PMID- 26932813
OWN - NLM
STAT- MEDLINE
DCOM- 20170914
LR  - 20221207
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Linking)
VI  - 26
IP  - 10
DP  - 2016 Oct
TI  - Preoperative Prediction of Type 2 Diabetes Remission After Gastric Bypass 
      Surgery: a Comparison of DiaRem Scores and ABCD Scores.
PG  - 2418-24
LID - 10.1007/s11695-016-2120-5 [doi]
AB  - BACKGROUND: Gastric bypass surgery has been well accepted as a novel treatment 
      modality for type 2 diabetes mellitus (T2DM) in obese patients. Some scoring 
      systems have been proposed for the selection of T2DM patients who are eligible 
      for gastric bypass surgery. This study compares two scoring systems with regard 
      to remission of T2DM after gastric bypass surgery. METHODS: This retrospective 
      cohort study included 245 patients (150 females and 95 males) who had undergone 
      gastric bypass surgery for the treatment of T2DM with 1 year follow-up. We 
      examined the predictive power of complete remission of two scoring systems, the 
      DiaRem score, and the ABCD score. The DiaRem score includes the factors of age, 
      HbA1c, medication, and insulin usage. The ABCD score includes the factors of age, 
      BMI, C-peptide level, and duration of T2DM. The rate of remission of T2DM after 
      gastric bypass surgery was evaluated using both scoring systems. RESULTS: At 
      1 year after surgery, the percent weight loss was 26.5 % and the mean BMI 
      decreased from 35.7 to 26.2 kg/m(2). The mean HbA1c decreased from 8.8 to 6.2 %. 
      A significant number of patients showed improvement in glycemic control, 
      including 130 (53.1 %) patients with complete remission (HbA1c < 6.0 %), 36 
      (14.7 %) patients with partial remission (HbA1c < 6.5 %), and 26 (10.6 %) 
      patients with improvement (HbA1c < 7 %). Both the DiaRem score and the ABCD score 
      predicted the success of the gastric bypass surgery, but the ABCD score was 
      better at differentiating patients with poorer score (27.9 vs. 9.1 %, p < 0.001). 
      CONCLUSIONS: Gastric bypass surgery is a treatment option for obese T2DM 
      patients. The ABCD score is better at predicting T2DM remission at 1 year after 
      gastric bypass surgery than the DiaRem score.
FAU - Lee, Wei-Jei
AU  - Lee WJ
AD  - Department of Surgery, Min-Sheng General Hospital, No. 168, Chin Kuo Road, 
      Tauoyan, Taiwan, Republic of China. wjlee_obessurg_tw@yahoo.com.tw.
FAU - Chong, Keong
AU  - Chong K
AD  - Department of Internal Medicine, Min-Sheng General Hospital, Tauoyan, Taiwan, 
      Republic of China.
FAU - Chen, Shu-Chun
AU  - Chen SC
AD  - Department of Surgery, Min-Sheng General Hospital, No. 168, Chin Kuo Road, 
      Tauoyan, Taiwan, Republic of China.
FAU - Zachariah, James
AU  - Zachariah J
AD  - Department of Surgery, Min-Sheng General Hospital, No. 168, Chin Kuo Road, 
      Tauoyan, Taiwan, Republic of China.
FAU - Ser, Kong-Han
AU  - Ser KH
AD  - Department of Surgery, Min-Sheng General Hospital, No. 168, Chin Kuo Road, 
      Tauoyan, Taiwan, Republic of China.
FAU - Lee, Yi-Chih
AU  - Lee YC
AD  - Department of International Business, Chien Hsin University of Science and 
      Technology, Tauoyan, Taiwan, Republic of China.
FAU - Chen, Jung-Chien
AU  - Chen JC
AD  - Department of Surgery, Min-Sheng General Hospital, No. 168, Chin Kuo Road, 
      Tauoyan, Taiwan, Republic of China.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
RN  - 0 (Blood Glucose)
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Blood Glucose/analysis
MH  - Diabetes Mellitus, Type 2/blood/complications/*surgery
MH  - Female
MH  - *Gastric Bypass
MH  - Glycated Hemoglobin/analysis
MH  - *Health Status Indicators
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Obesity, Morbid/blood/complications/*surgery
MH  - Predictive Value of Tests
MH  - Prognosis
MH  - Remission Induction
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Weight Loss
MH  - Young Adult
OTO - NOTNLM
OT  - Gastric bypass
OT  - Predictor
OT  - Remission
OT  - Type 2 diabetes
EDAT- 2016/03/05 06:00
MHDA- 2017/09/15 06:00
CRDT- 2016/03/03 06:00
PHST- 2016/03/03 06:00 [entrez]
PHST- 2016/03/05 06:00 [pubmed]
PHST- 2017/09/15 06:00 [medline]
AID - 10.1007/s11695-016-2120-5 [pii]
AID - 10.1007/s11695-016-2120-5 [doi]
PST - ppublish
SO  - Obes Surg. 2016 Oct;26(10):2418-24. doi: 10.1007/s11695-016-2120-5.