http://hl7.org/fhir/uv/ebm/Composition/104215
type: Composition
node role: treeRoot
id:
  v: 104215
meta:
  version id:
    v: 36
  last updated:
    v: 2025-02-26T22:31:07.150Z
  profile:
    v: http://hl7.org/fhir/uv/ebm/StructureDefinition/summary-of-findings
    l: summary-of-findings
language:
  v: en
text:
  status:
    v: empty
  div:
    v: [No data.]
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/artifact-description
    l: artifact-description
  value: Markdown
    v: Example of SummaryOfFindings Profile of Composition Resource.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/artifact-copyright
    l: artifact-copyright
  value: Markdown
    v: https://creativecommons.org/licenses/by-nc-sa/4.0/
extension:
  url:
    v: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status
    l: artifact-publication-status
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/cited-artifact-status-type
        l: cited-artifact-status-type
      code:
        v: active
      display:
        v: Active
url:
  v: https://fevir.net/resources/Composition/104215
  l: https://fevir.net/resources/Composition/104215
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: ACSN
      display:
        v: Accession ID
    text:
      v: FEvIR Object Identifier
  system:
    v: https://fevir.net/FOI
    l: FOI
  value:
    v: 104215
  assigner:
    display:
      v: Computable Publishing LLC
status:
  v: final
type:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: SummaryOfFindings
    display:
      v: SummaryOfFindings
  text:
    v: Summary of Findings
subject:
  l: http://hl7.org/fhir/uv/ebm/Group/179562
  reference:
    v: Group/179562
  type:
    v: Group
    l: Group
  display:
    v: EvidenceReportSubject: Clinical Outcomes for Effects of Bariatric Surgery
date:
  v: 2025-02-26T22:31:07.150Z
author:
  type:
    v: Practitioner
    l: Practitioner
  display:
    v: Brian S. Alper
title:
  v: SummaryOfFindings: Bariatric Surgery Summary of Findings Example for GIN 2022
custodian:
  display:
    v: Computable Publishing LLC
relates to:
  type:
    v: cite-as
  target: Markdown
    v: SummaryOfFindings: Bariatric Surgery Summary of Findings Example for GIN 2022 [Database Entry: FHIR Composition Resource]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 104215. Revised 2025-02-25. Available at: https://fevir.net/resources/Composition/104215. Computable resource at: https://fevir.net/resources/Composition/104215.
section:
  title:
    v: Column Headers
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: column-headers
      display:
        v: Column Headers
  section:
    title:
      v: Outcome
    text:
      status:
        v: generated
      div:
        v: Outcome
  section:
    title:
      v: Sample Size
    text:
      status:
        v: generated
      div:
        v: Sample size: # studies, # participants, # counted, # events
  section:
    title:
      v: Result Without Treatment
    text:
      status:
        v: additional
      div:
        v: Result without bariatric surgery
  section:
    title:
      v: Result With Treatment--Observed
    text:
      status:
        v: additional
      div:
        v: Result with bariatric surgery
  section:
    title:
      v: Result With Treatment--Derived
    code:
      text:
        v: calculated value derived from the control group and effect estimate
    text:
      status:
        v: additional
      div:
        v: Result with bariatric surgery (calculated)
  section:
    title:
      v: Effect Estimate
    text:
      status:
        v: generated
      div:
        v: Effect Estimate (Relative effect)
  section:
    title:
      v: Certainty of Evidence
    text:
      status:
        v: generated
      div:
        v: Certainty of finding (Quality of evidence)
  section:
    title:
      v: Assertion
    text:
      status:
        v: generated
      div:
        v: What this means
section:
  title:
    v: Summary of Findings
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: summary-of-findings
      display:
        v: Summary of Findings
  section:
    title:
      v: All-cause mortality
    focus:
      l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/49217

v: outcome-measure

v: Outcome Measure

v: sample-size

v: Sample Size

v: result-with-comparator-alone

v: Result with comparator alone

v: result-with-intervention-alone

v: Result with intervention alone

v: result-with-intervention-alone-calculated

v: Result with intervention alone (calculated)

v: result-with-intervention-vs-comparator

v: Result with intervention vs. comparator

v: certainty-of-evidence

v: Certainty of Evidence

v: assertion

v: Assertion

v: summary-of-findings-entry-for-a-single-outcome

v: Summary of findings entry for a single outcome

v: EvidenceVariable/49217

v: EvidenceVariable
l: EvidenceVariable

v: OutcomeVariable: All-cause mortality

status:
  v: empty
div:
  v: [No data.]

