Evidence map›Paper›PMID 34212345›Full record

ArticleObesity surgery2021

Measuring Knowledge, Attitudes, and Barriers to Medication Adherence in Potential Bariatric Surgery Patients.

Emanuela Bianciardi, Claudio Imperatori, Marco Innamorati, Mariantonietta Fabbricatore, Angelica Maria Monacelli, Martina Pelle, Alberto Siracusano, Cinzia Niolu, Paolo Gentileschi

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In one paragraph

Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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.

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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Outcomes of autologous bone graftsWorld journal of orthopedics · 2025
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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

9 authors.

Emanuela BianciardiDepartment of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy. emanuelabianciardi@libero.it.ORCID http://orcid.org/0000-0002-7486-6953
Claudio ImperatoriCognitive and Clinical Psychology Laboratory, Department of Human Science, European University of Rome, Rome, Italy.
Marco InnamoratiCognitive and Clinical Psychology Laboratory, Department of Human Science, European University of Rome, Rome, Italy.
Mariantonietta FabbricatoreCognitive and Clinical Psychology Laboratory, Department of Human Science, European University of Rome, Rome, Italy.
Angelica Maria MonacelliDepartment of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy.
Martina PelleDepartment of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy.
Alberto SiracusanoDepartment of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy.
Cinzia NioluDepartment of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy.
Paolo GentileschiObesity Unit, Department of Surgery, University of Rome "Tor Vergata", Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBariatric surgery is an effective treatment for the obesity epidemic, but the poor attendance and adherence rates of post-surgery recommendations threaten treatment effectiveness and health outcomes. Preoperatively, we investigated the unique contributions of clinical (e.g., medical and psychiatric comorbidities), sociodemographic (e.g., sex, age, and educational level), and psychopathological variables (e.g., binge eating severity, the general level of psychopathological distress, and alexithymia traits) on differing dimensions of adherence in a group of patients seeking bariatric surgery.

methodsThe final sample consisted of 501 patients (346 women). All participants underwent a full psychiatric interview. Self-report questionnaires were used to assess psychopathology, binge eating severity, alexithymia, and three aspects of adherence: knowledge, attitude, and barriers to medical recommendations.

resultsAttitude to adherence was associated with alexithymia (β = -2.228; p < 0.001) and binge eating disorder (β = 0.103; p = 0.047). The knowledge subscale was related to medical comorbidity (β = 0.113; p = 0.012) and alexithymia (β = -2.256; p < 0.001); with age (β = 0.161; p = 0.002) and psychiatric comorbidity (β =0.107; p = 0.021) manifesting in the barrier subscale.

conclusionWe demonstrated that alexithymia and psychiatric and eating disorders impaired adherence reducing attitude and knowledge of treatment and increasing the barriers. Both patient and doctor can benefit from measuring adherence prior to surgery, with a qualitative approach shedding light on the status of adherence prior to the postsurgical phase when the damage regarding adherence is, already, done. Graphical Abstract.

Indexed as

Bariatric SurgeryBinge-Eating DisorderObesity, MorbidFemaleHealth Knowledge, Attitudes, PracticeHumansMedication AdherenceAlexithymiaBariatric surgeryBinge eatingMedication adherenceObesityPsychopathology

Identifiers

PMID34212345
PMCPMC8397664

What Socratic holds

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LicenceCC BY
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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.