Accuracy of prediction models for long-term type 2 diabetes remission after gastric bypass

• Tipo: Artigo em Revista Científica Internacional
• Data: 2023

Autores

Cardoso, S (Autor) Outra; Pereira, SS (Autor) ICBAS; Almeida, RF (Autor) Outra; Osorio, C (Autor) Outra; Silva, D (Autor) Outra; Nora, M (Autor) Outra; Monteiro, M (Autor) ICBAS; Guimaraes, M (Autor) Outra

Revista

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Título: ACTA DIABETOLOGICA

Vol. 60

Páginas: 1019-1026

ISSN: 0940-5429

Indexação

ISI Web of Knowledge - 0 Citações

Scopus

Outras Informações

ID Authenticus: P-00Y-9Y9

DOI: 10.1007/s00592-023-02092-1

Abstract (EN): AimTo evaluate the accuracy of DiaBetter, DiaRem, Ad-DiaRem and 5y-Ad-DiaRem scores' at predicting T2D remission 10 or more years after surgery.MethodsPatients with obesity and T2D (n = 126) submitted to RYGB with 10 or more years of follow-up. It was a unicentric trial. Pre-operative anthropometric and clinical data was retrieved to calculate DiaRem, DiaBetter, Ad-DiaRem and 5y-Ad-DiaRem scores, while a hospital visit was conducted to assess current diabetes status. The area under the receiver operating characteristic (AUROC) curve was calculated as estimate of the scores' accuracy to predict long-term T2D remission.ResultsAmong the entire cohort (n = 126), 70 subjects (55.6%) achieved and maintained T2D remission 10 or more years after RYGB. The 5y-Ad-DiaRem score was the one that depicted the highest discriminative power (AUROC = 0.838) to predict long-term T2D remission when compared to DiaBetter (AUROC = 0.735), DiaRem (AUROC = 0.721) and Ad-DiaRem (AUROC = 0.720).ConclusionThe score with highest accuracy to predict long-term T2D remission after RYGB surgery was the 5y-Ad-DiaRem. Yet, the available scores accuracy to predict T2D remission in the long term is still suboptimal, highlighting the unmet need for a better scoring system.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 8