Dicker D. auteur aut IRD Golan R. auteur aut IRD Aron-Wisnewsky J. auteur aut IRD Zucker Jean-Daniel auteur aut IRD Sokolowska N. auteur aut IRD Comaneshter D. S. auteur aut IRD Yahalom R. auteur aut IRD Vinker S. auteur aut IRD Clement K. auteur aut IRD Rudich A. auteur aut IRD text journalArticle eng text/pdf born digital access Purpose DiaRem is a clinical scoring system designed to predict diabetes remission (DR) 1-year post-Roux-en-Y gastric bypass (RYGB). We examined long-term (2- and 5-year) postoperative DR prediction by DiaRem and an advanced-DiaRem (Ad-DiaRem) score following RYGB, sleeve gastrectomy (SG), and gastric banding (GB). Methods We accessed data from a computerized database of persons with type 2 diabetes and BMI >= 30 kg/m(2) who underwent RYGB, SG, or GB, and determined DR status 2- and 5-year postoperative according to preoperative DiaRem and the Ad-DiaRem calculated scores. Results Among 1459 patients with 5-year postoperative diabetes status data, 53.6% exhibited DR. For RYGB, Ad-DiaRem trended to exhibit mildly improved predictive capacity 5-year postoperatively compared to DiaRem: Areas under receiver operating characteristic [AUROC] curves were 0.85 (0.76-0.93) and 0.78 (0.69-0.88), respectively. The positive predictive values (PPVs) detecting >80% of those achieving DR (i.e., sensitivity >= 0.8) were 78.2% and 73.2%, respectively, and higher Ad-DiaRem scores more consistently associated with decreased DR rates. Following SG, both scores had an AUROC of 0.82, but Ad-DiaRem still had a higher PPV for predicting >80% of those with 5-year postoperative DR (76.2% and 71.0%). Predictive capacity parameters were comparatively lower, for both scores, when considering DR 5-year post-GB (AUROC: 0.73 for both scores, PPV: 66.3% and 64.3%, respectively). Conclusions Ad-DiaRem provides modest improvement compared to DiaRem in predicting long-term DR 5-years post-RYGB. Both scores similarly provide fair predictive capacity for 5-year postoperative DR after SG. specialized Diabetes remission Bariatric surgery Prediction score 054 050 29 3 796-804 2019 0960-8923 https://www.documentation.ird.fr/hor/fdi:010075538 10.1007/s11695-018-3583-3 0960-8923 [F B010075538] https://www.documentation.ird.fr/hor/fdi:010075538 https://www.documentation.ird.fr/intranet/publi/2019/04/010075538.pdf Accès réservé (Intranet de l'IRD) IRD - Base Horizon / Pleins textes 2019-05-13 2025-02-24 fdi:010075538 fre