Obesity

Prioritising patients for publicly funded bariatric surgery in Queensland, Australia

Int J Obes (Lond)Published Development and pilot application of a prioritisation tool

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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