Evidence map›Paper›PMID 40794626›Full record

ArticleThe British journal of surgery2025

The effect of weight change on death and cardiovascular events after Roux-en-Y gastric bypass.

Erik Stenberg, Erik Näslund, Yang Cao, Johan Ottosson, Ingmar Näslund

Abstract read
In one paragraph

Article in The British journal of surgery, 2025. 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

5 authors.

Erik StenbergDepartment of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID 0000-0001-9189-0093
Erik NäslundDivision of Surgery, Department of Clinical Sciences, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0002-0166-6344
Yang CaoClinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.
Johan OttossonDepartment of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Ingmar NäslundDepartment of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID 0000-0002-3644-3319

Funding

Region Örebro CountyRegion StockholmStrategic Research Programme in Diabetes.
6 · The paper itself

Abstract

backgroundWeight changes after Roux-en-Y gastric bypass (RYGB) follow different trajectories, but the effects of different trajectories on death and cardiovascular events are largely unknown. The aim of the current study was therefore to evaluate the effects of weight changes after RYGB on cardiovascular events and mortality rate.

methodsThis cohort study included patients who underwent primary RYGB in Sweden from 2007 to 2018 with a complete registration of weight at baseline, at nadir weight loss and 5-year follow-up (n = 25 230) with a mean BMI of 42.1 ± 5.2 kg/m2, age 42.5 ± 11.2 years, and 19 420 (77%) women. Patients were stratified based on weight change from nadir weight loss. The main outcome measures were major cardiovascular event (MACE) or death.

resultsOver a mean follow-up of 10.6 years, 1276 patients experienced at least one episode of a MACE, and 707 died. An increased risk for death and MACE was seen in patients with continued weight loss after nadir (adjusted HR compared to recurrent weight gain of 0-20% of weight lost at nadir among patients who initially lost 20-35% total weight (TWL): 1.80 (1.41-2.31) and 1.62 (1.35-1.94) respectively), and for patients who experienced >50% recurrent weight gain from nadir (adjusted HR compared to patients with recurrent weight gained 0-20% TWL: 1.61 (1.07-2.43) and 1.48 (1.09-2.00) respectively).

conclusionContinued weight loss and significant recurrent weight gain after the initial weight nadir were both associated with a higher risk for MACE and death after RYGB. These should be considered non-desirable weight trajectories requiring further clinical evaluation and increased support.

Indexed as

Cardiovascular DiseasesGastric BypassObesity, MorbidPostoperative ComplicationsWeight GainWeight LossAdultBody Mass IndexFemaleFollow-Up StudiesHumansMaleMiddle AgedRisk FactorsSweden

Identifiers

PMID40794626
PMCPMC12342772

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.