西班牙减肥手术的使用和住院效果变化(2016-2022 年):利用倾向得分匹配分析 2 型糖尿病的作用。

IF 3.7 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM BMJ Open Diabetes Research & Care Pub Date : 2024-08-03 DOI:10.1136/bmjdrc-2024-004351
Ana Lopez-de-Andres, Rodrigo Jimenez-Garcia, Natividad Cuadrado-Corrales, David Carabantes-Alarcon, Valentin Hernandez-Barrera, Javier de Miguel-Diez, Ana Jimenez-Sierra, José Javier Zamorano-Leon
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引用次数: 0

摘要

简介:本研究旨在探讨2型糖尿病(T2DM)患者和非2型糖尿病患者接受减肥手术(Roux-en-Y胃旁路术(RYGB)和袖状胃切除术(SG))的时间趋势。研究设计和方法:我们利用西班牙国家医院出院数据库进行了一项观察性研究。确定了在 2016 年至 2022 年期间接受 RYGB 和 SG 治疗的有 T2DM 和无 T2DM 的肥胖患者。采用倾向评分匹配(PSM)和逻辑回归对有 T2DM 和无 T2DM 的患者进行比较,并评估 T2DM 和其他变量对手术结果的影响。此外,还创建了一个变量 "严重程度",以涵盖在医院死亡或住进重症监护室(ICU)的患者:共实施了 32 176 例减肥手术(28.86% 的患者患有 T2DM)。31.57%的 RYGB 和 25.53% 的 SG 患者患有 T2DM。2016年至2022年间,RYGB和SG的发病率显著增加(P结论:2016年至2022年期间,西班牙实施的减肥手术在T2DM患者和非T2DM患者中均有所增加。对T2DM患者实施的干预手术多于非T2DM患者。RYGB是T2DM患者最常见的手术。T2DM与SG术后的严重程度有关。
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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.

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<0.001), with a higher incidence in those with T2DM than in those without (incidence rate ratio 4.07 (95% CI 3.95 to 4.20) for RYGB and 3.02 (95% CI 2.92 to 3.14) for SG). In patients who underwent SG, admission to the ICU and severity were significantly more frequent in patients with T2DM than in those without (both p<0.001). In the multivariate analysis, having T2DM was associated with more frequent severity in those who received SG (OR 1.23; 95% CI 1.07 to 1.42).

Conclusions: Between 2016 and 2022, bariatric surgery procedures performed in Spain increased in patients with and without T2DM. More interventions were performed on patients with T2DM than on patients without T2DM. RYGB was the most common procedure in patients with T2DM. The presence of T2DM was associated with more severity after SG.

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来源期刊
BMJ Open Diabetes Research & Care
BMJ Open Diabetes Research & Care Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
9.30
自引率
2.40%
发文量
123
审稿时长
18 weeks
期刊介绍: BMJ Open Diabetes Research & Care is an open access journal committed to publishing high-quality, basic and clinical research articles regarding type 1 and type 2 diabetes, and associated complications. Only original content will be accepted, and submissions are subject to rigorous peer review to ensure the publication of high-quality — and evidence-based — original research articles.
期刊最新文献
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