Evidence map›Paper›PMID 41324841›Full record

SynthesisObesity surgery2025

Proposed Definitions and Clinical Recommendations for the Management of Weight Recurrence, Partial Response, and Nonresponse Following Metabolic and Bariatric Surgery.

Saniea F Majid, Shushmita Ahmed, Sue Benson-Davies, David Voellinger, Matthew Davis, Saad Ajmal, Franchell Richard Hamilton, Mohamed Ali, Stephen Archer

Abstract readSystematic Review
PubMed Full text at PMC 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 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. 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

9 authors.

Saniea F MajidWeight Loss and Wellness Center, Springfield, New Jersey, United States. sanieam@gmail.com.
Shushmita AhmedDepartment of Surgery University of California, Davis Health, Sacramento, CA Center for Alimenatry and Metabolic Science, University of California, Davis School of Medicine, Sacramento CA, University of California, Davis, Sacramento, United States. smahm@health.ucdavis.edu.
Sue Benson-DaviesDepartment of Surgery, Sanford School of Medicine, University of South Dakota., University of South Dakota, Vermillion, United States.
David VoellingerNovant Health Bariatric Solutions, Charlotte, North Carolina, United States.
Matthew DavisUniversity of Tennessee Health Science Center, Memphis, United States.
Saad AjmalCAMC Weight Loss Center, Charleston Area Medical Center, Charleston, United States.
Franchell Richard HamiltonNeuroSwitch Weight Loss Institute, Northlake, Texas, United States.
Mohamed AliDepartment of Surgery University of California, Davis Health, Sacramento, CA Center for Alimenatry and Metabolic Science, University of California, Davis School of Medicine, Sacramento CA, University of California, Davis, Sacramento, United States.
Stephen ArcherSummit Medical Group, St. Charles Medical Center, Bend, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWeight recurrence (WR), partial response, and nonresponse following metabolic and bariatric surgery (MBS) remain poorly defined. This lack of standardization hinders timely diagnosis, clinical management, and outcomes research. Moreover, no consensus guidelines currently exist to guide providers in treating these conditions.

objectivesTo evaluate current practices in managing WR, partial response, and nonresponse after MBS; to propose standardized definitions; and to offer evidence-informed clinical recommendations for their identification and treatment.

methodsA systematic literature review was conducted using terms related to WR, partial response, and nonresponse following primary MBS. The review focused on management strategies, clinical guidelines, and algorithms addressing these conditions.

resultsA total of 119 articles published between 2020 and 2023 were included. Of these, 52% were retrospective, 31% prospective or observational, and 7.6% randomized controlled trials. Nearly half (45%) did not define WR or distinguish partial and nonresponse. Among studies that defined WR, definitions varied widely. Clinical management strategies were heterogeneous, and only 2.5% proposed structured treatment algorithms.

conclusionWe propose standardized definitions for WR, partial response, and nonresponse after MBS, along with tailored management algorithms. These recommendations aim to support a unified clinical approach and facilitate research in this complex and evolving area of bariatric care.

Indexed as

Bariatric SurgeryObesity, MorbidAlgorithmsHumansPractice Guidelines as TopicRecurrenceTreatment OutcomeWeight Loss

Identifiers

PMID41324841
PMCPMC12722341

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.