Evidence map›Paper›PMID 28717860›Full record

ArticleObesity surgery2018

Performance of the DiaRem Score for Predicting Diabetes Remission in Two Health Systems Following Bariatric Surgery Procedures in Hispanic and non-Hispanic White Patients.

G Craig Wood, Daniel Horwitz, Christopher D Still, Tooraj Mirshahi, Peter Benotti, Manish Parikh, Annemarie G Hirsch

Open access · greenAbstract read
In one paragraph

Article in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. 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
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  17. Remission of Type 2 Diabetes Mellitus after Bariatric Surgery: Fact or Fiction?International journal of environmental research and public health · 2019
    Review
  18. 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
  19. Article
  20. 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

7 authors at 3 institutions in 1 country.

G Craig WoodGeisinger Health System, Obesity Institute, Danville, PA, USA.
Daniel HorwitzNew York University School of Medicine/Bellevue Hospital Center, New York, NY, USA.
Christopher D StillGeisinger Health System, Obesity Institute, Danville, PA, USA.
Tooraj MirshahiGeisinger Health System, Weis Center for Health Research, Danville, PA, USA.
Peter BenottiGeisinger Health System, Obesity Institute, Danville, PA, USA.
Manish ParikhNew York University School of Medicine/Bellevue Hospital Center, New York, NY, USA.
Annemarie G HirschGeisinger Health System, Department of Epidemiology and Health Services Research, Danville, PA, USA. aghirsch@geisinger.edu.
Geisinger Health System · USBellevue Hospital Center · USNew York University · US

Funding

Research BaseP30DK072488 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI MITCHELL, BRAXTON D, TAYLOR, SIMEON I. · 2005 to 2019
$17.3M
National Institutes of Health P30DK072488NIDDK NIH HHS P30 DK072488
6 · The paper itself

Abstract

objectiveThe objective of this study was to determine whether the DiaRem, a score that predicts type 2 diabetes (T2D) remission following roux-en-y gastric bariatric surgery (RYGB), also predicts remission following laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) in white and Hispanic patients.

backgroundWhile bariatric surgery is highly effective in reversing insulin resistance, there are patients for whom surgery will not lead to remission. To date, there is no score for predicting remission following LAGB or LSG surgery. Additionally, there is little known about how to predict whether Hispanic patients will experience remission.

methodsWe conducted a retrospective cohort study of white and Hispanic patients with T2D who received bariatric surgery. There were 361 white and 130 Hispanic patients among whom 328 had RYGB surgery, 107 had LSG surgery, and 56 had LAGB surgery. We used age, diabetes treatment, and hemoglobin A1c to calculate DiaRem scores. Mann-Whitney U test was used to determine the association between DiaRem scores and remission. Area under the receiver operant curve (AUC) was used to assess the ability of the DiaRem to discriminate between patients who did and did not remit.

resultsThe DiaRem was associated with partial remission in all surgery types for white and Hispanic patients (Mann-Whitney, p < 0.001). The DiaRem had moderate to high discriminant ability (AUC > 0.70) for all surgical and racial/ethnic groups.

conclusionsThe DiaRem distinguishes between patients likely and unlikely to experience remission, informing expectations of patients making T2D treatment decisions.

Indexed as

Bariatric SurgeryAdultDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHispanic or LatinoHumansMaleMiddle AgedObesityPredictive Value of TestsPrognosisRemission InductionResearch DesignRetrospective StudiesTreatment OutcomeGlycated HemoglobinBariatric surgeryDiabetesOutcomesRace/ethnicity

Identifiers

PMID28717860
PMCPMC5736407
OpenAlexW2735556755

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.