PMID- 33411317
OWN - NLM
STAT- MEDLINE
DCOM- 20210419
LR  - 20210419
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Linking)
VI  - 31
IP  - 4
DP  - 2021 Apr
TI  - Prediction of Long-Term Diabetes Remission After Metabolic Surgery in Obese East 
      Asian Patients: a Comparison Between ABCD and IMS Scores.
PG  - 1485-1495
LID - 10.1007/s11695-020-05151-6 [doi]
AB  - PURPOSE: Recently, more than 10 models have been developed to predict remission 
      of type 2 diabetes mellitus (T2DM) after metabolic surgery. The ABCD score was 
      compared to the individualized metabolic surgery (IMS) score in terms of 
      prediction of T2DM remission, but which of the two scoring systems is better 
      remains controversial. METHODS: Patient data from 463 obese East Asian patients 
      who underwent laparoscopic Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy 
      (SG), or SG with duodenojejunal bypass (SG-DJB) as a primary operation and were 
      followed for at least 3 years were retrospectively collected from 24 
      institutions. The correlation between the ABCD and IMS scoring systems and the 
      discrimination power of the models was evaluated. The cut-off point for the IMS 
      stage of T2DM severity was also revised to adjust the scoring system to obese 
      East Asian patients. RESULTS: The two scoring systems were significantly well 
      correlated. The IMS scoring system showed significant differences in T2DM 
      remission rates between the procedures in the moderate stage, but the ABCD score 
      showed no significant differences in each category. The discrimination power of 
      the IMS score was comparable to that of the ABCD score at both 3 and 5 years. The 
      revised IMS scoring system showed that SG-DJB had significantly higher T2DM 
      remission rates in the moderate stage at 5 years than RYGB or SG. CONCLUSION: IMS 
      score may be comparable to ABCD score to predict T2DM remission in obese East 
      Asian patients. The revised IMS scoring system may also select candidates for SG 
      or SG-DJB.
FAU - Ohta, Masayuki
AU  - Ohta M
AUID- ORCID: 0000-0003-4014-5493
AD  - Global Oita Medical Advanced Research Center for Health, Oita University, 1-1 
      Idaigaoka, Hasama-machi, Yufu, Oita, 879-5593, Japan. ohta@oita-u.ac.jp.
AD  - Departments of Gastroenterological and Pediatric Surgery, Oita University Faculty 
      of Medicine, Yufu, Japan. ohta@oita-u.ac.jp.
FAU - Seki, Yosuke
AU  - Seki Y
AD  - Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, Japan.
FAU - Ohyama, Tetsuji
AU  - Ohyama T
AD  - Biostatistics Center, Kurume University, Kurume, Japan.
FAU - Bai, Rixing
AU  - Bai R
AD  - Department of General Surgery, Beijing Tian Tan Hospital, Capital Medical 
      University, Beijing, China.
FAU - Kim, Sang Hyun
AU  - Kim SH
AD  - Department of Surgery, Soonchunhyang University Seoul Hospital, Seoul, South 
      Korea.
FAU - Oshiro, Takashi
AU  - Oshiro T
AD  - Department of Surgery, Toho University Sakura Medical Center, Sakura, Japan.
FAU - Jiang, Tao
AU  - Jiang T
AD  - Department of Hepatobiliary-Pancreatic Surgery, China-Japan Union Hospital of 
      Jilin University, Jilin, China.
FAU - Sasaki, Akira
AU  - Sasaki A
AD  - Department of Surgery, Iwate Medical University School of Medicine, Morioka, 
      Japan.
FAU - Naitoh, Takeshi
AU  - Naitoh T
AD  - Department of Lower Gastrointestinal Surgery, Kitasato University School of 
      Medicine, Sagamihara, Japan.
FAU - Yamaguchi, Tsuyoshi
AU  - Yamaguchi T
AD  - Department of Surgery, Shiga University of Medical Science, Otsu, Japan.
