Cited by 31Bariatric Surgery and OutcomesMinimally Invasive Surgical TechniquesDiabetes, Cardiovascular Risks, and Lipoproteins

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Regional differences in the coverage and uptake of bariatric–metabolic surgery: A focus on type 2 diabetes

Dixon, John B.·2016·Surgery for Obesity and Related Diseases

Abstract

Background There is high-quality evidence that bariatric-metabolic surgery (BMS) generates positive health outcomes in patients with obesity and type 2 diabetes (T2D). Objectives To understand the regional variations in the coverage and uptake of BMS, with a focus on T2D. Setting An Australian diabetes research institute. Methods A survey was conducted via a questionnaires sent to national leaders in BMS. The respondents provide their nations' BMS annual numbers, general and any T2D-specific indications for surgery, and source of surgical funding. The total population and adult diabetes prevalence (age 20-70 yr) of the countries were used to model the uptake of BMS for those with T2D. Results Data were provided from 22 countries, representing approximately 75% of BMS procedures performed in 2014. BMS uptake varied from 885 per million total population per year in Belgium to 2 per million per year in Japan. The estimated proportion of eligible individuals with diabetes treated annually varied from 1.9% in The Netherlands to 1% of estimated eligible patients annually. Of 22 countries, 19 have national guidelines for BMS, and all incorporate BMI in the selection criteria. Several countries have specific criteria for patients with T2D. Conclusion Results indicated that BMS has a negligible impact on the global burden of T2D. The low uptake indicates that BMS has not become an established treatment for T2D and emphasizes the need to define when it should be recommended as a standa…

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  1. Dixon, 2012, Bariatric surgery for type 2 diabetes, Lancet, 379, 2300, 10.1016/S0140-6736(12)60401-2 · DOI
  2. Arterburn, 2013, A multisite study of long-term remission and relapse of type 2 diabetes mellitus following gastric bypass, Obesity Surg, 23, 93, 10.1007/s11695-012-0802-1 · DOI · Paper page
  3. Gregg, 2012, Trends in death rates among U.S. adults with and without diabetes between 1997 and 2006: findings from the National Health Interview Survey, Diabetes Care, 35, 1252, 10.2337/dc11-1162 · DOI
  4. Lipscombe, 2007, Trends in diabetes prevalence, incidence, and mortality in Ontario, Canada 1995-2005: a population-based study, Lancet, 369, 750, 10.1016/S0140-6736(07)60361-4 · DOI
  5. Chang, 2010, Type 2 diabetes prevalence and incidence among adults in Taiwan during 1999-2004: a national health insurance data set study, Diabetic Med, 27, 636, 10.1111/j.1464-5491.2010.03007.x · DOI
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  7. 2000, Obesity: preventing and managing the global epidemic. Report of a WHO consultation, WHO Tech Rep Ser, 894, 1
  8. Dixon, 2015, Fat-free mass loss generated with weight loss in overweight and obese adults: what may we expect?, Diabet Obes Metab, 17, 91, 10.1111/dom.12389 · DOI · Paper page
  9. Heymsfield, 2014, Weight loss composition is one-fourth fat-free mass: a critical review and critique of this widely cited rule, Obes Rev, 15, 310, 10.1111/obr.12143 · DOI · Paper page
  10. Fried, 2013, Interdisciplinary European guidelines on metabolic and bariatric surgery, Obes Facts, 6, 449, 10.1159/000355480 · DOI
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  12. Muller-Stich, 2015, Surgical versus medical treatment of type 2 diabetes mellitus in nonseverely obese patients: a systematic review and meta-analysis, Ann Surg, 261, 421, 10.1097/SLA.0000000000001014 · DOI
  13. Sihvonen, 2013, Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear, New Engl J Med, 369, 2515, 10.1056/NEJMoa1305189 · DOI
  14. Buchbinder, 2009, A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures, New Engl J Med, 361, 557, 10.1056/NEJMoa0900429 · DOI
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  17. Dixon, 2013, Severely obese people with diabetes experience impaired emotional well-being associated with socioeconomic disadvantage: results from diabetes MILES - Australia, Diabetes Res Clin Pract, 101, 131, 10.1016/j.diabres.2013.05.017 · DOI

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Metadata

Authors
Dixon, J. B.
Affiliations
Baker Heart and Diabetes Institute (AU)
Corresponding author
Dixon, John B.
Venue
Surgery for Obesity and Related Diseases
Publisher
Elsevier BV
Published
2016-07
Volume
12
Issue
6
Pages
1171-1177
ISSN
1550-7289 (ISSN-L)
OpenAlex
W2178677810
Cited by
31
References
1
Citations by year
2026: 2 · 2025: 7 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 4 · 2018: 1 · 2017: 1 · 2016: 2
FWCI
1.28
Type
journal article
Language
en
Open access
closed
Locations
  • Surgery for Obesity and Related Diseases (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Utah Agricultural Experiment Station
  • State Government of Victoria
  • National Institutes of Health
  • National Health and Medical Research Council
Topics
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
bariatric metabolic surgery, type 2 diabetes
MeSH terms
Adult, Aged, Diabetes Mellitus, Type 2, Female, Humans, Male, Middle Aged, Obesity, Morbid, Residence Characteristics, Global Health, Practice Guidelines as Topic, Bariatric Surgery, Young Adult

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