Evidence map›Paper›PMID 41944991›Full record

Observational studyObesity surgery2026

Weight Trajectory in Young People Undergoing Sleeve Gastrectomy: Does Age Make a Difference? A Children's Obesity Surgery Multi-Institutional Collaborative (COSMIC) Analysis.

Josélio Rodrigues de Oliveira Filho, Michael A Kochis, Mark Shacker, Kelly Brennan, Christa Bella Bizimana, Alyssa E Stetson, Justine O Chinn, Janey S A Pratt, Cornelia Griggs, Matthew Hornick

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Obesity surgery, 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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0cells of the map it votes in
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

10 authors.

Josélio Rodrigues de Oliveira FilhoDivision of Pediatric Surgery, Department of Surgery, Massachusetts General Hospital, Boston, USA. jrodriguesdeoliveirafilho@mgh.harvard.edu.
Michael A KochisDivision of Pediatric Surgery, Department of Surgery, Massachusetts General Hospital, Boston, USA.
Mark ShackerCreighton University, Omaha, USA.
Kelly BrennanDepartment of Surgery, Stanford University, Stanford, USA.
Christa Bella BizimanaDivision of Pediatric Surgery, Department of Surgery, Massachusetts General Hospital, Boston, USA.
Alyssa E StetsonDivision of Pediatric Surgery, Department of Surgery, Massachusetts General Hospital, Boston, USA.
Justine O ChinnDepartment of Surgery, Stanford University, Stanford, USA.
Janey S A PrattDepartment of Surgery, Stanford University, Stanford, USA.
Cornelia GriggsDivision of Pediatric Surgery, Department of Surgery, Massachusetts General Hospital, Boston, USA.
Matthew HornickDepartment of Surgery, Yale New Haven Hospital, New Haven, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough MBS is endorsed for eligible adolescents, the optimal age for intervention remains unknown. This study evaluates body mass index (BMI) and weight outcomes after sleeve gastrectomy (SG) in different adolescent age groups. MATERIAL AND

methodsA multi-institutional chart review was performed at three children’s hospitals in the United States, including patients who underwent SG from March 2013 to September 2024. Demographics, comorbidities, and pre- and post-operative weight and BMI were compared between three subsets: patients 11–14 years of age (“<15”), between 15 and 17.99 (“15–17”), and 18–23 (“18+”). The Kruskal–Wallis rank sum test and Pearson’s Chi-squared test were used.

resultsOf 324 patients, 55 were < 15, 168 were 15–17, and 101 were 18+. Mean BMIs at time of initial consultation were 45 ± 9, 48 ± 10, and 48 ± 8 respectively. There were no differences in gender, race, insurance type or comorbidities among groups. The youngest patients were more likely to gain weight from consultation to surgery (+ 7.6% BMI change compared to + 2% and + 1.2%, p < 0.001 in the intermediate and older groups, respectively). Day-of-surgery BMI was similar in all groups, as was %BMI change at 6 and 12 months postoperatively. Time from consultation to surgery was longest in the 18 + group (19 months) followed by < 15 (17 months) and 15–17 (13 months) (p = 0.003).

conclusionThe youngest cohort had significantly greater % BMI increase from consultation to surgery, with similar post-operative % BMI reductions. These findings suggest that earlier surgical intervention for pediatric patients may prevent additional preoperative weight gain and facilitate attainment of a healthy post-operative BMI.

Indexed as

Body-Weight TrajectoryGastrectomyObesity, MorbidPediatric ObesityAdolescentAge FactorsBody Mass IndexChildFemaleHumansMaleRetrospective StudiesTreatment OutcomeUnited StatesWeight LossAdolescentsBariatric surgeryChildrenOutcomesWeight loss

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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.