PMID- 34227020
OWN - NLM
STAT- MEDLINE
DCOM- 20210927
LR  - 20211222
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Linking)
VI  - 31
IP  - 9
DP  - 2021 Sep
TI  - Predictors of Type 2 Diabetes Mellitus Remission After Metabolic Surgery in Asian 
      Patients with a BMI < 32.5 kg/m(2).
PG  - 4125-4133
LID - 10.1007/s11695-021-05544-1 [doi]
AB  - BACKGROUND: Metabolic surgery is an effective treatment for type 2 diabetes 
      mellitus (T2DM) in patients with obesity. However, the efficacy in patients with 
      body mass index (BMI) < 32.5 kg/m(2), especially in Asian populations, has not 
      been widely reported, and there are few studies on the prediction of diabetes 
      remission. METHODS: We evaluated 112 patients with T2DM who underwent metabolic 
      surgery between October 2008 and November 2019. The basic data of the patients 
      were collected, and clinical variables were measured at 6 months, 1 year, and 2 
      years after metabolic surgery. Four independent predictors of surgical outcomes 
      were identified to construct the prediction score. RESULTS: Diabetes remission 
      occurred for 38 of the 112 patients. Ninety patients underwent Roux-en-Y gastric 
      bypass, while the remaining 22 patients underwent sleeve gastrectomy. Weight, 
      glucose, and lipid metabolism parameters were improved significantly after 
      metabolic surgery. Age, BMI, insulin use, and duration were independent 
      predictors of T2DM remission. The above four factors were defined with scores and 
      developed ABID (age, BMI, insulin use, duration) scoring system. Patients with 
      greater ABID scores had a greater probability of diabetes remission (from 0% at 
      score 0 to 100% at score 4). CONCLUSIONS: The ABID score is a simple and 
      easy-to-implement prediction score system of diabetes remission after metabolic 
      surgery for T2DM patients with a BMI < 32.5 kg/m(2).
CI  - (c) 2021. The Author(s), under exclusive licence to Springer Science+Business 
      Media, LLC, part of Springer Nature.
FAU - Yu, Zhaomei
AU  - Yu Z
AD  - Department of General Surgery, Third Xiangya Hospital, Central South University, 
      Changsha, China.
FAU - Li, Weizheng
AU  - Li W
AD  - Department of General Surgery, Third Xiangya Hospital, Central South University, 
      Changsha, China.
FAU - Sun, Xulong
AU  - Sun X
AD  - Department of General Surgery, Third Xiangya Hospital, Central South University, 
      Changsha, China.
FAU - Tang, Haibo
AU  - Tang H
AD  - Department of General Surgery, Third Xiangya Hospital, Central South University, 
      Changsha, China.
FAU - Li, Pengzhou
AU  - Li P
AD  - Department of General Surgery, Third Xiangya Hospital, Central South University, 
      Changsha, China.
FAU - Ji, Guangnian
AU  - Ji G
AD  - Department of General Surgery, Third Xiangya Hospital, Central South University, 
      Changsha, China. jiguangnian@126.com.
AD  - Department of Hepatobiliary & Pancreatic Surgery, The Affiliated Huai'an No.1 
      People's Hospital of Nanjing Medical University, Huai'an, China. 
      jiguangnian@126.com.
FAU - Zhu, Liyong
AU  - Zhu L
AUID- ORCID: 0000-0003-2696-4177
AD  - Department of General Surgery, Third Xiangya Hospital, Central South University, 
      Changsha, China. zly8128@126.com.
FAU - Zhu, Shaihong
AU  - Zhu S
AD  - Department of General Surgery, Third Xiangya Hospital, Central South University, 
      Changsha, China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210705
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
MH  - *Bariatric Surgery
MH  - Body Mass Index
MH  - *Diabetes Mellitus, Type 2/surgery
MH  - Humans
MH  - *Obesity, Morbid/surgery
MH  - Remission Induction
OTO - NOTNLM
OT  - Low body mass index
OT  - Metabolic surgery
OT  - Prediction score
OT  - Type 2 diabetes mellitus
EDAT- 2021/07/07 06:00
MHDA- 2021/09/28 06:00
CRDT- 2021/07/06 06:43
PHST- 2021/02/11 00:00 [received]
PHST- 2021/06/16 00:00 [accepted]
PHST- 2021/06/11 00:00 [revised]
PHST- 2021/07/07 06:00 [pubmed]
PHST- 2021/09/28 06:00 [medline]
PHST- 2021/07/06 06:43 [entrez]
AID - 10.1007/s11695-021-05544-1 [pii]
AID - 10.1007/s11695-021-05544-1 [doi]
PST - ppublish
SO  - Obes Surg. 2021 Sep;31(9):4125-4133. doi: 10.1007/s11695-021-05544-1. Epub 2021 
      Jul 5.