Evidence map›Paper›PMID 42697474›Full record

ArticleJournal of pediatric surgery2026

Trends in metabolic and bariatric surgery among adolescents, 2016-2025.

John B Rode, Thomas H Inge, Allan D Wu, Caren Mangarelli, Justin R Ryder

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pediatric 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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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

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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

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5 · Who and what money

Authors and funding

5 authors.

John B RodeDepartment of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA. Electronic address: john.rode@nm.org.
Thomas H IngeDepartment of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Allan D WuDepartment of Neurology, Northwestern Medicine, Chicago, IL, USA; Stanley Manne Children's Research Institute, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Caren MangarelliDivision of Advanced General Pediatrics and Primary Care, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Justin R RyderDepartment of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.

Funding

COllaborative Northwestern Surgical Oncology Research Training (CONSORT)T32CA247801 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ACKERMANN, RONALD T., KHAN, SEEMA AHSAN · 2020 to 2024
$1.3M
NCI NIH HHS T32 CA247801
6 · The paper itself

Abstract

backgroundGuidelines endorse metabolic and bariatric surgery (MBS) for eligible adolescents with severe obesity. We described trends in MBS among eligible adolescents and characterized demographic and clinical features, postoperative healthcare utilization, and complications.

methodsUsing Epic Cosmos, we conducted a retrospective, population-based study of US adolescents aged 12-19 years from 2016 through 2025. The primary outcome, annual MBS utilization among eligible adolescents, was modeled by negative binomial regression. Secondary outcomes (patient characteristics, healthcare utilization, complications) were assessed with t-tests, chi-square, weighted least-squares, and logistic regression.

resultsOverall, 5430 adolescents underwent MBS, with utilization rising 7.7-fold from 31 to 239 per 100,000 eligible (p < 0.001); at peak, only 0.24% of those eligible underwent MBS. Sleeve gastrectomy (SG) predominated (89.1%). Utilization was steeply graded by obesity severity: by 2025, adolescents with a BMI ≥50 kg/m

conclusionsDespite increasing use, only a small fraction of eligible adolescents undergo MBS. Given low complication rates, these data highlight a need to expand more equitable access and implementation within clinical workflows.

Indexed as

Adolescent bariatric surgeryHealthcare accessPediatric obesityPopulation studySevere obesity

Identifiers

PMID42697474
PMCPMC13599589

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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.