Evidence map›Paper›PMID 36827391›Full record

ArticlePloS one2023

Health outcomes of patients with type 2 diabetes following bariatric surgery: Results from a publicly funded initiative.

Trisha O'Moore-Sullivan, Jody Paxton, Megan Cross, Srinivas Teppala, Viral Chikani, George Hopkins, Katie Wykes, Paul A Scuffham, Clinical and Operational Reference Group

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Article
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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.

Trisha O'Moore-SullivanMedical and Chronic Disease Services, Mater Health, Brisbane, Queensland, Australia.
Jody PaxtonHealthcare Improvement Unit, Clinical Excellence Queensland, Queensland Health, Brisbane, Queensland, Australia.
Megan CrossMenzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.ORCID 0000-0001-7512-7223
Srinivas TeppalaMenzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.
Viral ChikaniDepartment of Diabetes and Endocrinology, The Princess Alexandra Hospital, Brisbane & Senior Lecturer, University of Queensland, Brisbane, Queensland, Australia.
George HopkinsRoyal Brisbane and Womens Hospital, Queensland Health, Brisbane, Queensland, Australia.
Katie WykesHealthcare Improvement Unit, Clinical Excellence Queensland, Queensland Health, Brisbane, Queensland, Australia.
Paul A ScuffhamMenzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.ORCID 0000-0001-5931-642X
Clinical and Operational Reference Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveBariatric surgery is an effective treatment for type 2 diabetes and morbid obesity. This paper analyses the clinical and patient-reported outcomes of patients treated through the Bariatric Surgery Initiative, a health system collaboration providing bariatric surgery as a state-wide public service in Queensland, Australia. RESEARCH DESIGN AND

methodsA longitudinal prospective cohort study was undertaken. Eligible patients had type 2 diabetes and morbid obesity (BMI ≥ 35 kg/m2). Following referral by specialist outpatient clinics, 212 patients underwent Roux-en-Y gastric bypass or sleeve gastrectomy. Outcomes were tracked for a follow-up of 12-months and included body weight, BMI, HbA1c, comorbidities, health-related quality of life, eating behaviour, and patient satisfaction.

resultsFollowing surgery, patients' average body weight decreased by 23.6%. Average HbA1c improved by 24.4% and 48.8% of patients were able to discontinue diabetes-related treatment. The incidence of hypertension, non-alcoholic steatohepatitis, and renal impairment decreased by 37.1%, 66.4%, and 62.3%, respectively. Patients' emotional eating scores, uncontrolled eating and cognitive restraint improved by 32.5%, 20.7%, and 6.9%, respectively. Quality of life increased by 18.8% and patients' overall satisfaction with the treatment remained above 97.5% throughout the recovery period.

conclusionsThis study confirmed previous work demonstrating the efficacy of publicly funded bariatric surgery in treating obesity, type 2 diabetes and related comorbidities, and improving patients' quality of life and eating behaviour. Despite the short follow-up period, the results bode well for future weight maintenance in this cohort.

Indexed as

Bariatric SurgeryDiabetes Mellitus, Type 2Gastric BypassLaparoscopyObesity, MorbidGastrectomyGlycated HemoglobinHumansProspective StudiesQuality of LifeTreatment OutcomeGlycated Hemoglobin

Identifiers

PMID36827391
PMCPMC9955585

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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.