Evidence map›Paper›PMID 41042300›Full record

ArticleObesity surgery2025

Primary Metabolic and Bariatric Surgery in Persons Aged over 65 Years. GRADE-based International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Position Statement.

Amanda Belluzzi, Maurizio De Luca, Matteo Monami, Tarissa Beatrice Zanata Petry, Scott Alan Shikora, Ricardo Vitor Cohen

Abstract readConsensus Statement
PubMed Publisher
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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. 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

6 authors.

Amanda BelluzziDepartment of Emergency, General, Bariatric and Metabolic Surgery, Rovigo Hospital, ULSS5 Polesana, Rovigo, Italy. amanda.belluzzi@aulss5.veneto.it.
Maurizio De LucaDepartment of Emergency, General, Bariatric and Metabolic Surgery, Rovigo Hospital, ULSS5 Polesana, Rovigo, Italy.
Matteo MonamiDiabetology Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Tarissa Beatrice Zanata PetryThe Center for Obesity and Diabetes, Oswaldo Cruz German Hospital, Sao Paulo, Brazil.
Scott Alan ShikoraDivision of General and Gastrointestinal Surgery, Brigham and Women's Hospital, Boston, United States.
Ricardo Vitor CohenThe Center for Obesity and Diabetes, Oswaldo Cruz German Hospital, Sao Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With the global rise in obesity among individuals aged 65 years and older, there is increasing demand for effective interventions that extend beyond lifestyle or pharmacologic approaches. This IFSO-endorsed Position Statement reviews the role of Metabolic and Bariatric Surgery (MBS) in the elderly population, synthesizing current evidence and expert consensus. Available data show that, when performed in carefully selected patients, MBS in older adults is associated with acceptable morbidity and mortality rates, comparable to those seen in younger cohorts. Significant improvements are consistently observed in weight loss, type 2 diabetes control, hypertension, and functional capacity. The statement emphasizes that advanced chronological age alone should not preclude surgical consideration. Instead, physiological status, frailty, cognitive reserve, and life expectancy should guide multidisciplinary assessment and decision-making. Practical recommendations are provided regarding procedure selection, perioperative management, and long-term follow-up. This document reinforces the role of MBS as a safe and effective option in well-selected elderly patients, expanding access to surgical care in a population often overlooked.

Indexed as

Bariatric SurgeryObesityObesity, MorbidAgedAge FactorsDiabetes Mellitus, Type 2FemaleHumansPatient SelectionSocieties, MedicalWeight LossElderlyGRADE methodologyIFSO position statementMetabolic bariatric surgeryObesityOlder agePRISMASystematic review

Identifiers

PMID41042300

What OpenQuestion holds

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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.