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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Patients with clinically metabolically healthy obesity are not necessarily healthy subclinically: further support for bariatric surgery in patients without metabolic disease?
|
|---|---|
| Published in |
Surgery for Obesity and Related Diseases, December 2017
|
| DOI | 10.1016/j.soard.2017.11.032 |
| Pubmed ID | |
| Authors |
Ivy N. Haskins, Julietta Chang, Zubaidah Nor Hanipah, Tavankit Singh, Neal Mehta, Arthur J. McCullough, Stacy A. Brethauer, Philip R. Schauer, Ali Aminian |
| Abstract |
Nonalcoholic fatty liver disease (NAFLD) increases the risk of liver cirrhosis and hepatocellular carcinoma and is also strongly correlated with extrahepatic diseases, including cardiovascular disease and type 2 diabetes. This risk of NAFLD among obese individuals who are otherwise metabolically healthy is not well characterized. To determine the prevalence and characteristics of NAFLD in individuals with metabolically healthy obesity. A tertiary, academic, referral hospital. All patients who underwent bariatric surgery with intraoperative liver biopsy from 2008 to 2015 were identified. Patients with preoperative hypertension, dyslipidemia, or prediabetes/diabetes were excluded to identify a cohort of metabolically healthy obesity patients. Liver biopsy reports were reviewed to determine the prevalence of NAFLD. A total of 270 patients (7.0% of the total bariatric surgery patients) met the strict inclusion criteria for metabolically healthy obesity. The average age was 38 ± 10 years and the average body mass index was 47 ± 7 kg/m2. Abnormal alanine aminotransferase (>45 U/L) and asparate aminotransferase levels (>40 U/L) were observed in 28 (10.4%) and 18 (6.7%) patients, respectively. A total of 96 (35.5%) patients had NAFLD with NALFD Activity Scores 0 to 2 (n = 61), 3 to 4 (n = 25), and 5 to 8 (n = 10). A total of 62 (23%) patients had lobular inflammation, 23 (8.5%) had hepatocyte ballooning, 22 (8.2%) had steatohepatitis, and 12 (4.4%) had liver fibrosis. Even with the use of strict criteria to eliminate all patients with any metabolic problems, a significant proportion of metabolically healthy patients had unsuspected NAFLD. The need and clinical utility of routine screening of obese patients for fatty liver disease and the role of bariatric surgery in the management of NAFLD warrants further investigation. |
X Demographics
The data shown below were collected from the profiles of 57 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 19 | 33% |
| United Kingdom | 5 | 9% |
| Mexico | 4 | 7% |
| Spain | 2 | 4% |
| Lebanon | 2 | 4% |
| Comoros | 1 | 2% |
| Guatemala | 1 | 2% |
| Norway | 1 | 2% |
| Chile | 1 | 2% |
| Other | 4 | 7% |
| Unknown | 17 | 30% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 29 | 51% |
| Practitioners (doctors, other healthcare professionals) | 15 | 26% |
| Scientists | 10 | 18% |
| Science communicators (journalists, bloggers, editors) | 2 | 4% |
| Unknown | 1 | 2% |
Mendeley readers
The data shown below were compiled from readership statistics for 65 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 65 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Other | 9 | 14% |
| Researcher | 9 | 14% |
| Student > Postgraduate | 6 | 9% |
| Student > Master | 6 | 9% |
| Student > Bachelor | 5 | 8% |
| Other | 13 | 20% |
| Unknown | 17 | 26% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 24 | 37% |
| Nursing and Health Professions | 5 | 8% |
| Psychology | 4 | 6% |
| Biochemistry, Genetics and Molecular Biology | 3 | 5% |
| Agricultural and Biological Sciences | 2 | 3% |
| Other | 4 | 6% |
| Unknown | 23 | 35% |
Attention Score in Context
This research output has an Altmetric Attention Score of 34. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 January 2021.
All research outputs
#1,194,107
of 25,824,818 outputs
Outputs from Surgery for Obesity and Related Diseases
#84
of 1,966 outputs
Outputs of similar age
#26,435
of 448,423 outputs
Outputs of similar age from Surgery for Obesity and Related Diseases
#8
of 54 outputs
Altmetric has tracked 25,824,818 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,966 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.4. This one has done particularly well, scoring higher than 95% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 448,423 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 94% of its contemporaries.
We're also able to compare this research output to 54 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 85% of its contemporaries.