预测袖式胃切除术患者2型糖尿病缓解的评分系统比较。

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL Romanian Journal of Internal Medicine Pub Date : 2022-11-23 Print Date: 2022-12-01 DOI:10.2478/rjim-2022-0016
Suleyman Baldane, Murat Celik, Muslu Kazim Korez, Emine Gul Baldane, Huseyin Yilmaz, Sedat Abusoglu, Levent Kebapcilar, Husnu Alptekin
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引用次数: 0

摘要

简介:本研究旨在比较ABCD、DiaRem2、Ad-DiaRem和糖尿病评分系统对接受SG治疗的土耳其成年病态肥胖患者2型糖尿病(T2DM)缓解的预测能力。方法:本回顾性队列研究纳入80例术前诊断为T2DM的袖胃切除术患者,术后随访1年以上。由于我院对伴有肥胖相关合并症的III级肥胖(BMI≥40 kg/m2)或II级肥胖(BMI≥35 kg/m2)患者进行了减肥手术,因此我们的研究队列由这些患者组成。结果:diabter、DiaRem2、Ad-DiaRem和ABCD诊断糖尿病缓解的AUC分别为0.882 (95% CI, 0.807 ~ 0.958, p < 0.001)、0.862 (95% CI, 0.779 ~ 0.945, p < 0.001)、0.849 (95% CI, 0.766 ~ 0.932, p < 0.001)和0.726 (95% CI, 0.601 ~ 0.851, p = 0.002)。Ad-Diarem、diabetes、DiaRem2的AUC均高于ABCD的AUC (p值均< 0.001)。Ad-Diarem、diabetes、DiaRem评分的auc比较,差异均无统计学意义(p值均> 0.05)。结论:Ad-Dairem、diabetes和DaiRem评分系统可成功预测袖胃切除术患者的糖尿病缓解。观察到ABCD评分系统的预测能力低于其他评分系统。我们认为,使用简单易行的糖尿病缓解评分系统将得到广泛应用。
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Comparison of scoring systems for predicting remission of type 2 diabetes in sleeve gastrectomy patients.

Introduction: This study aims to compare the predictive capacity of ABCD, DiaRem2, Ad-DiaRem, and DiaBetter scoring systems for type 2 diabetes mellitus (T2DM) remission in Turkish adult morbidly obese patients who underwent SG. Methods: This retrospective cohort study included 80 patients who underwent sleeve gastrectomy (SG) operation who were diagnosed with T2DM preoperatively, and had at least one-year follow-up after surgery. Because bariatric surgery is performed on patients with class III obesity (BMI ≥ 40 kg/m2) or class II obesity (BMI ≥ 35 kg/m2) with obesity releated comorbid conditions in our hospital, our study cohort consisted of these patients. Results: The diagnostic performance of the DiaBetter, DiaRem2, Ad-DiaRem and ABCD for identifying diabetes remission, assessed by the AUC was 0.882 (95% CI, 0.807-0.958, p < 0.001), 0.862 (95% CI, 0.779-0.945, p < 0.001), 0.849 (95% CI, 0.766-0.932, p < 0.001) and 0.726 (95% CI, 0.601-0.851, p = 0.002), respectively. The AUCs of the Ad-Diarem, DiaBetter and DiaRem2 were statistically higher than AUC of the ABCD (all p-value < 0.001). Besides, there was no statistically significant difference in AUCs of the Ad-Diarem, DiaBetter and DiaRem scores (all p-value > 0.05). Conclusion: Ad-Dairem, DiaBetter and DaiRem scoring systems were found to provide a successful prediction for diabetes remission in sleeve gastrectomy patients. It was observed that the predictive power of the ABCD scoring system was lower than the other systems. We think that the use of scoring systems for diabetes remission, which have a simple use, will become widespread.

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来源期刊
Romanian Journal of Internal Medicine
Romanian Journal of Internal Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
5.30%
发文量
35
审稿时长
15 weeks
期刊介绍: Romanian Journal of Physics is a journal publishing physics contributions on the following themes: •Theoretical Physics & Applied Mathematics •Nuclear Physics •Solid State Physics & Materials Science •Statistical Physics & Quantum Mechanics •Optics •Spectroscopy •Plasma & Lasers •Nuclear & Elementary Particles Physics •Atomic and Molecular Physics •Astrophysics •Atmosphere and Earth Science •Environment Protection
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