Department of Gastrointestinal Surgery, Warwick Hospital, South Warwickshire NHS Foundation Trust, UK.
South East London Deanery, UK.
Obes Res Clin Pract. 2021 May-Jun;15(3):287-288. doi: 10.1016/j.orcp.2021.04.011. Epub 2021 May 6.
Obesity has been identified as an independent risk factor for a wide range of health conditions. Therefore, there is a clear need for high quality Bariatric research in order to improve patient selection, outcomes and safety for patients with obesity. We sought to identify and compare the quantitative and qualitative publication output from Bariatric centres in England. We identified 42 National Health Service (NHS) Trusts and 162 surgeons providing Bariatric services in England. A median of 4 (range 1-7) Bariatric surgeons were identified per centre. Eight NHS Trusts (19%) and 75 surgeons (46.3%) had no Bariatric publications during the study period, while 87 surgeons published a total of 432 Bariatric papers. Only 15 surgeons (9%) had ≥10 publications within the study period. However, these surgeons produced >50% of all Bariatric publications. Departments with more than 4 surgeons produced a significantly higher number of Bariatric publications (median 8.5 vs 2, p = 0.01). There is significant variation in research contribution amongst Bariatric centres in England. Academia should be encouraged and promoted across all bariatric services in order to broaden our understanding on Bariatric outcomes by expanding the service and proportional increase in funding. Given that a number of health conditions can afflict individuals living with obesity, bariatric surgery research becomes all the more important.
肥胖已被确定为多种健康状况的独立危险因素。因此，为了改善肥胖患者的患者选择、结果和安全性，显然需要高质量的减重研究。我们旨在确定和比较英格兰减重中心的定量和定性出版物。我们确定了英格兰 42 家国民保健服务（NHS）信托基金和 162 名提供减重服务的外科医生。每个中心平均有 4 名（范围 1-7 名）减重外科医生。在研究期间，有 8 家 NHS 信托基金（19%）和 75 名外科医生（46.3%）没有减重出版物，而 87 名外科医生共发表了 432 篇减重论文。只有 15 名外科医生（9%）在研究期间发表了≥10 篇论文。然而，这些外科医生发表了所有减重出版物的>50%。拥有超过 4 名外科医生的部门发表的减重出版物数量明显更多（中位数为 8.5 比 2，p = 0.01）。英格兰减重中心的研究贡献存在显著差异。应该鼓励和促进所有减重服务中的学术研究，以通过扩大服务和相应增加资金来扩大我们对减重结果的理解。鉴于许多健康状况可能会影响肥胖患者，因此减重手术研究变得尤为重要。
