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评分系统的比较,用于预测在减肥手术后的短期和长期2型糖尿病缓解
Süleyman Baldane1, Murat Celik1, Muslu Kazim Korez2
1Department of Internal Medicine, Division of Endocrinology and Metabolism, Faculty of Medicine, Selcuk University, Konya, Turkey.
Journal of minimal access surgery
|April 1, 2024
概括
迪亚贝特得分最好预测土耳其成年人减肥手术后的2型糖尿病 (T2DM) 缓解,显示出强大的短期和长期准确性. 这种评分系统有助于评估T2DM病态肥胖患者的缓解潜力.
科学领域:
- 内分泌学和新陈代谢学
- 腹部外科手术的结果
- 糖尿病缓解预测的预测
背景情况:
- 肥胖和2型糖尿病 (T2DM) 是全球重大健康挑战.
- 腹腔外科手术是病态肥胖患者T2DM的有效治疗方法.
- 在手术后准确预测T2DM缓解对于患者管理至关重要.
研究的目的:
- 为了比较T2DM缓解的五个评分系统 (ABCD,个性化代谢手术[IMS],DiaRem2,Ad-DiaRem和DiaBetter) 的短期和长期预测能力.
- 为了评估这些得分在土耳其成人患有严重肥胖的患者接受腹手术的评估.
主要方法:
- 追溯队列研究,包括1年后的137名患者和5年后的115名患者.
- 患者接受了袖子胃切除术 (SG) 或Roux-en-Y胃旁路术 (RYGB).
- 使用接收器运行特征曲线下的面积 (AUC) 来评估每个评分系统的预测性能.
主要成果:
- 在第一年,DiaBetter (AUC 0.896) 和Ad-DiaRem (AUC 0.863) 显示了T2DM缓解的最高预测值.
- 在五年后,DiaBetter (AUC 0.888) 和IMS (AUC 0.878) 显示出最强的预测性能.
- 在短期和长期评估中,DiaBetter始终提供高AUC值.
结论:
- 与其他评估的得分相比,DiaBetter得分显示了T2DM缓解的优异预测性能,无论是短期还是长期.
- 建议使用DiaBetter和Ad-DiaRem进行短期缓解评估.
- 建议在这个患者群体中使用DiaBetter和IMS得分进行长期T2DM缓解评估.
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