| Title |
Gastric Bypass and Sleeve Gastrectomy for Type 2 Diabetes: A Systematic Review and Meta-analysis of Outcomes
|
|---|---|
| Published in |
Obesity Surgery, August 2013
|
| DOI | 10.1007/s11695-013-1030-z |
| Pubmed ID | |
| Authors |
Shelley Yip, Lindsay D. Plank, Rinki Murphy |
| Abstract |
Bariatric surgery is effective in the management of type 2 diabetes (T2D) and obesity; however, it is not clear whether Roux-en-Y gastric bypass (GBP) or sleeve gastrectomy (SG) is the most effective procedure. This review compared T2D remission and weight loss in patients with T2D after GBP or SG. All human SG or GBP studies published in English between 1 Jan 2007 and 30 April 2012 reporting on BMI and T2D outcomes were included. Analyses were performed separately for the most frequent distinct time points reported after surgery. A total of 21 prospective (three randomised control trials) and 12 retrospective studies, involving 1375 patients met eligibility criteria. T2D remission defined by hemoglobin A1c of <6.5 % for GBP and SG respectively was 67 and 56 % at 3 months, 76 and 68 % at 12 months, and 81 and 80 % at 36 months. Greater percent excess BMI loss occurred at 12 months (72.5 % after GBP and 66.7 % after SG) compared with 3 months (45.9 % after GBP and 25.9 % after SG). There was no significant difference in either T2D remission or weight loss with GBP compared with SG. Both GBP and SG result in similar early remission of T2D in 67 and 56 % of patients at 3 months respectively with modest additional T2D remission with time, although weight loss with both procedures increase substantially between 3 and 12 months post-operatively. Further randomised controlled trials comparing SG and GBP in patients with T2D using comparable definitions of diabetes remission with long-term follow-up are needed to evaluate relative benefits. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Kuwait | 1 | 50% |
| Unknown | 1 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 145 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Colombia | 1 | <1% |
| France | 1 | <1% |
| Unknown | 143 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 23 | 16% |
| Student > Master | 19 | 13% |
| Student > Bachelor | 19 | 13% |
| Student > Postgraduate | 14 | 10% |
| Student > Ph. D. Student | 12 | 8% |
| Other | 34 | 23% |
| Unknown | 24 | 17% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 77 | 53% |
| Agricultural and Biological Sciences | 12 | 8% |
| Nursing and Health Professions | 9 | 6% |
| Psychology | 4 | 3% |
| Engineering | 4 | 3% |
| Other | 12 | 8% |
| Unknown | 27 | 19% |
Attention Score in Context
This research output has an Altmetric Attention Score of 8. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 October 2014.
All research outputs
#4,041,913
of 22,914,829 outputs
Outputs from Obesity Surgery
#499
of 3,377 outputs
Outputs of similar age
#35,330
of 198,964 outputs
Outputs of similar age from Obesity Surgery
#4
of 26 outputs
Altmetric has tracked 22,914,829 research outputs across all sources so far. Compared to these this one has done well and is in the 82nd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,377 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.7. This one has done well, scoring higher than 85% of its peers.
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We're also able to compare this research output to 26 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 88% of its contemporaries.