The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Meta-Analysis: Surgical Treatment of Obesity
Abstract
BACKGROUND: Controversy exists regarding the effectiveness of surgery for weight loss and the resulting improvement in health-related outcomes. PURPOSE: To perform a meta-analysis of effectiveness and adverse events associated with surgical treatment of obesity. DATA SOURCES: MEDLINE, EMBASE, Cochrane Controlled Trials Register, and systematic reviews. STUDY SELECTION: Randomized, controlled trials; observational studies; and case series reporting on surgical treatment of obesity. DATA EXTRACTION: Information about study design, procedure, population, comorbid conditions, and adverse events. DATA SYNTHESIS: The authors assessed 147 studies. Of these, 89 contributed to the weight loss analysis, 134 contributed to the mortality analysis, and 128 contributed to the complications analysis. The authors identified 1 large, matched cohort analysis that reported greater weight loss with surgery than with medical treatment in individuals with an average body mass index (BMI) of 40 kg/m2 or greater. Surgery resulted in a weight loss of 20 to 30 kg, which was maintained for up to 10 years and was accompanied by improvements in some comorbid conditions. For BMIs of 35 to 39 kg/m2, data from case series strongly support superiority of surgery but cannot be considered conclusive. Gastric bypass procedures result in more weight loss than gastroplasty. Bariatric procedures in current use (gastric bypass, laparoscopic adjustable gastric band, vertical banded gastroplasty, and biliopancreatic diversion and switch) have been performed with an overall mortality rate of less than 1%. Adverse events occur in about 20% of cases. A laparoscopic approach results in fewer wound complications than an open approach. LIMITATIONS: Only a few controlled trials were available for analysis. Heterogeneity was seen among studies, and publication bias is possible. CONCLUSIONS: Surgery is more effective than nonsurgical treatment for weight loss and control of some comorbid conditions in patients with a BMI of 40 kg/m2 or greater. More data are needed to determine the efficacy of surgery relative to nonsurgical therapy for less severely obese people. Procedures differ in efficacy and incidence of complications.
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Citations
Cites
Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001
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Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery
Sjöström, L., Lindroos, A.-K., Peltonen, M., Torgerson, J., Bouchard, C., Carlsson, B., Dahlgren, S., Larsson, B., Narbro, K., Sjöström, C. D., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa035622 · Cited by 4,457
Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients
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“We also assessed existing reviews of surgical therapy for obesity (10, 25, 26).”
MethodStevens, V. J., Obarzanek, E., Cook, N. R., Lee, I.-M., Appel, L. J., Smith West, D., Milas, N. C., Mattfeldt-Beman, M., Belden, L., Bragg, C., et al. (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-134-1-200101020-00007 · Cited by 886
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Achieving Weight and Activity Goals Among Diabetes Prevention Program Lifestyle Participants
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Impact of gastric bypass operation on survival: a population-based analysis
Flum, D. R., & Dellinger, P. E. (2004) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2004.06.014 · Cited by 527 · cited 3×
“9%, as assessed by using administrative data (86).”
BackgroundMethodInfluentialHeart rate variability in obesity and the effect of weight loss
Karason, K., Mølgaard, H., Wikstrand, J., & Sjöström, L. (1999) · The American Journal of Cardiology · doi:10.1016/s0002-9149(99)00066-1 · Cited by 402 · cited 3×
“, 1999 (35)** Matched cohort NA 43 49 38 kg/ m(2) Diabetes, NR; hypertension, 25%; dyslipidemia, NR; sleep apnea, NR 1”
MethodDifferentiated long-term effects of intentional weight loss on diabetes and hypertension
Sjöström, C. D., Peltonen, M., Wedel, H., & Sjöström, L. (2000) · Hypertension · doi:10.1161/01.hyp.36.1.20 · Cited by 367 · cited 3×
“…arm 1, 1.5 10.2 kg; arm 2, 20.8 13.1 kg; arm 3, 20.7 16.6 kg; arm 4: 33.98 18.1 kg Blood and pulse pressure improved in those who had gastric bypass surgery Sjostrom et al., 2000 (32)** Matched cohort NA 66 47 41 kg/ m2 Diabetes, 13% (arm 1) and 10% (arms 2–4); hypertension, 41% (arm 1) and 50%…”
BackgroundInfluentialEffects of surgical treatment of the metabolic syndrome on liver fibrosis and cirrhosis
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Laparoscopic Adjustable Gastric Banding
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Karason, K., Lindroos, A. K., Stenlöf, K., & Sjöström, L. (2000) · Archives of Internal Medicine · doi:10.1001/archinte.160.12.1797 · Cited by 168
Cited by
Bariatric Surgery versus Conventional Medical Therapy for Type 2 Diabetes
Mingrone, G., Panunzi, S., De Gaetano, A., Guidone, C., Iaconelli, A., Leccesi, L., Nanni, G., Pomp, A., Castagneto, M., Ghirlanda, G., et al. (2012) · New England Journal of Medicine · doi:10.1056/nejmoa1200111 · Cited by 1,791
Chang, S.-H., Stoll, C. R. T., Song, J., Varela, J. E., Eagon, C. J., & Colditz, G. A. (2014) · JAMA Surgery · doi:10.1001/jamasurg.2013.3654 · Cited by 1,688
Dissemination and publication of research findings: an updated review of related biases
Song, F., Parekh, Hooper, L., Loke, Y., Ryder, J., Sutton, A., Hing, C., Kwok, C., Pang, C., & Harvey, I. (2010) · Health Technology Assessment · doi:10.3310/hta14080 · Cited by 1,039
Mental Health Conditions Among Patients Seeking and Undergoing Bariatric Surgery: A Meta-analysis
Dawes, A. J., Maggard-Gibbons, M., Maher, A. R., Booth, M. J., Miake-Lye, I., Beroes, J. M., & Shekelle, P. G. (2016) · JAMA · doi:10.1001/jama.2015.18118 · Cited by 579
Self-citationHeber, D., Greenway, F. L., Kaplan, L. M., Livingston, E., Salvador, J., & Still, C. (2010) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2009-2128 · Cited by 521
Self-citation
Metadata
- Authors
- Maggard, M. A., Shugarman, L. R., Suttorp, M., Maglione, M., Sugerman, H. J., Livingston, E. H., Nguyen, N. T., Li, Z., Mojica, W. A., Hilton, L., Rhodes, S., Morton, S. C., & Shekelle, P. G.
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 2005-04-05
- Volume
- 142
- Issue
- 7
- Pages
- 547-559
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W2132489926
- Cited by
- 1,567
- References
- 15
- FWCI
- 92.95
- Type
- journal article
- Language
- en
- Open access
- closed
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