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

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

doi:10.1038/s41366-022-01217-w

Cited by 8Bariatric Surgery and OutcomesDiabetes, Cardiovascular Risks, and LipoproteinsMinimally Invasive Surgical Techniques

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

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

Jain, Priya, Hejjaji, Vittal, Thomas, Merrill B., Garcia, Raul Angel, Kennedy, Kevin F., Goyal, Abhinav, Sperling, Laurence, Das, Sandeep R., Hafida, Samar, Enriquez, Jonathan R., Arnold, Suzanne V.·2022·International Journal of Obesity

DOI 10.1038/s41366-022-01217-w

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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/m 2), 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.

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Authors: Jain, P., Hejjaji, V., Thomas, M. B., Garcia, R. A., Kennedy, K. F., Goyal, A., Sperling, L., Das, S. R., Hafida, S., Enriquez, J. R., & Arnold, S. V.
Affiliations: Saint Luke's Hospital (US)
Emory University (US)
The University of Texas Southwestern Medical Center (US)
Joslin Diabetes Center (US)
Corresponding author: Arnold, Suzanne V.
ORCID: Jain, Priya
Hejjaji, Vittal
Thomas, Merrill B.
Garcia, Raul Angel
Kennedy, Kevin F.
Goyal, Abhinav
Sperling, Laurence
Das, Sandeep R.
Hafida, Samar
Arnold, Suzanne V.
Venue: International Journal of Obesity
Publisher: Springer Science and Business Media LLC
Published: 2022-08-25
Volume: 46
Issue: 12
Pages: 2163-2167
ISSN: 0307-0565 (ISSN-L)
1476-5497
DOI: 10.1038/s41366-022-01217-w
OpenAlex: W4293088534
Cited by: 8
References: 27
Citations by year: 2025: 4 · 2024: 1 · 2023: 3
FWCI: 1.91
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: International Journal of Obesity (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
Keywords: bariatric surgery, obesity, type 2 diabetes, surgical eligibility, weight loss, depression, diabetes medication reduction, antihypertensive drugs, sex differences, racial disparities
MeSH terms: Diabetes Mellitus, Diabetes Mellitus, Type 2, Female, Humans, Male, Obesity, Obesity, Morbid, Registries, Retrospective Studies, Weight Loss, Bariatric Surgery

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

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