The Impact of Bariatric Surgery on Incident Microvascular Complications in Patients With Type 2 Diabetes: A Matched Controlled Population-Based Retrospective Cohort Study.
Journal
Diabetes care
ISSN: 1935-5548
Titre abrégé: Diabetes Care
Pays: United States
ID NLM: 7805975
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
received:
19
03
2020
accepted:
07
10
2020
entrez:
14
1
2021
pubmed:
15
1
2021
medline:
19
8
2021
Statut:
ppublish
Résumé
To assess the impact of bariatric surgery (BS) on incident microvascular complications of diabetes-related foot disease (DFD), sight-threatening diabetic retinopathy (STDR), and chronic kidney disease (CKD) in patients with type 2 diabetes and obesity. A retrospective matched, controlled population-based cohort study was conducted of adults with type 2 diabetes between 1 January 1990 and 31 January 2018 using IQVIA Medical Research Data (IMRD), a database of primary care electronic records. Each patient with type 2 diabetes who subsequently had BS (surgical group) was matched on the index date with up to two patients with type 2 diabetes who did not have BS (nonsurgical group) within the same general practice by age, sex, preindex BMI, and diabetes duration. Included were 1,126 surgical and 2,219 nonsurgical participants. In the study population 2,261 (68%) were women. Mean (SD) age was 49.87 (9.3) years vs. 50.12 (9.3) years and BMI was 46.76 (7.96) kg/m BS was associated with a significant reduction in incident diabetes-related microvascular complications.
Identifiants
pubmed: 33444160
pii: dc20-0571
doi: 10.2337/dc20-0571
pmc: PMC7783931
doi:
Banques de données
figshare
['10.2337/figshare.13075748']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
116-124Subventions
Organisme : Medical Research Council
ID : MR/S003878/1
Pays : United Kingdom
Informations de copyright
© 2020 by the American Diabetes Association.
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