The story notes that the average cost of weight loss surgery is about $30,000. It would have been helpful to include a comparison of the different procedures discussed in the story, but this is good enough. A little bit better job with the numbers than the LA Times. The same weight loss data are provided in absolute terms, but this story also attaches a figure to the number of patients whose diabetes resolved after bypass compared with the band procedure. The LA Times called the results here “far better” for gastric bypass, but HealthDay notes that improvement or resolutions was seen in three-fourths of bypass patients and half of band patients — a more precise characterization. Unlike the LA Times, this story attached a number to the risk of complications observed during the study. It would have been interesting to see some discussion of the seriousness of these problems, as some data suggest that short-term complications with gastric bypass are more grave than those with the band, while longer-term complications with the band may be more frequent and serious. This story mentioned that there were no deaths in either group in the bypass vs. band study, but as with the competing coverage, it didn’t explain that there are well established differences in mortality risk associated with each procedure. We’ll award a passing grade, but the story could have done better here. There were some differences between this story and the competing LA Times piece on this criterion. Notably, this story injected some caution into the discussion in the second paragraph, where it noted that bypass outcomes are better with more experienced surgeons like the ones who conducted the study comparing bypass to the gastric band. Patients with different surgeons at a different institution might not fare as well with bypass as the patients in this study. It also included comments from an expert who noted that the band may be a better choice for certain patients, such as those with a lower BMI or who don’t have related medical conditions such as type 2 diabetes. Although it included a closing caveat about the relatively short-term follow-up of these patients, which is an important limitation to point out, it could have done a bit better job of explaining why this is important. Previous studies suggest that some band patients continue to lose weight for years and may approach the weight loss seen with bypass patients, whereas bypass patients may gain back some of the weight they lose initially. There may also be differences in the risk of very long-term complications (e.g. neurological disorders resulting from nutritional deficiencies after 5-10 years in bypass patients, versus failure of the device and need for reoperation with the band). No disease-mongering here. The story quotes an independent expert source and weaves his comments into the coverage nicely. Remarks from a second source would have been even better. As with the LA Times, there was no mention of the effectiveness of diet or lifestyle interventions for weight loss. Even a line would have helped. This story did not fully explain who might be a candidate for these procedures – which is a matter of availability. A brief explanation of the criteria for weight loss surgery would have dispelled any confusion. The story didn’t mention that many other studies have examined these procedures or establish what, if anything, is novel about these new findings. It should have. The reporter seems to have contacted two expert sources, although only one is quoted directly. There’s no evidence that anything was taken directly from a press release. A close call, but we’re fairly confident in the level of independent reporting done here, so we’ll award a satisfactory.
Gastric Bypass Best for Weight Loss, Study Finds