Association Between the Publication of Clinical Evidence and the Use of Bariatric Surgery View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-05

AUTHORS

David D. Kim, David E. Arterburn, Sean D. Sullivan, Anirban Basu

ABSTRACT

PURPOSE: The purpose of this study was to assess whether publication of clinical evidence was associated with increased utilization of bariatric surgery. METHODS: We systematically searched the literature (1994 to 2008) to identify studies on bariatric surgery. We sorted the evidence by publication date and citation frequency. We linked the published evidence to data from the Kaiser Permanente Washington (KPWA) on 1421 bariatric surgery cases and 45,665 medically managed patients with severe obesity to assess the association between evidence and use of bariatric surgery. We used an interrupted time series analysis with a control group to estimate the association. In secondary analyses, we examined the association with accumulating major clinical evidence, the type of evidence, and stratification by influential tiers. RESULTS: A total of 9913 papers were identified and the top 100 cited papers were initially selected. After inclusion criteria were applied, 35 papers were selected. We selected the fourth quarter in 2004 as the exposure based on publication for the two studies with the largest number of citations. Compared to the projected secular trend, the publication of those two major articles was associated with 50 additional cases of bariatric surgery performed per 100,000 eligible individuals per quarter. In our secondary analyses, higher quality evidence (e.g., RCTs) and more highly cited evidence were each associated with a greater probability of receiving bariatric surgery. CONCLUSIONS: For patient members of the KPWA with severe obesity, publication of clinical evidence was associated with increased use of bariatric surgery. This finding suggests that publication of higher quality positive clinical evidence may influence utilization. More... »

PAGES

1321-1328

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11695-017-2990-1

DOI

http://dx.doi.org/10.1007/s11695-017-2990-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1092445172

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29086183


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