Evidence map›Paper›PMID 25651277›Full record

ArticleObesity (Silver Spring, Md.)2015

Adults with long-duration type 2 diabetes have blunted glycemic and β-cell function improvements after bariatric surgery.

Vishesh Khanna, Steven K Malin, James Bena, Beth Abood, Claire E Pothier, Deepak L Bhatt, Steven Nissen, Richard Watanabe, Stacy A Brethauer, Philip R Schauer and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03854981 (Role of Pre-operative Exercise and Nutrition Therapy on Insulin Resistance and Vascular Health in Patients Undergoing Bariatric Surgery), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03854981 naunknown statusnot on this map

Role of Pre-operative Exercise and Nutrition Therapy on Insulin Resistance and Vascular Health in Patients Undergoing Bariatric Surgery

TypeinterventionalSponsorUniversity of VirginiaRan2015 to 2020Enrolled12ConditionsBariatric Surgery CandidateArmsExercise, Standard Care
3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Mechanisms of improved glucose handling after metabolic surgery: the big 6.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2016
    Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Surgical Treatment of Diabetes: Making a Case for a Pragmatic Approach.The Journal of clinical endocrinology and metabolism · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Vishesh KhannaDepartment of Endocrinology, Diabetes, and Metabolism, Cleveland Clinic, Cleveland, Ohio, USA; Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio, USA.
Steven K Malin
James Bena
Beth Abood
Claire E Pothier
Deepak L Bhatt
Steven Nissen
Richard Watanabe
Stacy A Brethauer
Philip R Schauer
John P Kirwan
Sangeeta R Kashyap

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Effect of Bariatric Surgery on Mechanisms of Type 2 Diabetes: The B2D TrialR01DK089547 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI KASHYAP, SANGEETA R, KIRWAN, JOHN P. · 2010 to 2013
$1.9M
NCATS NIH HHS UL1 TR000439NCRR NIH HHS 1UL1RR024989NCRR NIH HHS UL1 RR024989NIDDK NIH HHS R01 DK089547NIDDK NIH HHS R01-DK089547
6 · The paper itself

Abstract

objectiveThis study investigated the effect of type 2 diabetes duration on glucose regulation 24 months post-bariatric surgery.

methodsTwenty-seven adults with short- (<5 years) and long-duration (≥10 years) type 2 diabetes received a mixed-meal tolerance test at baseline and 24 months postsurgery. Body weight, insulin sensitivity, first- and second-phase meal-stimulated insulin secretion, disposition index (i.e., DI or pancreatic β-cell function), and incretin responses were examined.

resultsAdults with short-duration type 2 diabetes had better HbA(1c), greater insulin secretory capacity, and greater DI compared with adults with long-duration type 2 diabetes, despite similar weight loss and incretin responses. Diabetes duration correlated with smaller improvements in HbA(1c) and DI but not weight loss.

conclusionsEnhanced β-cell function characterizes the effect of bariatric surgery in adults with diabetes for <5 years, independent of weight loss or incretins. Additional therapy postsurgery may be required to improve glycemia for people with long-standing type 2 diabetes.

Indexed as

AdultBariatric SurgeryBody Mass IndexDiabetes Mellitus, Type 2FemaleGlycemic IndexHumansIncretinsInsulinInsulin-Secreting CellsInsulin SecretionMaleMiddle AgedPostoperative PeriodProspective StudiesIncretinsInsulin

Identifiers

PMID25651277
PMCPMC4340772

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.