Use of primary bariatric surgery among patients with obesity and diabetes. Insights from the Diabetes Collaborative Registry View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-08-25

AUTHORS

Priya Jain, Vittal Hejjaji, Merrill B. Thomas, Raul Angel Garcia, Kevin F. Kennedy, Abhinav Goyal, Laurence Sperling, Sandeep R. Das, Samar Hafida, Jonathan R. Enriquez, Suzanne V. Arnold

ABSTRACT

Despite its cardiometabolic benefits, bariatric surgery has historically been underused in patients with obesity and diabetes, but contemporary data are lacking. Among 1,520,182 patients evaluated from 2013 to 2019 within a multicenter, longitudinal, US registry of outpatients with diabetes, we found that 462,033 (30%) met eligibility for bariatric surgery. After a median follow-up of 854 days, 6310/384,859 patients (1.6%) underwent primary bariatric surgery, with a slight increase over time (0.38% per year [2013] to 0.68% per year [2018]). Patients who underwent bariatric surgery were more likely to be female (63% vs. 56%), white (87% vs. 82%), have higher body mass indices (42.1 ± 6.9 vs. 40.6 ± 5.9 kg/m2), and depression (23% vs. 14%; p < 0.001 for all). Over a median (IQR) follow-up after surgery of 722 days (364–993), patients who underwent bariatric surgery had lost an average of 11.8 ± 18.5 kg (23% of excess body weight), 10.2% were on fewer glucose-lowering medications, and 8.4% were on fewer antihypertensives. Despite bariatric surgery being safer and more accessible over the past two decades, less than one in fifty eligible patients with diabetes receive this therapy. More... »

PAGES

2163-2167

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41366-022-01217-w

DOI

http://dx.doi.org/10.1038/s41366-022-01217-w

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1150489436

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/36008680


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