Tempany Jennifer, Collier Andrew, Ali Abdulmajid
Bariatric Surgery Unit University Hospital Ayr Ayr UK.
School of Health & Life Sciences Glasgow Caledonian University Glasgow UK.
Obes Sci Pract. 2024 Mar 8;10(2):e735. doi: 10.1002/osp4.735. eCollection 2024 Apr.
Metabolic surgery is a sustainable intervention for obesity and type 2 diabetes. Preoperative education optimizes weight loss and glycemic control outcomes.
This study aimed to determine the effect of a generalized preoperative evaluation process (PEP) in patients who underwent bariatric surgery on weight loss and glycemic control pre- and post-surgery.
Data were retrospectively collected and analyzed for patients with type 2 diabetes who underwent bariatric surgery between 2010 and 2016. Patients were categorized into two groups determined by participation in the PEP. The groups were named the PEP group and non-PEP group. The correlation among engagement in the PEP was determined using the chi-square test and -test. Statistical analysis with < 0.05 was deemed significant.
129 patients were included in the study; 86 females (67%) and 43 males (33%). Fifty-nine patients (46%) engaged in the PEP and 70 (54%) patients did not engage in the PEP. A greater reduction in weight loss was observed in the PEP group versus the non-PEP group from initial enrollment to pre-surgery (14.3 ± 9.2 kg vs. 11.6 ± 9.2 kg; = 0.11), and from pre-surgery to 2-years post-surgery (20.6 ± 14.8 kg vs. 16.9 ± 15.6 kg; = 0.17). A greater reduction in HbA1c from initial enrollment to pre-surgery was seen in the PEP group versus the non-PEP group (0.90 ± 1.28% vs. 0.63 ± 1.07%); however, this was not maintained from pre-surgery to 2-year post-surgery (0.51 ± 1.18% vs. 0.70 ± 1.73%). In both cases, the statistical difference was insignificant.
The PEP was not associated with improvements in short-term weight loss or glycemic control pre-surgery and a 2-years post-surgery. Patients may benefit from individually tailored preoperative weight management strategies.
代谢手术是治疗肥胖症和2型糖尿病的一种可持续干预措施。术前教育可优化体重减轻和血糖控制效果。
本研究旨在确定全面术前评估流程（PEP）对接受减肥手术患者术前及术后体重减轻和血糖控制的影响。
回顾性收集并分析2010年至2016年间接受减肥手术的2型糖尿病患者的数据。根据是否参与PEP将患者分为两组。这两组分别命名为PEP组和非PEP组。使用卡方检验和t检验确定参与PEP之间的相关性。P<0.05的统计分析被认为具有显著性。
129例患者纳入研究；86例女性（67%）和43例男性（33%）。59例患者（46%）参与了PEP，70例（54%）患者未参与PEP。从初始入组到术前，PEP组比非PEP组体重减轻幅度更大（14.3±9.2千克对11.6±9.2千克；P = 0.11），从术前到术后2年也是如此（20.6±14.8千克对16.9±15.6千克；P = 0.17）。从初始入组到术前，PEP组的糖化血红蛋白降低幅度大于非PEP组（0.90±1.28%对0.63±1.07%）；然而，从术前到术后2年这一差异未持续存在（0.51±1.18%对0.70±1.73%）。在这两种情况下，统计学差异均不显著。
PEP与术前及术后2年的短期体重减轻或血糖控制改善无关。患者可能受益于个性化定制的术前体重管理策略。
