Scores for Predicting Diabetes Remission in Bariatric Surgery: a Systematic Review and Meta-analysis

Obes Surg. 2023 Feb;33(2):600-610. doi: 10.1007/s11695-022-06382-5. Epub 2022 Dec 1.

Abstract

This systematic review aims to compare the accuracy of pre-existent scores predicting diabetes remission after bariatric and metabolic surgery. Among the scores, DiaBetter presented the largest area under the curve (AUC) (0.87; 95% CI, 0.84-0.9). Ad-DiaRem had the lowest AUC (0.79; 95% CI, 0.76-0.83). Ad-DiaRem showed the highest sensitivity (91%; 95% CI, 86-96%), with a specificity of 71.23% (95% CI 50.43 to 92.06%). IMS showed a sensitivity of 59% (95% CI, 20-90%), with the highest specificity (86%; 95% CI, 69-94%). Clinicians should associate the findings of the present review with patients' individual characteristics to help predict diabetes remission and evaluate the probability of the patient benefit from surgery.

Keywords: Bariatric surgery; Diabetes mellitus; Gastric bypass; Recurrence.

Publication types

  • Meta-Analysis
  • Systematic Review
  • Review

MeSH terms

  • Bariatric Surgery*
  • Diabetes Mellitus, Type 2* / surgery
  • Gastric Bypass*
  • Humans
  • Obesity, Morbid* / surgery
  • Remission Induction
  • Retrospective Studies
  • Treatment Outcome