title:
  v: Outcome
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: outcome-measure
    display:
      v: Outcome Measure
text:
  status:
    v: generated
  div:
    v: All-cause mortality
entry:
  l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/49217
  reference:
    v: EvidenceVariable/49217
  type:
    v: EvidenceVariable
    l: EvidenceVariable
  display:
    v: OutcomeVariable: All-cause mortality

title:
  v: Sample Size
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: sample-size
    display:
      v: Sample Size
text:
  status:
    v: generated
  div:
    v: 21 studies, 397002 participants
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/49328
  reference:
    v: Evidence/49328
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparativeEvidence: All-cause mortality effect of bariatric surgery in 2022 meta-analysis

title:
  v: Result Without Treatment
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: result-with-comparator-alone
    display:
      v: Result with comparator alone
text:
  status:
    v: additional
  div:
    v: 5% (estimated); specific summary evidence not reported
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/104384
  reference:
    v: Evidence/104384
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparatorOnlyEvidence: All-cause mortality without bariatric surgery in 2022 meta-analysis

title:
  v: Result With Treatment--Observed
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: result-with-intervention-alone
    display:
      v: Result with intervention alone
text:
  status:
    v: empty
  div:
    v: Not reported

title:
  v: Result With Treatment--Derived
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: result-with-intervention-alone-calculated
    display:
      v: Result with intervention alone (calculated)
  text:
    v: calculated value derived from the control group and effect estimate
text:
  status:
    v: empty
  div:
    v: Not reported

title:
  v: Effect Estimate
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: result-with-intervention-vs-comparator
    display:
      v: Result with intervention vs. comparator
text:
  status:
    v: generated
  div:
    v: Hazard Ratio 0.55 (95% confidence interval 0.49 to 0.62)
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/49328
  reference:
    v: Evidence/49328
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparativeEvidence: All-cause mortality effect of bariatric surgery in 2022 meta-analysis

title:
  v: Certainty of Evidence
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: certainty-of-evidence
    display:
      v: Certainty of Evidence
text:
  status:
    v: additional
  div:
    v: Low quality
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/49328
  reference:
    v: Evidence/49328
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparativeEvidence: All-cause mortality effect of bariatric surgery in 2022 meta-analysis

title:
  v: Assertion
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: assertion
    display:
      v: Assertion
text:
  status:
    v: generated
  div:
    v: The present systematic review and meta-analysis suggests that bariatric surgery is associated with reduced all-cause and CV mortality.
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/49328
  reference:
    v: Evidence/49328
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparativeEvidence: All-cause mortality effect of bariatric surgery in 2022 meta-analysis

