000089728 001__ 89728
000089728 005__ 20210902121813.0
000089728 0247_ $$2doi$$a10.3390/jcm9041070
000089728 0248_ $$2sideral$$a118317
000089728 037__ $$aART-2020-118317
000089728 041__ $$aeng
000089728 100__ $$ade Hollanda, A.
000089728 245__ $$aNew Metrics to Assess Type 2 Diabetes after Bariatric Surgery: The "Time-Within-Remission Range"
000089728 260__ $$c2020
000089728 5060_ $$aAccess copy available to the general public$$fUnrestricted
000089728 5203_ $$aAlmost one third of patients do not achieve type 2 diabetes remission after bariatric surgery or are unable to sustain this effect long term. Our objective was to delve further into the dynamic responses of diabetes after bariatric surgery and to evaluate the "time-within-remission range" as a variable of metabolic control. A descriptive cohort study was done using a computerised multicentre and multidisciplinary registry. All data were adjusted by propensity score. A total of 1186 subjects with a follow-up of 4.5 +/- 2.5 years were included. Type of surgery, diabetes remission, recurrence of diabetes, "time-within-remission range" and key predictors of diabetes outcomes were assessed. All patients (70% women, 51.4 +/- 9.2 years old, body mass index (BMI) 46.3 +/- 6.9 kg/m(2)) underwent primary bariatric procedures. "Time-within-remission range" were 83.3% (33.3-91.6) after gastric bypass, 68.7% (7.1-87.5) after sleeve gastrectomy and 90% (83.3-92.8) after malabsorptive techniques (p < 0.001 for all). Duration of diabetes, baseline HbA1c and insulin treatment were significantly negatively correlated with the "time-within-remission range". The association of bariatric techniques with "time-within-remission range", using gastric bypass as a reference, were: odds ratio (OR) 3.70 (2.34-5.84), p < 0.001 for malabsorptive techniques and OR 0.55 (0.40-0.75), p < 0.001 for sleeve gastrectomy. Characteristics of type 2 diabetes powerfully influence the outcomes of bariatric surgery. The "time-within-remission range" unveils a superiority of gastric bypass compared to sleeve gastrectomy.
000089728 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000089728 590__ $$a4.241$$b2020
000089728 591__ $$aMEDICINE, GENERAL & INTERNAL$$b39 / 169 = 0.231$$c2020$$dQ1$$eT1
000089728 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000089728 700__ $$aLecube, A.
000089728 700__ $$aRubio, M.A.
000089728 700__ $$aSanchez, E.
000089728 700__ $$aVilarrasa, N.
000089728 700__ $$aOliva, J.G.
000089728 700__ $$aFernandez-Soto, M.L.
000089728 700__ $$aSalas-Salvado, J.
000089728 700__ $$aBallesteros-Pomar, M.D.
000089728 700__ $$aCiudin, A.
000089728 700__ $$aTorres, F.
000089728 700__ $$0(orcid)0000-0003-1444-7949$$aVidal, C.$$uUniversidad de Zaragoza
000089728 700__ $$aMorales, M.J.
000089728 700__ $$aValdes, S.
000089728 700__ $$aPellitero, S.
000089728 700__ $$aMinambres, I.
000089728 700__ $$aMasmiquel, L.
000089728 700__ $$aGoday, A.
000089728 700__ $$aSuarez, L.
000089728 700__ $$aFlores, L.
000089728 700__ $$aBueno, M.
000089728 700__ $$aCaixas, A.
000089728 700__ $$aBreton, I.
000089728 700__ $$aCamara, R.
000089728 700__ $$aOlbeyra, R.
000089728 700__ $$aPenso, R.
000089728 700__ $$ade la Cruz, M.J.
000089728 700__ $$aSimo-Servat, A.
000089728 700__ $$aPereyra-Garcia, F.M.
000089728 700__ $$aLopez-Mezquita, E.T.
000089728 700__ $$aGils, A.
000089728 700__ $$aFidilio, E.
000089728 700__ $$aBandres, O.
000089728 700__ $$aMartinez, A.
000089728 700__ $$aAbuin, J.
000089728 700__ $$aMarques-Pamies, M.
000089728 700__ $$aTuneu, L.
000089728 700__ $$aArteaga, M.
000089728 700__ $$aCastaner, O.
000089728 700__ $$aGoni, F.
000089728 700__ $$aArrizabalaga, C.
000089728 700__ $$aBotana, M.A.
000089728 700__ $$aCalanas, A.
000089728 700__ $$aRebollo, A.
000089728 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000089728 773__ $$g9, 4 (2020), 1070 [13 pp]$$pJ. clin.med.$$tJOURNAL OF CLINICAL MEDICINE$$x2077-0383
000089728 8564_ $$s939959$$uhttps://zaguan.unizar.es/record/89728/files/texto_completo.pdf$$yVersión publicada
000089728 8564_ $$s507262$$uhttps://zaguan.unizar.es/record/89728/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000089728 909CO $$ooai:zaguan.unizar.es:89728$$particulos$$pdriver
000089728 951__ $$a2021-09-02-10:02:41
000089728 980__ $$aARTICLE