Evidence map›Paper›PMID 41536501›Full record

ArticleLancet regional health. Americas2026

Healthcare utilisation across five years among adolescents following metabolic-bariatric surgery; a prospective observational study.

Andrew J Beamish, Todd Jenkins, Justin R Ryder, Anita Courcoulas, Robert M Dorman, Marc Michalsky, Carrol Harmon, Michael Helmrath, Thomas H Inge

Abstract read
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In one paragraph

Article in Lancet regional health. Americas, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Andrew J BeamishWelsh Institute of Metabolic and Obesity Surgery, Swansea University Medical School, Swansea University, Swansea, UK.
Todd JenkinsDivision of Biostatistics & Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Justin R RyderAnn and Robert Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Departments of Surgery, Chicago, IL, USA.
Anita CourcoulasUniversity of Pittsburgh, Pittsburgh, PA, USA.
Robert M DormanNemours Children's Health, Wilmington, DE, USA.
Marc MichalskyNationwide Children's Hospital, Cincinnati, OH, USA.
Carrol HarmonJohn R. Oishei Children's Hospital, Buffalo, NY, USA.
Michael HelmrathDivision of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Thomas H IngeAnn and Robert Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Departments of Surgery, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Metabolic and bariatric surgery (MBS) is an effective treatment for adolescent severe obesity. Little is known about subsequent healthcare utilisation for individuals who have undergone MBS as adolescents, both related and unrelated to the surgical intervention. This study aimed to document healthcare utilisation events across 5 years after MBS, comparing procedure types and evaluating factors associated with these events. Methods: The Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) study prospectively enrolled 228 adolescents prior to MBS (Roux-en-Y gastric bypass or vertical sleeve gastrectomy) across 5 US children's hospitals. Healthcare utilisation event data collection was standardised, and rigorously collected; events were categorised by system and classified as related or unrelated to the MBS intervention. Factors influencing/predicting the likelihood of healthcare utilisation events were evaluated using negative binomial regression modelling. Findings: Mean baseline age and body mass index (BMI) of participants at surgery were 17 ± 1·6 years and 53 kg/m Interpretation: Healthcare utilisation events were common after bariatric surgery and early post-operative surgical complications predicted later healthcare utilisation events. Healthcare utilisation events were more common after sleeve gastrectomy than RYGB in patients without type 2 diabetes at baseline. Findings will better inform surgical candidates of real-world expectations after surgery, and allow providers to consider closer monitoring of those with a 30-day healthcare utilisation event. Funding: National Institutes for Health (NIH) research support was provided through the following grants: NIH UM1DK072493 and NIH UM1DK095710. The contents of this manuscript are the authors' sole responsibility and do not necessarily represent official NIH views.

Indexed as

AdolescentBariatric surgeryComplicationsGastric bypassHealthcare utilisationPaediatric obesitySleeve gastrectomy

Identifiers

PMID41536501
PMCPMC12796586

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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.