title:
  v: Nonfatal myocardial infarction or stroke
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: summary-of-findings-entry-for-a-single-outcome
    display:
      v: Summary of findings entry for a single outcome
focus:
  l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/104097
  reference:
    v: EvidenceVariable/104097
  type:
    v: EvidenceVariable
    l: EvidenceVariable
  display:
    v: OutcomeVariable: Nonfatal myocardial infarction or stroke
text:
  status:
    v: empty
  div:
    v: [No data.]
section:
  title:
    v: Outcome
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: outcome-measure
      display:
        v: Outcome Measure
  text:
    status:
      v: generated
    div:
      v: Nonfatal myocardial infarction or stroke
  entry:
    l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/104097
    reference:
      v: EvidenceVariable/104097
    type:
      v: EvidenceVariable
      l: EvidenceVariable
    display:
      v: OutcomeVariable: Nonfatal myocardial infarction or stroke
section:
  title:
    v: Sample Size
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: sample-size
      display:
        v: Sample Size
  text:
    status:
      v: generated
    div:
      v: 1 study, 4,047 participants, 4,047 counted, 359 events
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104098
    reference:
      v: Evidence/104098
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study
section:
  title:
    v: Result Without Treatment
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-comparator-alone
      display:
        v: Result with comparator alone
  text:
    status:
      v: additional
    div:
      v: 188 out of 2,037 observed with percentage of: 9.2%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104397
    reference:
      v: Evidence/104397
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Myocardial infarction or stroke without bariatric surgery (Control Group) in Swedish Obese Subjects (SOS) study
section:
  title:
    v: Result With Treatment--Observed
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone
      display:
        v: Result with intervention alone
  text:
    status:
      v: additional
    div:
      v: 171 out of 2,010 observed with percentage of: 8.5%
section:
  title:
    v: Result With Treatment--Derived
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone-calculated
      display:
        v: Result with intervention alone (calculated)
    text:
      v: calculated value derived from the control group and effect estimate
  text:
    status:
      v: generated
    div:
      v: 6.2%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104397
    reference:
      v: Evidence/104397
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Myocardial infarction or stroke without bariatric surgery (Control Group) in Swedish Obese Subjects (SOS) study
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104098
    reference:
      v: Evidence/104098
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study
section:
  title:
    v: Effect Estimate
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-vs-comparator
      display:
        v: Result with intervention vs. comparator
  text:
    status:
      v: generated
    div:
      v: Hazard Ratio 0.67 (95% CI 0.54 to 0.83)
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104098
    reference:
      v: Evidence/104098
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study
section:
  title:
    v: Certainty of Evidence
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: certainty-of-evidence
      display:
        v: Certainty of Evidence
  text:
    status:
      v: generated
    div:
      v: Low quality
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104098

v: Evidence/104098

v: Evidence
l: Evidence

v: ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study

title:
  v: Assertion
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: assertion
    display:
      v: Assertion
text:
  status:
    v: generated
  div:
    v: Compared with usual care, bariatric surgery was associated with reduced number of cardiovascular deaths and lower incidence of cardiovascular events in obese adults.
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/104098
  reference:
    v: Evidence/104098
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study

title:
  v: Remission of diabetes
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: summary-of-findings-entry-for-a-single-outcome
    display:
      v: Summary of findings entry for a single outcome
focus:
  l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/104117
  reference:
    v: EvidenceVariable/104117
  type:
    v: EvidenceVariable
    l: EvidenceVariable
  display:
    v: OutcomeVariable: Remission of diabetes
text:
  status:
    v: empty
  div:
    v: [No data.]
section:
  title:
    v: Outcome
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: outcome-measure
      display:
        v: Outcome Measure
  text:
    status:
      v: generated
    div:
      v: Remission of diabetes
  entry:
    l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/104117
    reference:
      v: EvidenceVariable/104117
    type:
      v: EvidenceVariable
      l: EvidenceVariable
    display:
      v: OutcomeVariable: Remission of diabetes
section:
  title:
    v: Sample Size
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: sample-size
      display:
        v: Sample Size
  text:
    status:
      v: generated
    div:
      v: 1 study, 1,888 participants, 1,888 counted
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104121
    reference:
      v: Evidence/104121
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Result Without Treatment
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-comparator-alone
      display:
        v: Result with comparator alone
  text:
    status:
      v: additional
    div:
      v: 141 out of 956 observed with percentage of: 14.8%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104396
    reference:
      v: Evidence/104396
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Remission of diabetes without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Result With Treatment--Observed
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone
      display:
        v: Result with intervention alone
  text:
    status:
      v: additional
    div:
      v: 536 out of 932 observed with percentage of: 57.5%
section:
  title:
    v: Result With Treatment--Derived
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone-calculated
      display:
        v: Result with intervention alone (calculated)
    text:
      v: calculated value derived from the control group and effect estimate
  text:
    status:
      v: generated
    div:
      v: 57.7%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104396
    reference:
      v: Evidence/104396
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Remission of diabetes without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104121
    reference:
      v: Evidence/104121
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Effect Estimate
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-vs-comparator
      display:
        v: Result with intervention vs. comparator
  text:
    status:
      v: generated
    div:
      v: Relative Risk 3.9 (95% CI 2.8 to 5.4)
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104121
    reference:
      v: Evidence/104121
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Certainty of Evidence
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: certainty-of-evidence
      display:
        v: Certainty of Evidence
  text:
    status:
      v: generated
    div:
      v: Moderate quality
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104121

