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Association of Metabolic Surgery With CV Outcomes in Patients With Type 2 Diabetes and Obesity
This matched-cohort study uses Cleveland Clinic Health System data to investigate the association between bariatric surgery and major adverse cardiovascular events (MACE), including mortality, coronary disease and stroke, in adult patients with type 2 diabetes and obesity.
Source: JAMA - Journal of the American Medical Association - September 2, 2019 Category: General Medicine Source Type: research

Role of Bariatric Surgery in Managing Macrovascular Complications of Obesity-Related Type 2 Diabetes
Reducing the risk of macrovascular events, including myocardial infarction and stroke, is a major goal when treating diabetes. Despite this focus, of the major randomized trials used to support current diabetes guidelines (ACCORD, ADVANCE, UKPDS 33, UKPDS 34, VADT), none showed reductions in macrovascular events when the trial results were first reported. For example, UKPDS is still frequently cited in support of aggressive glucose lowering, yet when the primary outcome data were presented in 1998, the results showed no difference between groups in terms of reducing the risk of all-cause mortality (relative risk [RR], 0.94...
Source: JAMA - Journal of the American Medical Association - September 2, 2019 Category: General Medicine Source Type: research