Comparative Characteristics of Patients with Type 2 Diabetes Mellitus Treated by Bariatric Surgery Versus Medical Treatment: a Multicentre Analysis of 277,862 Patients from the German/Austrian DPV Database

Introduction Bariatric surgery is a well-established treatment option for serious obesity and concomitant type 2 diabetes mellitus (T2DM). In this analysis, we investigated predictors for bariatric surgery in everyday clinical practice. Materials and Methods In the DPV-registry, patients with T2DM f...

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Bibliographic Details
Published in:Obesity surgery 2018-11, Vol.28 (11), p.3366-3373
Main Authors: Laubner, Katharina, Prinz, Nicole, Brückel, Joachim, Serwas, Andreas, Altmeier, Marcus, Welp, Reinhard, Krakow, Dietmar, Groß, Felix, Bollow, Esther, Seufert, Jochen, Holl, Reinhard W.
Format: Article
Language:English
Subjects:
Diabetes
Fish oils
Gastrointestinal surgery
Insulin
Medicine
Medicine & Public Health
Original Contributions
Surgery
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Summary:Introduction Bariatric surgery is a well-established treatment option for serious obesity and concomitant type 2 diabetes mellitus (T2DM). In this analysis, we investigated predictors for bariatric surgery in everyday clinical practice. Materials and Methods In the DPV-registry, patients with T2DM from Germany and Austria treated by bariatric surgery were compared to non-surgery controls by descriptive statistics and regression analysis. Results Among 277,862 patients with T2DM, 0.07% underwent bariatric surgery. Surgery patients were predominantly female [61.20%], younger [median age (Q1;Q3) 54.74(47.40;61.61) vs. 70.04 (60.36;77.58) years] and had a longer diabetes duration [11.21 (7.15;17.93) vs. 8.36 (2.94;14.91) years]. They had a higher BMI [40.02 vs. 30.61 kg/m 2 , adjusted p  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-018-3380-z