StudyCitation: 2022 Systematic Review of bariatric surgery mortality effect 35243488 - Evidence Based Medicine on FHIR Implementation Guide v1.0.0-ballot

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Example Citation: StudyCitation: 2022 Systematic Review of bariatric surgery mortality effect 35243488

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Resource Citation "33400" Version "6" Updated "2023-12-01 10:35:34+0000"

url: https://fevir.net/resources/Citation/33400

identifier: FEvIR Object Identifier/33400, https://pubmed.ncbi.nlm.nih.gov/35243488

version: 1.0.0-ballot

title: StudyCitation: 2022 Systematic Review of bariatric surgery mortality effect 35243488

status: active

date: 2022-05-28 12:27:14+0000

publisher: HL7 International / Clinical Decision Support

contact: HL7 International / Clinical Decision Support: http://www.hl7.org/Special/committees/dss

description: This Citation Resource is referenced in an example for the EBMonFHIR Implementation Guide.

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lastReviewDate: 2022-03-10

author: Brian S. Alper:

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Bariatric surgery and cardiovascular disease: a systematic review and meta-analysis [Journal Article]. Contributors: van Veldhuisen SL, Gorter TM, van Woerden G, de Boer RA, Rienstra M, Hazebroek EJ, van Veldhuisen DJ. In: European heart journal, PMID 35243488. Published March 04, 2022. Available at: https://pubmed.ncbi.nlm.nih.gov/35243488/.

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identifier: https://pubmed.ncbi.nlm.nih.gov/35243488, https://www.ncbi.nlm.nih.gov/pmc//PMC9123239, https://doi.org/10.1093/eurheartj/ehac071, pii/6542137
Titles
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* Primary title (Title Type#primary) English (Tags for the Identification of Languages#en) Bariatric surgery and cardiovascular disease: a systematic review and meta-analysis.
Abstracts
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* **AIMS:** Obesity is a global health problem, associated with significant morbidity and mortality, often due to cardiovascular (CV) diseases. While bariatric surgery is increasingly performed in patients with obesity and reduces CV risk factors, its effect on CV disease is not established. We conducted a systematic review and meta-analysis to evaluate the effect of bariatric surgery on CV outcomes, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline. **METHODS AND RESULTS:** PubMed and Embase were searched for literature until August 2021 which compared bariatric surgery patients to non-surgical controls. Outcomes of interest were all-cause and CV mortality, atrial fibrillation (AF), heart failure (HF), myocardial infarction, and stroke. We included 39 studies, all prospective or retrospective cohort studies, but randomized outcome trials were not available. Bariatric surgery was associated with a beneficial effect on all-cause mortality [pooled hazard ratio (HR) of 0.55; 95% confidence interval (CI) 0.49-0.62, P < 0.001 vs. controls], and CV mortality (HR 0.59, 95% CI 0.47-0.73, P < 0.001). In addition, bariatric surgery was also associated with a reduced incidence of HF (HR 0.50, 95% CI 0.38-0.66, P < 0.001), myocardial infarction (HR 0.58, 95% CI 0.43-0.76, P < 0.001), and stroke (HR 0.64, 95% CI 0.53-0.77, P < 0.001), while its association with AF was not statistically significant (HR 0.82, 95% CI 0.64-1.06, P = 0.12). **CONCLUSION:** The present systematic review and meta-analysis suggests that bariatric surgery is associated with reduced all-cause and CV mortality, and lowered incidence of several CV diseases in patients with obesity. Bariatric surgery should therefore be considered in these patients. © The Author(s) 2022. Published by Oxford University Press on behalf of European Society of Cardiology.
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classifier: Myocardial infarction ()
content
classifier: Obesity ()
content
classifier: Outcome ()

Generated Narrative: Practitioner #author0
identifier: ORCID/0000-0002-0044-8441
name: Sophie L van Veldhuisen

Generated Narrative: ArtifactAssessment #meshHeading0
artifact: #
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type: components (if present) include qualifier codings (Cited Artifact Classification Type#mesh-heading "MeSH heading")
classifier: Atrial Fibrillation (#D001281)
freeToShare: true
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type: components (if present) include qualifier codings (Cited Artifact Classification Type#mesh-heading "MeSH heading")
classifier: Bariatric Surgery (#D050110)
freeToShare: true
component
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classifier: is Major topic ()
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classifier: adverse effects (#Q000009)
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content
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type: components (if present) include qualifier codings (Cited Artifact Classification Type#mesh-heading "MeSH heading")
classifier: Cardiovascular Diseases (#D002318)
freeToShare: true
component
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classifier: is Major topic ()
component
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classifier: etiology (#Q000209)
component
content
informationType: classifier
type: components (if present) include qualifier codings (Cited Artifact Classification Type#mesh-heading "MeSH heading")
classifier: Heart Failure (#D006333)
freeToShare: true
component
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component
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component
content
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type: components (if present) include qualifier codings (Cited Artifact Classification Type#mesh-heading "MeSH heading")
classifier: Humans (#D006801)
freeToShare: true
Components
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content
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type: components (if present) include qualifier codings (Cited Artifact Classification Type#mesh-heading "MeSH heading")
classifier: Myocardial Infarction (#D009203)
freeToShare: true
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classifier: Prospective Studies (#D011446)
freeToShare: true
Components
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content
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freeToShare: true
Components
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content
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classifier: Stroke (#D020521)
freeToShare: true
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Generated Narrative: Practitioner #author1
identifier: ORCID/0000-0001-5000-8359
name: Thomas M Gorter

Generated Narrative: Practitioner #author2
identifier: ORCID/0000-0001-7907-2944
name: Gijs van Woerden

Generated Narrative: Practitioner #author3
name: Rudolf A de Boer

Generated Narrative: Practitioner #author4
identifier: ORCID/0000-0002-2581-070X
name: Michiel Rienstra

Generated Narrative: Practitioner #author5
identifier: ORCID/0000-0001-5458-3334
name: Eric J Hazebroek

Generated Narrative: Practitioner #author6
name: Dirk J van Veldhuisen

Generated Narrative: Practitioner #contributor0
identifier: ORCID/0000-0002-0044-8441
name: Sophie L van Veldhuisen

Generated Narrative: Practitioner #contributor1
identifier: ORCID/0000-0001-5000-8359
name: Thomas M Gorter

Generated Narrative: Practitioner #contributor2
identifier: ORCID/0000-0001-7907-2944
name: Gijs van Woerden

Generated Narrative: Practitioner #contributor3
name: Rudolf A de Boer

Generated Narrative: Practitioner #contributor4
identifier: ORCID/0000-0002-2581-070X
name: Michiel Rienstra

Generated Narrative: Practitioner #contributor5
identifier: ORCID/0000-0001-5458-3334
name: Eric J Hazebroek

Generated Narrative: Practitioner #contributor6
name: Dirk J van Veldhuisen