ArticleObesity surgery2025
A Target for Intervention: Poor Adherence to Follow-Up After Sleeve Gastrectomy in Adolescents and Young Adults.
Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNonadherence to follow-up after bariatric surgery is associated with lower long-term weight loss. Yet limited data exists on the youngest bariatric population, adolescents and young adults (AYA), who experience life changes in social, psychological, and behavioral domains that can interrupt follow-up. To better understand how age groups affected health outcomes in these populations, this study compared bariatric clinic follow-up adherence between AYA and assessed the impact of follow-up interruption on weight loss.
methodsUsing an institutional registry, we retrospectively reviewed adolescents (age 14-18) and young adults (YA) (age ≥19-26) who underwent sleeve gastrectomy between January 2018 and May 2023. Primary outcome was follow-up compliance (1, 3, 6, 12, 18, 24 months). Secondary outcomes included median total weight loss percentage (%TWL). Lost to follow-up (LTF) was determined by the last bariatric clinic visit attended.
resultsOf 73 (46.8%) adolescents and 83 (53.2%) YA, median preoperative BMI was higher in adolescents (51.0 [44.5,56.8] vs. 48.5 [43.4,51.7], p = 0.015). Median total weight loss percentage (%TWL) was greater in YA up to 6 months postoperatively (23.3 [20.5,27.4] vs. 20.2 [15.1,24.9], p = 0.008) but did not differ afterward. Median missed follow-up appointments were similar between adolescents (3[3,4]) and YA (4[3,4]). Adolescents were more likely to be LTF at 6 months (34.3% vs. 20.5%, p = 0.053). Patients in both age groups were more likely to be LTF if %TWL was in the lowest tertile at 6 months (OR 4.78, 95% CI [2.04, 11.18], p = < 0.001) or 1 year (OR 18.45, 95% CI [5.75, 59.2], p < 0.001).
conclusionsClinic adherence in the post-bariatric AYA population is poor especially among patients with less %TWL. Identifying when AYA are at risk of LTF allows for targeted interventions to maximize adherence and potentially improve long-term health.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.