Evidence map›Paper›PMID 38379059›Full record

ArticleObesity surgery2024

Sleeve Gastrectomy Reduces the Need for Liver Transplantation in Patients with Obesity and Non-Alcoholic Steatohepatitis: a Predictive Model.

Armaun D Rouhi, Rose E Castle, Gerard D Hoeltzel, Noel N Williams, Kristoffel R Dumon, Maria Baimas-George, Michael Wachs, Trevor L Nydam, Rashikh A Choudhury

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Article in Obesity surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.3field-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

6 citing papers in PubMed, 6 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Armaun D RouhiDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Armaun.Rouhi@pennmedicine.upenn.edu.ORCID 0000-0002-7724-1457
Rose E CastleDivision of Transplantation, Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.
Gerard D HoeltzelSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Noel N WilliamsDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Kristoffel R DumonDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Maria Baimas-GeorgeDivision of Transplantation, Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.
Michael WachsDivision of Transplantation, Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.
Trevor L NydamDivision of Transplantation, Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.
Rashikh A ChoudhuryDivision of Transplantation, Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.
University of Colorado Denver · USUniversity of Pennsylvania · USThomas Jefferson University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-alcoholic steatohepatitis (NASH) is one of the leading indications for liver transplantation (LT) in the United States. As with the current obesity epidemic, the incidence of NASH continues to rise. However, the impact of broad utilization of bariatric surgery (BS) for patients with NASH is unknown, particularly in regard to mitigating the need for LT.

methodsMarkov decision analysis was performed to simulate the lives of 20,000 patients with obesity and concomitant NASH who were deemed ineligible to be waitlisted for LT unless they achieved a body mass index (BMI) < 35 kg/m

resultsSimulated base case analysis patients who underwent SG gained 14.3 years of life compared to patients who underwent MWM. One year after weight loss intervention, 9% of simulated MWM patients required LT compared to only 5% of SG patients. Survival benefit for SG was observed above a BMI of 32.2 kg/m

conclusionIn this predictive model of 20,000 patients with obesity and concomitant NASH, surgical weight loss is associated with a reduction in the progression of NASH, thereby reducing the need for LT. A reduced BMI threshold of 32 kg/m

Indexed as

Liver TransplantationNon-alcoholic Fatty Liver DiseaseObesity, MorbidGastrectomyHumansObesityTreatment OutcomeWeight LossBariatric surgeryDecision analysisFibrosisLiver transplantationMarkovNASHObesitySleeve gastrectomy

Identifiers

PMID38379059
OpenAlexW4391951310

What Socratic holds

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Registered trials

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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 Socratic graph.