Evidence mapPaperPMID 38890403Full record

SynthesisInternational journal of obesity (2005)2024

Assessment of guidelines for bariatric and metabolic surgery: a systematic review and evaluation using appraisal of guidelines for research and evaluation II (AGREE II).

Yung Lee, Caroline Hircock, Jerry Dang, James Jung, Boris Zevin, Ahmad Elnahas, Jigish Khamar, Ashley Vergis, Umair Tahir, Krista Hardy and 15 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International journal of obesity (2005), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

25 authors.

Yung LeeDivision of General Surgery, McMaster University, Hamilton, ON, Canada.
Caroline HircockDivision of General Surgery, McMaster University, Hamilton, ON, Canada.
Jerry DangDigestive Disease & Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
James JungDivision of General Surgery, University of Toronto, Toronto, ON, Canada.
Boris ZevinDepartment of Surgery, Queen's University, Kingston, ON, Canada.
Ahmad ElnahasDivision of General Surgery, Western University, London, ON, Canada.
Jigish KhamarDivision of General Surgery, McMaster University, Hamilton, ON, Canada.
Ashley VergisDivision of General Surgery, University of Manitoba, Winnipeg, MB, Canada.
Umair TahirDivision of General Surgery, McMaster University, Hamilton, ON, Canada.
Krista HardyDivision of General Surgery, University of Manitoba, Winnipeg, MB, Canada.
Yasith SamarasingheDivision of General Surgery, McMaster University, Hamilton, ON, Canada.
Richdeep GillDepartment of Surgery, University of Alberta, Edmonton, AB, Canada.
Jeffrey GuDivision of General Surgery, University of Saskatchewan, Saskatoon, SK, Canada.
Tyler McKechnieDivision of General Surgery, McMaster University, Hamilton, ON, Canada.
Radu PescarusDivision of General Surgery, University of Montreal, Montreal, QC, Canada.
Laurent BierthoDepartment of Surgery, Laval University, Quebec City, QC, Canada.
Elaine LamDepartment of Surgery, University of British Columbia, Vancouver, BC, Canada.
Amy NevilleDepartment of Surgery, University of Ottawa, Ottawa, ON, Canada.
James EllsmereDivision of General and Gastrointestinal Surgery, Dalhousie University, Halifax, NS, Canada.
Shahzeer KarmaliDepartment of Surgery, University of Alberta, Edmonton, AB, Canada.
Timothy JacksonDivision of General Surgery, University of Toronto, Toronto, ON, Canada.
Allan OkrainecDivision of General Surgery, University of Toronto, Toronto, ON, Canada.
Aristithes DoumourasDivision of General Surgery, McMaster University, Hamilton, ON, Canada.
Matthew KrohDigestive Disease & Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0002-0305-1503
Dennis HongDivision of General Surgery, McMaster University, Hamilton, ON, Canada. dennishong70@gmail.com.ORCID 0000-0003-1792-1255

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, multiple guidelines on bariatric and metabolic surgery were published, however, their quality remains unknown, leaving providers with uncertainty when using them to make perioperative decisions. This study aims to evaluate the quality of existing guidelines for perioperative bariatric surgery care.

methodsA comprehensive search of MEDLINE and EMBASE were conducted from January 2010 to October 2022 for bariatric clinical practice guidelines. Guideline evaluation was carried out using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) framework.

resultsThe initial search yielded 1483 citations, of which, 26 were included in final analysis. The overall median domain scores for guidelines were: (1) scope and purpose: 87.5% (IQR: 57-94%), (2) stakeholder involvement: 49% (IQR: 40-64%), (3) rigor of development: 42.5% (IQR: 22-68%), (4) clarity of presentation: 85% (IQR: 81-90%), (5) applicability: 6% (IQR: 3-16%), (6) editorial independence: 50% (IQR: 48-67%), (7) overall impressions: 48% (IQR: 33-67%). Only six guidelines achieved an overall score >70%.

conclusionsBariatric surgery guidelines effectively outlined their aim and presented recommendations. However, many did not adequately seek patient input, state search criteria, use evidence rating tools, and consider resource implications. Future guidelines should reference the AGREE II framework in study design.

Indexed as

Bariatric SurgeryPractice Guidelines as TopicHumans

Identifiers

What Socratic holds

Textmetadata
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.