Prioritising patients for publicly funded bariatric surgery in Queensland, Australia
Authors' conclusion
The BAPT prioritised younger patients with higher BMIs who realised greater improvements in their diabetes after bariatric surgery. Higher-scoring BAPT patients should be prioritised for bariatric surgery as they have a greater likelihood of attaining diabetes remission.
Study context
- Population
- Patients with excessive weight and T2D referred for bariatric surgery in Queensland, 2017–2020, public health system130 with 12-month data
- Participants
- 292 patients
- Exposure
- Patients stratified by BAPT score
- Outcome
- Outcomes by BAPT score
- Follow-up
- 12 months post-surgery
Methodological detailscohort study, stratified by BAPT scores
- Cohort study
- Stratified by BAPT scores
Main finding
As reported in the abstract
- All patients lost similar % body weight
- 20-25%, p = 0.73
- Higher-scoring patients more likely to discontinue oral diabetes medications
- p < 0.001
- HbA1c improvement four times greater with scores 70-79 vs 20-29
- p < 0.05
- Diabetes remission, BAPT ≥ 50 vs lower scores
- 57% vs 31%
Observational data: associations, not effects.
Original publication
Prioritising patients for publicly funded bariatric surgery in Queensland, Australia. Int J Obes (Lond). Published 22 August 2024. doi:10. 1038/ s41366-024-01615-2
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