Evidence map›Paper›PMID 40728689›Full record

ArticleObesity surgery2025

The Role of the BMI ≥ 40 kg/m

Elisabeth S van Ede, Simon W Nienhuijs, Marc P Buise, R Arthur Bouwman

Abstract read
In one paragraph

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 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

4 authors.

Elisabeth S van EdeDepartment of Electrical Engineering, Signal Processing Systems, University of Technology, Eindhoven, The Netherlands. lisavanede@hotmail.nl.
Simon W NienhuijsDepartment of Surgery, Catharina Hospital, Eindhoven, Malta.
Marc P BuiseDepartment of Anaesthesiology and Pain Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
R Arthur BouwmanDepartment of Electrical Engineering, Signal Processing Systems, University of Technology, Eindhoven, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study explores historical trends in ASA-PS scoring and evaluates whether the ASA-PS III classification based solely on a BMI ≥ 40 kg/m

methodsAdult patients (January 2015-January 2023) were included from the Dutch Audit for the Treatment of Obesity registry. Logistic regression adjusted for confounders compared groups stratified by BMI and presence of systemic disease. OUTCOME MEASURES: complication prevalence (peri-operative, ≤ 30 days and > 30 days), Clavien-Dindo score, hospital stay (> 2 days), ICU admission, readmission, and mortality rates.

resultsA total of 75,871 patients (78.8% women, age 43.5 (SD 11.8) years, BMI 42.9 (SD 5.3) kg/m

conclusionsA large Dutch national registry on metabolic surgery showed that ASA-PS III patients with BMI ≥ 40 kg/m

Indexed as

Bariatric SurgeryBody Mass IndexObesity, MorbidPostoperative ComplicationsAdultFemaleHumansLength of StayMaleMiddle AgedNetherlandsPatient ReadmissionRegistriesRisk AssessmentASA-PS classificationMetabolic surgeryObesityRisk assessment

Identifiers

PMID40728689
PMCPMC12457226

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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.