FAU - Inamine, Susumu
AU  - Inamine S
AD  - Department of Surgery, Ohama Dai-ichi Hospital, Naha, Japan.
FAU - Miyazaki, Yasuhiro
AU  - Miyazaki Y
AD  - Department of Surgery, Osaka General Medical Center, Osaka, Japan.
FAU - Ahn, Soo Min
AU  - Ahn SM
AD  - Department of Pediatric Surgery, Gangnam Severance Hospital, Yonsei University 
      College of Medicine, Seoul, South Korea.
FAU - Heo, Yoonseok
AU  - Heo Y
AD  - Department of General Surgery, College of Medicine, Inha University, Incheon, 
      South Korea.
FAU - Liang, Hui
AU  - Liang H
AD  - Department of General Surgery, The First Affiliated Hospital of Nanjing Medical 
      University, Nanjing, China.
FAU - Choi, Seung Ho
AU  - Choi SH
AD  - Department of Surgery, Gangnam Severance Hospital, Yonsei University College of 
      Medicine, Seoul, South Korea.
FAU - Yang, Wah
AU  - Yang W
AD  - Department of Metabolic and Bariatric Surgery, the First Affiliated Hospital of 
      Jinan University, Guangzhou, China.
FAU - Yao, Qiyuan
AU  - Yao Q
AD  - Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
FAU - Inoue, Kentaro
AU  - Inoue K
AD  - Department of Surgery, Kansai Medical University, Hirakata, Japan.
FAU - Yamamoto, Hiroshi
AU  - Yamamoto H
AD  - Kohnan Hospital, Koka, Japan.
FAU - Lee, Hyuk-Joon
AU  - Lee HJ
AD  - Department of Surgery, Seoul National University Hospital, Seoul, South Korea.
FAU - Park, Young Suk
AU  - Park YS
AD  - Department of Surgery, Seoul National University Bundang Hospital, Seongnam, 
      Gyeonggi-Do, South Korea.
FAU - Ha, Tae Kyung
AU  - Ha TK
AD  - Department of Surgery, Hanyang University College of Medicine, Seoul, South 
      Korea.
FAU - Ryu, Seung-Wan
AU  - Ryu SW
AD  - Department of Surgery, Keimyung University School of Medicine, Daegu, South 
      Korea.
FAU - Wang, Cunchuan
AU  - Wang C
AD  - Department of Metabolic and Bariatric Surgery, the First Affiliated Hospital of 
      Jinan University, Guangzhou, China.
FAU - Park, Sungsoo
AU  - Park S
AD  - Department of Surgery, Korea University College of Medicine, Seoul, South Korea.
FAU - Kasama, Kazunori
AU  - Kasama K
AD  - Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, Japan.
LA  - eng
PT  - Journal Article
DEP - 20210107
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
MH  - *Bariatric Surgery
MH  - *Diabetes Mellitus, Type 2/surgery
MH  - Gastrectomy
MH  - *Gastric Bypass
MH  - Humans
MH  - Obesity/surgery
MH  - *Obesity, Morbid/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - ABCD score
OT  - Diabetes remission
OT  - IMS score
OT  - Metabolic surgery
OT  - Sleeve gastrectomy
EDAT- 2021/01/08 06:00
MHDA- 2021/04/20 06:00
CRDT- 2021/01/07 12:19
PHST- 2020/07/21 00:00 [received]
PHST- 2020/12/02 00:00 [accepted]
PHST- 2020/11/24 00:00 [revised]
PHST- 2021/01/08 06:00 [pubmed]
PHST- 2021/04/20 06:00 [medline]
PHST- 2021/01/07 12:19 [entrez]
AID - 10.1007/s11695-020-05151-6 [pii]
AID - 10.1007/s11695-020-05151-6 [doi]
PST - ppublish
SO  - Obes Surg. 2021 Apr;31(4):1485-1495. doi: 10.1007/s11695-020-05151-6. Epub 2021 
      Jan 7.