ArticleObesity surgery2026
Mapping the Landscape of Perioperative Management in Metabolic and Bariatric Surgery: A Value-Complexity Framework-Guided Citespace Analysis.
Article 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.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
Abstract
objectiveTo systematically map the intellectual landscape of perioperative management in metabolic and bariatric surgery (MBS) and classify research themes using a quantified Value-Complexity framework, thereby identifying priority areas for future investigation.
methodsA total of 939 articles on MBS perioperative management were retrieved from the Web of Science Core Collection (2000-2026). After screening, 817 publications were included. CiteSpace 6.4.R1 was employed for co-authorship, co-citation, and keyword analyses. Three independent raters evaluated each research cluster across six quantified dimensions: clinical impact, evidence maturity, generalizability (value), resource requirements, technical difficulty, and organizational coordination (complexity). Inter-rater reliability was excellent (ICC = 0.86 for value, 0.82 for complexity). Clusters were classified into four strategic quadrants-Star, Cornerstone, Trap, and Niche-based on predefined thresholds (≥ 7 for "high" on each dimension).
resultsThe field has evolved through three phases: technology exploration (2000-2008), evidence standardization (2009-2015), and system integration (2016-2024). The United States (351 articles, centrality 0.37) and Harvard University (49 articles) dominate scholarly output. Keyword bursts reveal a shift from surgical technique toward enhanced recovery (burst strength 9.38, 2019-2023) and multidisciplinary care. Among seven identified clusters, five were classified as Cornerstone (high value, low complexity): enhanced recovery (#1), clinical practice guidelines (#5), and others. Two clusters-randomized clinical trials (#4) and long-term weight-loss patient management (#6)-emerged as Star domains (high value, high complexity), representing strategic priorities. No clusters fell into Trap or Niche quadrants.
conclusionIntegrating bibliometric mapping with a quantified Value-Complexity framework offers a novel approach to research prioritization in MBS perioperative management. While foundational practices are mature, future efforts should prioritize high-value, high-complexity domains. This framework may apply to other surgical specialties for strategic research planning.
Indexed as
Identifiers
42298135What OpenQuestion holds
Registered trials
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.