Changes in use and hospital outcomes of bariatric surgery in Spain (2016–2022): analysis of the role of type 2 diabetes using propensity score matching

Autor: Javier de Miguel-Diez, Ana Lopez-de-Andres, Valentin Hernandez-Barrera, Rodrigo Jimenez-Garcia, José Javier Zamorano-Leon, David Carabantes-Alarcon, Natividad Cuadrado-Corrales, Ana Jimenez-Sierra
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMJ Open Diabetes Research & Care, Vol 12, Iss 4 (2024)
Druh dokumentu: article
ISSN: 2052-4897
DOI: 10.1136/bmjdrc-2024-004351
Popis: Introduction The objectives of this study were to examine temporal trends in the incidence of bariatric surgery (Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG)) in patients with and without type 2 diabetes mellitus (T2DM). Outcomes of hospitalization and the impact of T2DM on these outcomes were also analyzed.Research design and methods We performed an observational study with the Spanish national hospital discharge database. Obese patients with and without T2DM who underwent RYGB and SG between 2016 and 2022 were identified. Propensity score matching (PSM) and logistic regression were used to compare patients with and without T2DM and to evaluate the effect of T2DM and other variables on outcomes of surgery. A variable “severity” was created to cover patients who died in hospital or were admitted to the intensive care unit (ICU).Results A total of 32,176 bariatric surgery interventions were performed (28.86% with T2DM). 31.57% of RYGBs and 25.53% of SG patients had T2DM. The incidence of RYGB and SG increased significantly between 2016 and 2022 (p
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