Evidence map›Paper›PMID 39450266›Full record

ArticleObesity science & practice2024

Patient, facility, and environmental factors associated with obesity treatment in US Veterans.

Vijayvardhan Kamalumpundi, Jessica K Smith, Kathleen M Robinson, Assim Saad Eddin, Aiah Alatoum, Ghena Kasasbeh, Marcelo L G Correia, Mary Vaughan Sarrazin

Abstract read
In one paragraph

Article in Obesity science & practice, 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Vijayvardhan KamalumpundiDepartment of Internal Medicine Mayo Clinic Rochester Minnesota USA.ORCID https://orcid.org/0000-0001-7106-7286
Jessica K SmithDepartment of Surgery Division of Gastrointestinal Minimally Invasive and Bariatric Surgery University of Iowa Healthcare Iowa City Iowa USA.
Kathleen M RobinsonDepartment of Internal Medicine Division of Endocrinology and Metabolism University of Iowa Healthcare Iowa City Iowa USA.ORCID https://orcid.org/0000-0002-5697-6323
Assim Saad EddinDepartment of Surgery University of Texas Southwestern Medical Center Dallas Texas USA.
Aiah AlatoumDepartment of Internal Medicine Division of Endocrinology and Metabolism University of Iowa Healthcare Iowa City Iowa USA.
Ghena KasasbehDepartment of Internal Medicine Division of Endocrinology and Metabolism University of Iowa Healthcare Iowa City Iowa USA.
Marcelo L G CorreiaRoy J. and Lucille A. Carver College of Medicine University of Iowa Iowa City Iowa USA.ORCID https://orcid.org/0000-0002-3470-6234
Mary Vaughan SarrazinDepartment of Internal Medicine Division of Endocrinology and Metabolism University of Iowa Healthcare Iowa City Iowa USA.ORCID https://orcid.org/0000-0001-8717-1061

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Identifying patient-, facility-, and environment-level factors that influence the initiation and retention of comprehensive lifestyle management interventions (CLMI) for urban and rural Veterans could improve obesity treatment and reach at Veterans Affairs (VA) facilities. Aims: This study identified factors at these various levels that predicted treatment engagement, retention, and weight management among urban and rural Veterans. Methods: A retrospective cohort study of 631,325 Veterans was designed using VA databases to identify Veterans with class II and III obesity during 2015-2017. Primary outcomes were initiation of CLMI, bariatric surgery, or obesity pharmacotherapy within 1 year of index date. Secondary outcomes included treatment retention and successful weight loss. Generalized linear mixed models were used to evaluate the relationships between factors and obesity-related outcomes, with rurality differences assessed through interaction terms. Results: Patient characteristics associated with increased odds of initiating CLMI included female sex ( Conclusion: Treatment and retention of CLMI among Veterans remain low, highlighting areas for improvement to expand its reach both urban and rural Veterans.

Indexed as

obesity treatmentrural populationveterans Affairs

Identifiers

PMID39450266
PMCPMC11500758

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.