Evidence mapPaperPMID 35513762Full record

ArticleObesity surgery2022

Safety of Bariatric Surgery in ≥ 65-Year-Old Patients During the COVID-19 Pandemic.

Rishi Singhal, Islam Omar, Brijesh Madhok, Yashasvi Rajeev, Yitka Graham, Abd A Tahrani, Christian Ludwig, Tom Wiggins, Kamal Mahawar, GENEVA Collaborators

Erratum issuedOpen access · hybridAbstract readCase Reports
In one paragraph

Article in Obesity surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 2 countries.

Rishi SinghalUpper GI unit, Birmingham Heartlands Hospital, University Hospital Birmingham NHS Foundation Trust, Bordesley Green East, Birmingham, West Midlands, B9 5SS, UK. Singhal_rishi@hotmail.com.ORCID 0000-0002-2797-2569
Islam OmarGeneral Surgery Department, Wirral University Teaching Hospital NHS Foundation Trust, North West, Wirral, UK.
Brijesh MadhokUpper GI unit, University Hospital of Derby and Burton NHS Foundation Trust, East Midlands, Derby, UK.
Yashasvi RajeevPediatric Accidents and Emergencies Department, London Northwest University Healthcare NHS Trust, London, UK.
Yitka GrahamFaculty of Health Sciences and Wellbeing, University of Sunderland, North East, Sunderland, UK.
Abd A TahraniInstitute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Christian LudwigInstitute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, West Midlands, UK.
Tom WigginsUpper GI unit, Birmingham Heartlands Hospital, University Hospital Birmingham NHS Foundation Trust, Bordesley Green East, Birmingham, West Midlands, B9 5SS, UK.
Kamal MahawarFaculty of Health Sciences and Wellbeing, University of Sunderland, North East, Sunderland, UK.
GENEVA Collaborators
Heartlands Hospital · GBUniversity Hospitals of Derby and Burton NHS Foundation Trust · GBUniversity of Birmingham · GBSouth Tyneside and Sunderland NHS Foundation Trust · GBWirral University Teaching Hospital NHS Foundation Trust · GBUniversidad Anáhuac · MXUniversity Hospitals Birmingham NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAge ≥ 65 years is regarded as a relative contraindication for bariatric surgery. Advanced age is also a recognised risk factor for adverse outcomes with Coronavirus Disease-2019 (COVID-19) which continues to wreak havoc on global populations. This study aimed to assess the safety of bariatric surgery (BS) in this particular age group during the COVID-19 pandemic in comparison with the younger cohort.

methodsWe conducted a prospective international study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into two groups - patients ≥ 65-years-old (Group I) and patients < 65-years-old (Group II). The two groups were compared for 30-day morbidity and mortality.

resultsThere were 149 patients in Group 1 and 6923 patients in Group II. The mean age, preoperative weight, and BMI were 67.6 ± 2.5 years, 119.5 ± 24.5 kg, and 43 ± 7 in Group I and 39.8 ± 11.3 years, 117.7±20.4 kg, and 43.7 ± 7 in Group II, respectively. Approximately, 95% of patients in Group 1 had at least one co-morbidity compared to 68% of patients in Group 2 (p = < 0.001). The 30-day morbidity was significantly higher in Group I (11.4%) compared to Group II (6.6%) (p = 0.022). However, the 30-day mortality and COVID-19 infection rates were not significantly different between the two groups.

conclusionsBariatric surgery during the COVID-19 pandemic is associated with a higher complication rate in those ≥ 65 years of age compared to those < 65 years old. However, the mortality and postoperative COVID-19 infection rates are not significantly different between the two groups.

Indexed as

Bariatric SurgeryCOVID-19Obesity, MorbidAgedHumansPandemicsPostoperative ComplicationsProspective StudiesMetabolic surgeryObesityOlder patientsResuming elective surgerySARS-CoV-2

Identifiers

PMID35513762
PMCPMC9071248
OpenAlexW4229001018

What Socratic holds

Textmetadata
LicenceCC BY
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.