Trends in utilization and outcomes of bariatric surgery in obese people with and without type 2 diabetes in Spain (2001–2010)
| Autor: | Rodrigo Jiménez-García, Pilar Carrasco-Garrido, Ma Isabel Jiménez-Trujillo, Ana López-de-Andrés, Ángel Gil-de-Miguel, Valentín Hernández-Barrera |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Glucose control Endocrinology Diabetes and Metabolism Gastric Bypass Bariatric Surgery Comorbidity Type 2 diabetes Endocrinology Diabetes mellitus Internal Medicine Hospital discharge Humans Medicine In patient Hospital Mortality Obesity National trends business.industry Incidence (epidemiology) Diabetes status General Medicine Length of Stay Middle Aged medicine.disease Obesity Morbid Surgery Treatment Outcome Diabetes Mellitus Type 2 Spain Female Laparoscopy business |
| Zdroj: | Diabetes Research and Clinical Practice. 99:300-306 |
| ISSN: | 0168-8227 |
| DOI: | 10.1016/j.diabres.2012.12.011 |
| Popis: | Aim Bariatric surgery is associated with a significant improvement in glucose control and even diabetes remission. There are no studies investigating national trends in the use of bariatric surgery in people with type 2 diabetes. We examine trends in the use of bariatric surgery in patients with and without type 2 diabetes between 2001 and 2010 in Spain. Methods We identified patients who underwent bariatric surgery using national hospital discharge data. Discharges were grouped by diabetes status. Incidence of discharges due to bariatric surgery were calculated and stratified by diabetes status, procedure and year. We calculated length of stay (LOS) and in-hospital mortality (IHM). Results From 2001 to 2010 13,038 bariatric surgery procedures were performed. Over the study period 23.6% ( n = 3080) of all patients undergoing bariatric procedure had DM as a co-diagnosis. This prevalence increased from 17.3% in 2001 to 25.5% in 2010. LOS and IHM were similar among patients with and without type 2 diabetes. Conclusion The proportion of subjects with type 2 diabetes among bariatric surgery patient has increased over time, in part due to an increase in the use of laparoscopic techniques. |
| Databáze: | OpenAIRE |
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