Evidence mapPaperPMID 33990366Full record

ArticleBMJ open diabetes research & care2021

Factors determining chance of type 2 diabetes remission after Roux-en-Y gastric bypass surgery: a nationwide cohort study in 8057 Swedish patients.

Erik Stenberg, Torsten Olbers, Yang Cao, Magnus Sundbom, Anders Jans, Johan Ottosson, Erik Naslund, Ingmar Näslund

Abstract read
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Article in BMJ open diabetes research & care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Diabetic Markers, Five Years after Bariatric Surgery.Middle East journal of digestive diseases · 2023
    Article
  9. Towards precision medicine in bariatric surgery prescription.Reviews in endocrine & metabolic disorders · 2023
    Review
  10. Article
  11. Review
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

8 authors.

Erik StenbergFaculty of Medicine and Health, Örebro Universitet, Örebro, Sweden erik.stenberg@regionorebrolan.se.ORCID 0000-0001-9189-0093
Torsten OlbersDepartment of Biomedical and Clinical Sciences and Wallenberg Center for Molecular Medicine, Linköping University, Linkoping, Sweden.
Yang CaoClinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Orebro, Sweden.ORCID 0000-0002-3552-9153
Magnus SundbomDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-6243-2859
Anders JansFaculty of Medicine and Health, Örebro Universitet, Örebro, Sweden.ORCID 0000-0002-3721-5246
Johan OttossonFaculty of Medicine and Health, Örebro Universitet, Örebro, Sweden.
Erik NaslundDivision of Surgery, Department of Clinical Sciences, Karolinska Institutet, Stockholm, Sweden.
Ingmar NäslundFaculty of Medicine and Health, Örebro Universitet, Örebro, Sweden.ORCID 0000-0002-3644-3319

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBariatric and metabolic surgery is an effective treatment option for type 2 diabetes (T2D). Increased knowledge regarding factors associated with diabetes remission is essential in individual decision making and could guide postoperative care. Therefore, we aimed to explore factors known to affect the chance of achieving diabetes remission after bariatric and metabolic surgery and to further investigate the impact of socioeconomic factors. RESEARCH DESIGN AND

methodsIn this nationwide study, we assessed all patients with T2D who underwent Roux-en-Y gastric bypass (RYGB) surgery between 2007 and 2015 in the Scandinavian Obesity Surgery Registry. Remission was defined as absence of antidiabetic medication for T2D 2 years after surgery. Multivariable logistic regression was used to evaluate factors associated with diabetes remission, with missing data handled by multiple imputations.

resultsA total of 8057 patients were included. Mean age±SD was 47.4±10.1 years, mean body mass index 42.2±5.7 kg/m

conclusionAmong patients with T2D undergoing RYGB surgery, increasing age, HbA1c, and diabetes duration decreased the chance of reaching diabetes remission without cut-offs, while postoperative weight loss demonstrated a positive linear association. In addition, being a first-generation immigrant and living in a large city were socioeconomic factors having a negative association.

Indexed as

Diabetes Mellitus, Type 2Gastric BypassAdultCohort StudiesFemaleHumansMaleMiddle AgedRemission InductionRetrospective StudiesSwedenbariatric surgerydiabetes mellitustype 2

Identifiers

PMID33990366
PMCPMC8127970

What Socratic holds

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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 Socratic graph.