Evidence map›Paper›PMID 31908698›Full record

ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2019

Challenges associated with bariatric surgery - a multi-center report.

Tomasz Stefura, Oksana Skomarovska, Michał Wysocki, Michał Janik, Marta Krzysztofik, Maciej Walędziak, Michał Pędziwiatr, Piotr Kowalewski, Piotr Małczak, Katarzyna Bartosiak and 9 more

Open access · goldAbstract read
In one paragraph

Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. The effect of surgical gastric plication on obesity and diabetes mellitus type 2: a systematic review and meta-analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021
    Article
  5. Endoscopic management of early GI tract bleeding in a group of bariatric patients undergoing a fast track protocol.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021
    Article
  6. Article
  7. Assessment of education effects on patient involvement and bariatric treatment outcome: an observational study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020
    Article
  8. Long-term outcomes of laparoscopic sleeve gastrectomy - a single-center prospective observational study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019
    Article
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

19 authors at 4 institutions in 1 country.

Tomasz StefuraStudents' Scientific Group at 2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Oksana SkomarovskaStudents' Scientific Group at 2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Michał Wysocki2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Michał JanikDepartment of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland.
Marta KrzysztofikStudents' Scientific Group at 2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Maciej WalędziakDepartment of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland.
Michał Pędziwiatr2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Piotr KowalewskiDepartment of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland.
Piotr Małczak2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Katarzyna BartosiakDepartment of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland.
Mateusz Rubinkiewicz2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Michał OrłowskiDepartment of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland.
Maciej MatłokSubcarpathian Obesity Treatment Center in the PRO-FAMILIA Specialist Hospital, Rzeszow, Poland.
Mateusz Wierdak2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Katarzyna MajorFaculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
Piotr MyśliwiecDepartment of General and Endocrinological Surgery, Medical University of Bialystok, Bialystok, Poland.
Jacek SzeligaDepartment of General, Gastroenterological, and Oncological Surgery Collegium Medicum, Nicolaus Copernicus University, Torun, Poland.
Andrzej Budzyński2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Piotr Major2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Wojskowy Instytut Medycyny Lotniczej · PLJagiellonian University · PLMedical University of Białystok · PLNicolaus Copernicus University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDue to the constantly growing demand for surgical treatment of obesity, it is necessary to create new bariatric centers and further improve presently active ones.

aimTo identify which stages of conducting peri-operative care and organizing a modern bariatric center currently pose the greatest challenge. MATERIAL AND

methodsAn anonymous survey was designed and distributed to bariatric surgeons. Our questionnaire was divided into three parts: demographic characteristics, difficulties associated with peri-operative care for bariatric patients (assessed on a scale of 1-5) and difficulties associated with organization or running of bariatric centers in which participants are currently working (assessed on a scale of 1-5).

resultsOverall, 70 surgeons and surgical residents from 17 surgical centers participated in our survey. The most difficult element of the pre-operative care was compliance with the recommendation to cease smoking (3.47 ±1.28). The most difficult obstacle during the postoperative care period was implementation of the enhanced recovery after surgery (ERAS) protocol (2.27 ±1.31). Funding for the bariatric treatment was obtained exclusively from the National Health Fund by 60 (85.7%) respondents working in 15 different bariatric centers (88.2%). Among elements of bariatric infrastructure access to operating theater equipment sized for morbidly obese patients was reported to be the most difficult (3.8 ±1.68).

conclusionsPre-operative recommendations including smoking, physical activity or weight loss, as well as introducing ERAS protocol based peri-operative care, are difficult to execute in bariatric departments. Future specialized bariatric centers should be included in the centralized register and equipped with specialized infrastructure for morbidly obese patients.

Indexed as

bariatric surgeryenhanced recovery after surgeryobesityorganizational difficultiesperi-operative care

Identifiers

PMID31908698
PMCPMC6939206
OpenAlexW2915767998

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.