Evidence map›Paper›PMID 23529939›Full record

GuidelineObesity (Silver Spring, Md.)2013

Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient--2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery.

Jeffrey I Mechanick, Adrienne Youdim, Daniel B Jones, W Timothy Garvey, Daniel L Hurley, M Molly McMahon, Leslie J Heinberg, Robert Kushner, Ted D Adams, Scott Shikora and 5 more

3 registry-linked trialsAbstract readPractice Guideline
PubMed Full text at PMC Publisher
In one paragraph

Guideline in Obesity (Silver Spring, Md.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 401 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
401citing papers in PubMed, 17 pooled it
–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.

NCT03092479 nacompletednot on this mapstarted 2017, after this paper: background citation

A Randomized Trial of a Pilot Behavioral Support Intervention After Bariatric Surgery

TypeinterventionalSponsorGeisinger ClinicRan2017 to 2017Enrolled50ConditionsObesityArmsBehavioral Intervention
NCT03854981 naunknown statusnot on this mapstarted 2015, after this paper: background citation

Role of Pre-operative Exercise and Nutrition Therapy on Insulin Resistance and Vascular Health in Patients Undergoing Bariatric Surgery

TypeinterventionalSponsorUniversity of VirginiaRan2015 to 2020Enrolled12ConditionsBariatric Surgery CandidateArmsExercise, Standard Care
NCT04602572 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Obesity and Oral Diseases in Adult Patients

TypeobservationalSponsorUniversity of BergenRan2026 to 2027Enrolled400ConditionsObesity, Oral Diseases, Periodontitis, Dental CariesArmsLifestyle course., Bariatric surgery.
3 · Its place in the literature

Who cites it

401 citing papers in PubMed, 17 syntheses or guidelines pooled it.

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  7. Guideline
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  10. Effect of exercise training before and after bariatric surgery: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
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  12. Guideline
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341 more citing papers are in PubMed but not listed here.

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

15 authors.

Jeffrey I MechanickIcahn School of Medicine at Mount Sinai, New York, New York, USA. jeffreymechanick@gmail.com
Adrienne Youdim
Daniel B Jones
W Timothy Garvey
Daniel L Hurley
M Molly McMahon
Leslie J Heinberg
Robert Kushner
Ted D Adams
Scott Shikora
John B Dixon
Stacy Brethauer
American Association of Clinical Endocrinologists
Obesity Society
American Society for Metabolic & Bariatric Surgery

Funding

UAB Diabetes Research CenterP30DK079626 · UNIVERSITY OF ALABAMA AT BIRMINGHAM · 2025 to 2025
$1.3M
CSRD VA I01 CX000432NIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

The development of these updated guidelines was commissioned by the AACE, TOS, and ASMBS Board of Directors and adheres to the AACE 2010 protocol for standardized production of clinical practice guidelines (CPG). Each recommendation was re-evaluated and updated based on the evidence and subjective factors per protocol. Examples of expanded topics in this update include: the roles of sleeve gastrectomy, bariatric surgery in patients with type-2 diabetes, bariatric surgery for patients with mild obesity, copper deficiency, informed consent, and behavioral issues. There are 74 recommendations (of which 56 are revised and 2 are new) in this 2013 update, compared with 164 original recommendations in 2008. There are 403 citations, of which 33 (8.2%) are EL 1, 131 (32.5%) are EL 2, 170 (42.2%) are EL 3, and 69 (17.1%) are EL 4. There is a relatively high proportion (40.4%) of strong (EL 1 and 2) studies, compared with only 16.5% in the 2008 AACE-TOS-ASMBS CPG. These updated guidelines reflect recent additions to the evidence base. Bariatric surgery remains a safe and effective intervention for select patients with obesity. A team approach to perioperative care is mandatory with special attention to nutritional and metabolic issues.

Indexed as

Bariatric SurgeryBenchmarkingComorbidityDecision Support TechniquesFemaleHumansMaleNutrition AssessmentObesity, MorbidPatient SelectionPerioperative CareReferral and ConsultationRisk AssessmentUnited States

Identifiers

PMID23529939
PMCPMC4142593

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

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 Socratic graph.