Comparison of Surgical Activity and Scientific Publications in Bariatric Surgery: an Epidemiological and Bibliometric Analysis

Abstract

Introduction

In the last two decades, an impressive increase in the number of surgical interventions was recorded in bariatric surgery. Similarly, several bibliometric studies reported an increasing trend for scientific production. This study aims to compare these two trends.

Methods

This study focused on the period 2003–2016 and included the following procedures: adjustable gastric banding (AGB), bilio-pancreatic deviation (BPD), one-anastomosis gastric bypass (OAGB), Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and vertical banded gastroplasty (VBG). We retrieved the data on intervention from International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) surveys and data from publications from the Web of Science database. An analysis of the global trend and the trend per continent was performed.

Results

Over the study period, the most common procedure to be performed was RYGB (47.1%) followed by SG (33.5%) and AGB (14.8%). The percentage of publications was similar, with 48.3% studies on RYGB, 18.5% on AGB, and 18.4% on SG. In terms of evolution, SG has become the most common procedure to be performed in every continent but Latin America, while RYGB remains the most frequently discussed in scientific publications. Asia has the highest rate of publications per 1000 interventions (4.7), followed by Europe (3.0), the Pacific (2.0), and North America (1.6).

Conclusion

This study found many similarities in the trend of publications and interventions in bariatric surgery: in particular with an important growth rate in the last 15 years and the progressive polarization toward two procedures (SG and RYGB). Nevertheless some important differences persist at a national level.

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References

  1. 1.

    World Health Organization, “Obesity and overweight.,” 2019. [Online]. Available: https://www.who.int/topics/obesity/en/. [Accessed: 30-Dec-2019].

  2. 2.

    Bentham J et al. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet. 2017;390(10113):2627–42.

    Article  Google Scholar 

  3. 3.

    Angrisani L, Santonicola A, Iovino P, Formisano G, Buchwald H, Scopinaro N. “Bariatric surgery worldwide 2013.” Obes. Surg., 2015.

  4. 4.

    Angrisani L, Santonicola A, Iovino P, et al. IFSO worldwide survey 2016: primary, endoluminal, and revisional procedures. Obes Surg. 2018;28(12):3783–94.

    Article  Google Scholar 

  5. 5.

    Dabi Y, Darrigues L, Katsahian S, et al. Publication trends in bariatric surgery: a Bibliometric study. Obes Surg. 2016;26(11):2691–9.

    Article  Google Scholar 

  6. 6.

    Ozsoy Z, Demir E. The evolution of bariatric surgery publications and global productivity: a Bibliometric analysis. Obes Surg. 2018;28(4):1117–29.

    Article  Google Scholar 

  7. 7.

    Ozsoy Z, Demir E. Which bariatric procedure is the Most popular in the world? A Bibliometric comparison. Obes Surg. 2018;28(8):2339–52.

    Article  Google Scholar 

  8. 8.

    Ahmad SS, Ahmad SS, Kohl S, et al. The hundred most cited articles in bariatric surgery. Obes Surg. 2015;25(5):900–9.

    Article  Google Scholar 

  9. 9.

    Buchwald H, Williams SE. Bariatric surgery worldwide 2003. Obes Surg. 2004;14(9):1157–64.

    Article  Google Scholar 

  10. 10.

    Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2008. Obes Surg. Dec. 2009;19(12):1605–11.

    Article  Google Scholar 

  11. 11.

    Buchwald H, Oien D. Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013;23(4):427–36.

    Article  Google Scholar 

  12. 12.

    Nguyen NT, Masoomi H, Laugenour K, et al. Predictive factors of mortality in bariatric surgery: data from the Nationwide inpatient sample. Surgery. Aug. 2011;150(2):347–51.

    Article  Google Scholar 

  13. 13.

    Nguyen NT, Masoomi H, Magno CP, et al. Trends in use of bariatric surgery, 2003-2008. J Am Coll Surg. 2011;213(2):261–6.

    Article  Google Scholar 

  14. 14.

    English WJ, DeMaria EJ, Brethauer SA, et al. American Society for Metabolic and Bariatric Surgery estimation of metabolic and bariatric procedures performed in the United States in 2016. Surg Obes Relat Dis. 2018;14(3):259–63.

    Article  Google Scholar 

  15. 15.

    Lazzati A, Guy-Lachuer R, Delaunay V, et al. Bariatric surgery trends in France: 2005-2011. Surg Obes Relat Dis. 2014;10(2):328–34.

    Article  Google Scholar 

  16. 16.

    Lazzati A, de Antonio M, Paolino L, et al. Natural history of adjustable gastric banding. Ann Surg. Mar. 2017;265(3):439–45.

    Article  Google Scholar 

  17. 17.

    Dargent J. Laparoscopic gastric banding: game over? Obes Surg. 2017;27(8):1914–6.

    Article  Google Scholar 

  18. 18.

    Strain GW, Torghabeh MH, Gagner M, et al. The impact of biliopancreatic diversion with duodenal switch (BPD/DS) over 9 years. Obes Surg. 2017;27(3):787–94.

    Article  Google Scholar 

  19. 19.

    Rutledge R. The mini-gastric bypass: experience with the first 1,274 cases. Obes Surg. 2001;11(3):276–80.

    Article  CAS  Google Scholar 

  20. 20.

    K. Kuldeepak, “IFSO Consensus Conference on OAGB-MGB” in The history of MGB and OAGB. Hamburg, 18–19 Juy 2019.

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Correspondence to Luca Paolino.

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Conflict of Interest

Luca Paolino has no conflict of interest, Riccardo Pravettoni has no conflict of interest, Salomé Epaud has no conflict of interest, Matthieu Ortala has no conflict of interest, and Andrea Lazzati has no conflict of interest.

No informed consent was required from all individual participants included because the study is based on bibliometric data.

This article does not contain any studies with human participants or animals performed by any of the authors.

For this type of study formal consent is not required.

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Paolino, L., Pravettoni, R., Epaud, S. et al. Comparison of Surgical Activity and Scientific Publications in Bariatric Surgery: an Epidemiological and Bibliometric Analysis. OBES SURG 30, 3822–3830 (2020). https://doi.org/10.1007/s11695-020-04703-0

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Keywords

  • Bibliometric
  • Obesity surgery
  • Worldwide
  • Publications
  • Epidemiology
  • Cartography