v: Evidence/104121

v: Evidence
l: Evidence

v: ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study

title:
  v: Assertion
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: assertion
    display:
      v: Assertion
text:
  status:
    v: generated
  div:
    v: Compared with specialized medical treatment, bariatric surgery appears to induce remission of diabetes.
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/104121
  reference:
    v: Evidence/104121
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study

title:
  v: New onset depression
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: summary-of-findings-entry-for-a-single-outcome
    display:
      v: Summary of findings entry for a single outcome
focus:
  l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/104118
  reference:
    v: EvidenceVariable/104118
  type:
    v: EvidenceVariable
    l: EvidenceVariable
  display:
    v: OutcomeVariable: New onset depression
text:
  status:
    v: empty
  div:
    v: [No data.]
section:
  title:
    v: Outcome
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: outcome-measure
      display:
        v: Outcome Measure
  text:
    status:
      v: generated
    div:
      v: New onset depression
  entry:
    l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/104118
    reference:
      v: EvidenceVariable/104118
    type:
      v: EvidenceVariable
      l: EvidenceVariable
    display:
      v: OutcomeVariable: New onset depression
section:
  title:
    v: Sample Size
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: sample-size
      display:
        v: Sample Size
  text:
    status:
      v: generated
    div:
      v: 1 study, 1,888 participants, 1,888 counted
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104155
    reference:
      v: Evidence/104155
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Result Without Treatment
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-comparator-alone
      display:
        v: Result with comparator alone
  text:
    status:
      v: additional
    div:
      v: 62 out of 956 observed with percentage of: 6.5%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104395
    reference:
      v: Evidence/104395
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: New onset depression without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Result With Treatment--Observed
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone
      display:
        v: Result with intervention alone
  text:
    status:
      v: additional
    div:
      v: 83 out of 932 observed with percentage of: 8.9%
section:
  title:
    v: Result With Treatment--Derived
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone-calculated
      display:
        v: Result with intervention alone (calculated)
    text:
      v: calculated value derived from the control group and effect estimate
  text:
    status:
      v: generated
    div:
      v: 9.75%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104395
    reference:
      v: Evidence/104395
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: New onset depression without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104155
    reference:
      v: Evidence/104155
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Effect Estimate
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-vs-comparator
      display:
        v: Result with intervention vs. comparator
  text:
    status:
      v: generated
    div:
      v: Relative Risk 1.5 (95% CI 1.4 to 1.7)
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104155
    reference:
      v: Evidence/104155
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Certainty of Evidence
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: certainty-of-evidence
      display:
        v: Certainty of Evidence
  text:
    status:
      v: generated
    div:
      v: Low quality
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104155

v: Evidence/104155

v: Evidence
l: Evidence

v: ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study

title:
  v: Assertion
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: assertion
    display:
      v: Assertion
text:
  status:
    v: generated
  div:
    v: Compared with specialized medical treatment, bariatric surgery may slightly increase the incidence of depression.
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/104155
  reference:
    v: Evidence/104155
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study

title:
  v: Treatment with opioids
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: summary-of-findings-entry-for-a-single-outcome
    display:
      v: Summary of findings entry for a single outcome
focus:
  l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/104119
  reference:
    v: EvidenceVariable/104119
  type:
    v: EvidenceVariable
    l: EvidenceVariable
  display:
    v: OutcomeVariable: Treatment with opioids
text:
  status:
    v: empty
  div:
    v: [No data.]
section:
  title:
    v: Outcome
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: outcome-measure
      display:
        v: Outcome Measure
  text:
    status:
      v: generated
    div:
      v: Treatment with opioids
  entry:
    l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/104119
    reference:
      v: EvidenceVariable/104119
    type:
      v: EvidenceVariable
      l: EvidenceVariable
    display:
      v: OutcomeVariable: Treatment with opioids
section:
  title:
    v: Sample Size
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: sample-size
      display:
        v: Sample Size
  text:
    status:
      v: generated
    div:
      v: 1 study, 1,888 participants, 1,888 counted
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104156
    reference:
      v: Evidence/104156
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Result Without Treatment
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-comparator-alone
      display:
        v: Result with comparator alone
  text:
    status:
      v: additional
    div:
      v: 151 out of 956 observed with percentage of: 15.8%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104394
    reference:
      v: Evidence/104394
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Treatment with opioids without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Result With Treatment--Observed
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone
      display:
        v: Result with intervention alone
  text:
    status:
      v: additional
    div:
      v: 181 out of 932 observed with percentage of: 19.4%
section:
  title:
    v: Result With Treatment--Derived
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone-calculated
      display:
        v: Result with intervention alone (calculated)
    text:
      v: calculated value derived from the control group and effect estimate
  text:
    status:
      v: generated
    div:
      v: 20.5%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104394
    reference:
      v: Evidence/104394
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Treatment with opioids without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104156
    reference:
      v: Evidence/104156
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Effect Estimate
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-vs-comparator
      display:
        v: Result with intervention vs. comparator
  text:
    status:
      v: generated
    div:
      v: Relative Risk 1.3 (95% CI 1.2 to 1.4)
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104156
    reference:
      v: Evidence/104156
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Certainty of Evidence
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: certainty-of-evidence
      display:
        v: Certainty of Evidence
  text:
    status:
      v: generated
    div:
      v: Low quality
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104156

