Evidence map›Paper›PMID 41964779›Full record

Observational studyObesity surgery2026

Post-Operative Safety Outcomes and 5-Year Healthcare Utilisation After Bariatric Surgery vs. Other Elective Types of Surgical Treatments - A Retrospective Observational Cohort Study.

Ghassan Chamseddine, Robert David McIntyre, Spyros Panagiotopoulos, A Caroline Rudisill, James Casella, Lidia Castagneto-Gissey, Avril Chang, Gabriele Galata, Amyn Haji, Asif Haq and 6 more

Erratum issuedAbstract readObservational StudyComparative Study
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. An erratum has been issued. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Ghassan ChamseddineDepartment Bariatric/Metabolic & Minimally Invasive Surgery, King's College Hospital NHS Foundation Trust, London, UK.
Robert David McIntyreSchool of Sport, Exercise & Applied Science, St Mary's University Twickenham London, London, UK.
Spyros PanagiotopoulosDepartment Bariatric/Metabolic & Minimally Invasive Surgery, King's College Hospital NHS Foundation Trust, London, UK.
A Caroline RudisillDepartment of Health Promotion Education & Behavior, Arnold School of Public Health, University of South Carolina, Columbia, USA.
James CasellaDepartment of General Surgery, Ospedale dei Castelli, Rome, Italy.
Lidia Castagneto-GisseyDepartment of Surgical Sciences, Sapienza University of Rome, Rome, Italy.
Avril ChangDepartment Bariatric/Metabolic & Minimally Invasive Surgery, King's College Hospital NHS Foundation Trust, London, UK.
Gabriele GalataDepartment of Endocrine & General Surgery, King's College Hospital NHS Foundation Trust, London, UK.
Amyn HajiDepartment of Colorectal Surgery, King's College Hospital NHS Foundation Trust, London, UK.
Asif HaqDepartment of Colorectal Surgery, King's College Hospital NHS Foundation Trust, London, UK.
Laurent GenserHepato-Biliary & Pancreatic Surgery, Pitié-Salpêtrière University Hospital, Sorbonne University Assistance Publique-Hôpitaux de Paris, Paris, France.
Geltrude MingroneCatholic University of the Sacred Heart, Milan, Italy.
Ameet PatelDepartment Bariatric/Metabolic & Minimally Invasive Surgery, King's College Hospital NHS Foundation Trust, London, UK.
Angelo SalernoIRCCS Ospedale Galeazzi Sant'Ambrogio, Milan, Italy.
Daniele TassinariIRCCS Ospedale Galeazzi Sant'Ambrogio, Milan, Italy.
Francesco RubinoDepartment Bariatric/Metabolic & Minimally Invasive Surgery, King's College Hospital NHS Foundation Trust, London, UK. francesco.rubino@kcl.ac.uk.

Funding

Ethicon IIS BAR-2019-05
6 · The paper itself

Abstract

objectiveTo assess safety and healthcare utilization (HU) after metabolic/bariatric surgery (MBS) and compare it to commonly performed general surgery procedures for benign indications. RESEARCH DESIGN AND

methodsData obtained from a nationwide database (NHS Digital) on 800 consecutive patients who underwent bariatric surgery (n = 100) and seven other types of surgery (n = 100 for each) for non-acute, non-cancer indications at a tertiary hospital in England. Non-MBS procedures included adrenalectomy, gastro-esophageal junction surgery (GEJ), in-patient cholecystectomy (IC), outpatient cholecystectomy (OC), colorectal surgery (CR), hernia surgery (HS) and neck endocrine surgery (NES).

resultsDespite a higher number of preoperative co-morbidities and ASA score, MBS had significantly lower odds of 30-day major complications (Clavien–Dindo grade≥IIIa) compared to CR (6%;p = 0.013) and GEJ (8%;p = 0.004). No differences in complication rates with all other groups. The total number of procedure-related readmissions over 5-year after MBS were similar to HS, NES or IC and lower than CR, AS, and GEJ. The average per-patient 5-year cost of procedure-related readmissions after MBS was £790 + 337, lower than for CR (£8,270 + 3218, p < 0.001), AS (£3242 + 772, p < 0.001) and GEJ (£1705 + 976, p = 0.013) and similar to other procedures. There was a higher number of outpatient visits after MBS in the first two years after surgery, consistent with national protocols and no differences in 5-year A&E attendance among groups.

conclusionsMBS is associated with a relatively low risk of post-operative complications and 5-year healthcare use compared to other commonly used types of surgical treatments. These findings could help dispel misperceptions that undermine access to effective treatment of obesity.

Indexed as

Bariatric SurgeryElective Surgical ProceduresObesity, MorbidPatient Acceptance of Health CarePostoperative ComplicationsAdrenalectomyAdultCholecystectomyColorectal Surgical ProceduresEnglandFemaleHumansMaleMiddle AgedPatient ReadmissionRetrospective Studies

Identifiers

PMID41964779
PMCPMC13249788

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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.