Evidence map›Paper›PMID 27613192›Full record

ArticleObesity surgery2017

Limitations of the DiaRem Score in Predicting Remission of Diabetes Following Roux-En-Y Gastric Bypass (RYGB) in an ethnically Diverse Population from a Single Institution in the UK.

George Tharakan, Rebecca Scott, Olivia Szepietowski, Alexander D Miras, Alexandra I Blakemore, Sanjay Purkayastha, Ahmed Ahmed, Harvinder Chahal, Tricia Tan

Open access · hybridAbstract read
In one paragraph

Article in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Article
  3. Preoperative glycemic response to a very low-calorie diet predicts long-term type 2 diabetes remission after bariatric surgery.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2025
    Article
  4. Article
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  7. Article
  8. Article
  9. Review
  10. Article
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  12. DiaRem2: Incorporating duration of diabetes to improve prediction of diabetes remission after metabolic surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2019
    Article
  13. Article
  14. Article
  15. Article
  16. 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

9 authors at 3 institutions in 1 country.

George TharakanDepartment of Medicine, Imperial College London, London, UK.
Rebecca ScottDepartment of Medicine, Imperial College London, London, UK.
Olivia SzepietowskiDepartment of Medicine, Imperial College London, London, UK.
Alexander D MirasDepartment of Medicine, Imperial College London, London, UK.
Alexandra I BlakemoreDepartment of Medicine, Imperial College London, London, UK.
Sanjay PurkayasthaDepartment of Surgery, Imperial College Healthcare NHS Trust, London, UK.
Ahmed AhmedDepartment of Surgery, Imperial College Healthcare NHS Trust, London, UK.
Harvinder ChahalDepartment of Medicine, Imperial College London, London, UK.
Tricia TanDepartment of Medicine, Imperial College London, London, UK. t.tan@imperial.ac.uk.
Imperial College Healthcare NHS Trust · GBImperial College London · GBBrunel University of London · GB

Funding

Medical Research Council G0902002Medical Research Council MR/K014536/1
6 · The paper itself

Abstract

purposeThis study aimed to determine the predictive power of the DiaRem score following Roux-en-Y gastric bypass to identify patients who would have diabetes remission at 1 year in an ethnically diverse population.

methodsWe performed a retrospective review of 262 patients with type 2 diabetes mellitus who underwent RYGB at the Imperial Weight Centre, UK, from 2007 to 2014. Data was collected on the parameters required to calculate the DiaRem score as well as pre- and post-surgical weight and the ethnicity of the subjects.

resultsThe studied cohort was ethnically diverse (61.3 % Caucasian, 10.3 % Asian, 5.3 % black, 2.6 % mixed and 20.6 % other). At 1-year post-surgery, there were significant reductions in mean weight (133.4 to 94.3 kg) and BMI (46.7 to 33.3 kg/m

conclusionsIn this ethnically diverse cohort, the DiaRem score remains a useful tool to predict diabetes remission in those that have a low DiaRem score (high chance for remission) but was more limited in its predictive power in those with a high DiaRem score (least likely to have remission). Caution must be used in the application of this model in populations other than the US white Caucasian population used to derive the score.

Indexed as

Health Status IndicatorsAdultAsian PeopleBlack PeopleDiabetes Mellitus, Type 2FemaleGastric BypassHumansMaleMiddle AgedObesity, MorbidPrognosisRemission InductionRetrospective StudiesWhite PeopleBariatric surgeryDiabetesDiabetes remissionDiaRemRYGB

Identifiers

PMID27613192
PMCPMC5306254
OpenAlexW2516668738

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.