetabolic surgeryOlder patientsRisk factors

Identifiers

PMID38589572
PMCPMC11001652
OpenAlexW4394616838

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.