Evidence map›Paper›PMID 40263521›Full record

Observational studyScientific reports2025

Comparison of bariatric surgery and community weight management for idiopathic intracranial hypertension in a multicenter retrospective cohort study.

Rasha Tarek Mirdad, Mahmoud M Morsy, Ahmed Y Azzam, Alsaleem Mohammed Abadi, Abdullah A Dalboh, Nasser A Alsabaani, Waleed A Aldhabaan, Moutasem S Aboonq, Muhammed Amir Essibayi, Mohamed D Morsy and 1 more

Abstract readComparative StudyMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Rasha Tarek Mirdad *Department of Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Mahmoud M Morsy *October 6 University Hospital, October 6 University, Giza, Egypt. mm.darwesh20@yahoo.com.
Ahmed Y Azzam *October 6 University Hospital, October 6 University, Giza, Egypt.
Alsaleem Mohammed AbadiFamily and Community Medicine Department, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Abdullah A DalbohSurgery Department, Faculty of Medicine, King Khalid University, Abha, Saudi Arabia.
Nasser A AlsabaaniDepartment of Ophthalmology, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Waleed A AldhabaanDepartment of Ophthalmology, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Moutasem S AboonqDepartment of Clinical Physiology, College of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.
Muhammed Amir EssibayiDepartment of Neurological Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Mohamed D MorsyDepartment of Clinical Physiology, College of Medicine, King Khalid University, Abha, Saudi Arabia.
David J AltschulDepartment of Neurological Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Funding

the Deanship of Scientific Research at King Khalid University, Saudi Arabia; General Research Project under grant number (GRP/152/45). GRP/152/45
6 · The paper itself

Abstract

Idiopathic Intracranial Hypertension (IIH) is a neurological disorder characterized by elevated intracranial pressure without definitive etiology, primarily affecting young, obese women. This study aimed to compare the efficacy of bariatric surgery versus conventional community weight management in treating IIH. We conducted a retrospective cohort study in IIH patients undergoing bariatric procedures versus conventional weight loss interventions. Propensity score matching was employed to balance study groups. Outcomes were assessed at 3, 6, 12, and 24 months, including papilledema, headache, visual symptoms, and therapeutic interventions. Bariatric surgery demonstrated superior outcomes compared to community weight management. Papilledema incidence was consistently lower in the bariatric group (RR = 0.591 at 24 months, p = 0.0001). Headache prevalence and visual symptoms were also reduced in the surgical group. Acetazolamide dose was lower in bariatric patients, starting at 12 and 24 months. Subgroup analysis of different bariatric procedures showed comparable efficacy. Body mass index reduction was significantly greater in the bariatric group throughout the follow-up period. This study provides evidence supporting the efficacy of bariatric surgery in managing IIH, with superior outcomes across multiple parameters compared to conventional weight management. The sustained improvements in papilledema, headache, and visual symptoms, coupled with for the reduction in pharmacological intervention dose, suggest that bariatric surgery may offer a more definitive solution for IIH patients with concurrent obesity. Further research is needed to develop evidence-based guidelines for patient selection and optimize post-operative care protocols.

Indexed as

Bariatric SurgeryObesityPseudotumor CerebriAcetazolamideAdultBody Mass IndexFemaleHeadacheHumansMaleMiddle AgedPapilledemaRetrospective StudiesTreatment OutcomeWeight LossAcetazolamideBariatric surgeryIdiopathic intracranial hypertensionObesityPseudotumor cerebriWeight loss

Identifiers

PMID40263521
PMCPMC12015270

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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.