Evidence map›Paper›PMID 40059585›Full record

ArticleClinical obesity2025

Impact of health literacy and general self-efficacy on surgical outcomes 2 years after bariatric surgery.

Maria Jaensson, Karuna Dahlberg, Yang Cao, Anders Thorell, Johanna Österberg, Ulrica Nilsson, Erik Stenberg

Abstract readMulticenter Study
In one paragraph

Article in Clinical obesity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  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

7 authors.

Maria JaenssonFaculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.ORCID https://orcid.org/0000-0001-7574-6745
Karuna DahlbergFaculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
Yang CaoClinical Epidemiology and Biostatistics, School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Anders ThorellDepartment of Clinical Science, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Johanna ÖsterbergDepartment of Surgery, Mora Hospital, Mora, Sweden.
Ulrica NilssonDepartment of Neurobiology, Care Sciences, and Society, Karolinska Institute, Stockholm, Sweden.
Erik StenbergDepartment of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Funding

Örebro University ORU 2018/00376Örebro University ORU 2018/2019The Bengt Ihre FoundationThe Erling-Persson Foundation # 2019020the Swedish State under the ALF agreement between the Swedish government and the county councils OLL-886141the Swedish State under the ALF agreement between the Swedish government and the county councils OLL-935386the Swedish State under the ALF agreement between the Swedish government and the county councils OLL-939106the Swedish State under the ALF agreement between the Swedish government and the county councils OLL-960506
6 · The paper itself

Abstract

After bariatric surgery, adherence to lifestyle recommendations is crucial. Health literacy and self-efficacy may impact recovery after surgery. In this multicentre study performed in three hospitals in Sweden, we evaluated any relation between preoperative health literacy and general self-efficacy on the one side and weight loss, health-related quality of life, length of stay, and complications up to 2 years after bariatric surgery on the other. Of 686 included patients, 56% (n = 382) had limited functional health literacy, 42% (n = 278) had limited communicative and critical health literacy, and 40% (n = 266) reported low general self-efficacy. Preoperative functional, communicative and critical health literacy, and general self-efficacy were not associated with the degree of weight loss at 1 or 2 years after surgery. However, limited health literacy and low general self-efficacy scores were associated with both reduced quality of life and obesity-related problems postoperatively. Further, a higher proportion of those with inadequate health literacy had a prolonged length of stay. Although patients with limited health literacy and self-efficacy may experience similar maximum weight loss after bariatric surgery as other patients, they still might have reduced health-related quality of life in terms of obesity-related problems. Increased awareness of this association as well as patient-centered support before and after bariatric surgery may be of benefit.

Indexed as

Bariatric SurgeryHealth LiteracyObesity, MorbidSelf EfficacyAdultFemaleHumansLength of StayMaleMiddle AgedQuality of LifeSwedenTreatment OutcomeWeight Lossbariatric surgeryhealth literacyself‐efficacy

Identifiers

PMID40059585
PMCPMC12289404

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