Evidence map›Paper›PMID 40670893›Full record

SynthesisObesity surgery2025

Metabolic Bariatric Surgery Is Superior to Non-surgical Intervention for the Long-Term Management of Obesity-Related Primary Hypertension: A Systematic Review and Meta-analysis of Randomised Controlled Trials.

Claire Crewe, Patrick Black, Edward J Nevins

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  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

3 authors.

Claire CreweSouth Tees Hospitals NHS Foundation Trust, Middlesbrough, United Kingdom. claire.crewe3@nhs.net.
Patrick BlackNewcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.
Edward J NevinsNorthumbria Healthcare NHS Foundation Trust, North Shields, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metabolic bariatric surgery (MBS) may be considered for patients with obesity class III or obesity class II with associated medical problems, including hypertension. However, referrals to MBS teams from hypertension clinics remain low. This meta-analysis of randomised controlled trials compares surgical and non-surgical interventions for the long-term management of obesity-related hypertension. Ten randomised controlled trials were identified, totalling 692 patients. Significant differences were found favouring MBS for all outcomes assessed, including systolic blood pressure (BP) (P < 0.00001), diastolic BP (P = 0.005), changes in systolic (P < 0.0001), and diastolic BP (P = 0.004), number of anti-hypertensives (P = 0.01), mean change in anti-hypertensive use per patient (P = 0.0001), and the number of patients not requiring anti-hypertensives (P = 0.02). MBS significantly improves long-term obesity-related primary hypertension management when compared with non-surgical management. The authors recommend that hypertension guidelines should reflect this.

Indexed as

Antihypertensive AgentsBariatric SurgeryHypertensionObesityObesity, MorbidBlood PressureHumansRandomized Controlled Trials as TopicTreatment OutcomeWeight LossAntihypertensive Agents

Identifiers

What OpenQuestion holds

Textmetadata
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.