PCORnet Bariatric Surgery Outcomes: Strength in Numbers
Authors: Nancy Puzziferri, Bruce M. Wolfe
Journal: Annals of Internal Medicine (2018)

Editorials4 December 2018PCORnet Bariatric Surgery Outcomes: Strength in NumbersNancy Puzziferri, MD, MSCS and Bruce M. Wolfe, MDNancy Puzziferri, MD, MSCSUniversity of Texas Southwestern Medical Center, Dallas, Texas (N.P.)Search for more papers by this author and Bruce M. Wolfe, MDOregon Health & Science University, Portland, Oregon (B.M.W.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-2819 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Studies funded by the Patient-Centered Outcomes Research Institute (PCORI) should ideally have the potential to influence clinical decisions and health insurers' coverage determinations. Arterburn and colleagues' report in this issue of a PCORI-funded study that compared Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and adjustable gastric banding (AGB) should affect decisions about bariatric surgery (1). The sample of 46 510 patients is large enough for reliable estimation of treatment response by subgroup characteristics, providing a basis for individualized patient decisions about which procedure to have and even whether bariatric surgery should be done at all. In addition to the large sample, ...References1. Arterburn D, Wellman R, Emiliano A, Smith SR, Odegaard AO, Murali S, et al. Comparative effectiveness and safety of bariatric procedures for weight loss. A PCORnet cohort study. Ann Intern Med. 2018;169:741-50. doi:10.7326/M17-2786 LinkGoogle Scholar2. Angrisani L, Santonicola A, Iovino P, Vitiello A, Zundel N, Buchwald H, et al. Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg. 2017;27:2279-89. [PMID: 28405878] doi:10.1007/s11695-017-2666-x CrossrefMedlineGoogle Scholar3. Peterli R, Wölnerhanssen BK, Peters T, Vetter D, Kröll D, Borbély Y, et al. Effect of laparoscopic sleeve gastrectomy vs laparoscopic Roux-en-Y gastric bypass on weight loss in patients with morbid obesity: the SM-BOSS randomized clinical trial. JAMA. 2018;319:255-65. [PMID: 29340679] doi:10.1001/jama.2017.20897 CrossrefMedlineGoogle Scholar4. Salminen P, Helmiö M, Ovaska J, Juuti A, Leivonen M, Peromaa-Haavisto P, et al. Effect of laparoscopic sleeve gastrectomy vs laparoscopic Roux-en-Y gastric bypass on weight loss at 5 years among patients with morbid obesity: the SLEEVEPASS randomized clinical trial. JAMA. 2018;319:241-54. [PMID: 29340676] doi:10.1001/jama.2017.20313 CrossrefMedlineGoogle Scholar5. Schauer PR, Bhatt DL, Kirwan JP, Wolski K, Aminian A, Brethauer SA, et al; STAMPEDE Investigators. Bariatric surgery versus intensive medical therapy for diabetes – 5-year outcomes. N Engl J Med. 2017;376:641-51. [PMID: 28199805] doi:10.1056/NEJMoa1600869 CrossrefMedlineGoogle Scholar6. Courcoulas AP, King WC, Belle SH, Berk P, Flum DR, Garcia L, et al. Seven-year weight trajectories and health outcomes in the Longitudinal Assessment of Bariatric Surgery (LABS) study. JAMA Surg. 2018;153:427-34. [PMID: 29214306] doi:10.1001/jamasurg.2017.5025 CrossrefMedlineGoogle Scholar7. Van Nieuwenhove Y, Ceelen W, Stockman A, Vanommeslaeghe H, Snoeck E, Van Renterghem K, et al. Long-term results of a prospective study on laparoscopic adjustable gastric banding for morbid obesity. Obes Surg. 2011;21:582-7. [PMID: 21188545] doi:10.1007/s11695-010-0341-6 CrossrefMedlineGoogle Scholar8. Flum DR, Belle SH, King WC, Wahed AS, Berk P, Chapman W, et al; Longitudinal Assessment of Bariatric Surgery (LABS) Consortium. Perioperative safety in the Longitudinal Assessment of Bariatric Surgery. N Engl J Med. 2009;361:445-54. [PMID: 19641201] doi:10.1056/NEJMoa0901836 CrossrefMedlineGoogle Scholar9. Gregg EW, Chen H, Wagenknecht LE, Clark JM, Delahanty LM, Bantle J, et al; Look AHEAD Research Group. Association of an intensive lifestyle intervention with remission of type 2 diabetes. JAMA. 2012;308:2489-96. [PMID: 23288372] doi:10.1001/jama.2012.67929 CrossrefMedlineGoogle Scholar10. O'Brien R, Johnson E, Haneuse S, Coleman KJ, O'Connor PJ, Fisher DP, et al. Microvascular outcomes in patients with diabetes after bariatric surgery versus usual care: a matched cohort study. Ann Intern Med. 2018;169:300-10. [PMID: 30083761]. doi:10.7326/M17-2383 LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Texas Southwestern Medical Center, Dallas, Texas (N.P.)Oregon Health & Science University, Portland, Oregon (B.M.W.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-2819.Corresponding Author: Nancy Puzziferri, MD, MSCS, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Mail Code 9156, Dallas, TX 75390; e-mail, nancy.[email protected]edu.Current Author Addresses: Dr. Puzziferri: University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Mail Code 9156, Dallas, TX 75390.Dr. Wolfe: Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Mail Code L454, Portland, OR 97239.This article was published at Annals.org on 30 October 2018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoComparative Effectiveness and Safety of Bariatric Procedures for Weight Loss David Arterburn , Robert Wellman , Ana Emiliano , Steven R. Smith , Andrew O. Odegaard , Sameer Murali , Neely Williams , Karen J. Coleman , Anita Courcoulas , R. Yates Coley , Jane Anau , Roy Pardee , Sengwee Toh , Cheri Janning , Andrea Cook , Jessica Sturtevant , Casie Horgan , Kathleen M. McTigue , and Metrics 4 December 2018Volume 169, Issue 11Page: 806-807KeywordsBariatric surgeryCohort studiesDatabasesForecastingProspective studiesRetrospective studiesSurgeryType 2 diabetesVenous thromboembolismWeight loss ePublished: 30 October 2018 Issue Published: 4 December 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...