v: Evidence/104156

v: Evidence
l: Evidence

v: ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study

title:
  v: Assertion
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: assertion
    display:
      v: Assertion
text:
  status:
    v: generated
  div:
    v: Compared with specialized medical treatment, bariatric surgery may slightly increase the use of opioids.
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/104156
  reference:
    v: Evidence/104156
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study

title:
  v: Additional GI surgical procedure
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: summary-of-findings-entry-for-a-single-outcome
    display:
      v: Summary of findings entry for a single outcome
focus:
  l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/104120
  reference:
    v: EvidenceVariable/104120
  type:
    v: EvidenceVariable
    l: EvidenceVariable
  display:
    v: OutcomeVariable: Additional GI surgical procedure
text:
  status:
    v: empty
  div:
    v: [No data.]
section:
  title:
    v: Outcome
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: outcome-measure
      display:
        v: Outcome Measure
  text:
    status:
      v: generated
    div:
      v: Additional GI surgical procedure
  entry:
    l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/104120
    reference:
      v: EvidenceVariable/104120
    type:
      v: EvidenceVariable
      l: EvidenceVariable
    display:
      v: OutcomeVariable: Additional GI surgical procedure
section:
  title:
    v: Sample Size
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: sample-size
      display:
        v: Sample Size
  text:
    status:
      v: generated
    div:
      v: 1 study, 1,888 participants, 1,888 counted
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104157
    reference:
      v: Evidence/104157
    type:
      v: Evidence
      l: Evidence
    display:
      v: StudyOutcomeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Result Without Treatment
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-comparator-alone
      display:
        v: Result with comparator alone
  text:
    status:
      v: additional
    div:
      v: 148 out of 956 observed with percentage of: 15.5%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104385
    reference:
      v: Evidence/104385
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Additional GI surgical procedure without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Result With Treatment--Observed
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone
      display:
        v: Result with intervention alone
  text:
    status:
      v: additional
    div:
      v: 292 out of 932 observed with percentage of: 31.3%
section:
  title:
    v: Result With Treatment--Derived
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone-calculated
      display:
        v: Result with intervention alone (calculated)
    text:
      v: calculated value derived from the control group and effect estimate
  text:
    status:
      v: generated
    div:
      v: 31%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104385
    reference:
      v: Evidence/104385
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Additional GI surgical procedure without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104157
    reference:
      v: Evidence/104157
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Effect Estimate
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-vs-comparator
      display:
        v: Result with intervention vs. comparator
  text:
    status:
      v: generated
    div:
      v: Relative Risk 2.0 (95% CI 1.7 to 2.4)
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104157
    reference:
      v: Evidence/104157
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Certainty of Evidence
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: certainty-of-evidence
      display:
        v: Certainty of Evidence
  text:
    status:
      v: generated
    div:
      v: Moderate quality
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104157

v: Evidence/104157

v: Evidence
l: Evidence

v: ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study

title:
  v: Assertion
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: assertion
    display:
      v: Assertion
text:
  status:
    v: generated
  div:
    v: Compared with specialized medical treatment, bariatric surgery appears to increase the rate of additional gastrointestinal surgical procedures.
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/104157
  reference:
    v: Evidence/104157
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study