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Weight loss surgery for non-morbidly obese populations with type 2 diabetes: is this an acceptable option for patients?

Weight loss surgery for non-morbidly obese populations with type 2 diabetes: is this an acceptable option for patients?
Weight loss surgery for non-morbidly obese populations with type 2 diabetes: is this an acceptable option for patients?
Aim To explore the views of non-morbidly obese people (BMI 30-40 kg/m2) with type 2 diabetes regarding: (a) the acceptability of bariatric surgery (BS) as a treatment for type 2 diabetes, and (b) willingness to participate in randomised controlled trials comparing BS versus non-surgical intervention. BACKGROUND: Despite weight management being a key therapeutic goal in type 2 diabetes, achieving and sustaining weight loss is problematic. BS is an effective treatment for people with morbid obesity and type 2 diabetes; it is less certain whether non-morbidly obese patients (BMI 30-39.9 kg/m2) with type 2 diabetes benefit from this treatment and whether this approach would be cost-effective. Before evaluating this issue by randomised trials, it is important to understand whether BS and such research are acceptable to this population. METHODS: Non-morbidly obese people with type 2 diabetes were purposively sampled from primary care and invited to participate in semi-structured interviews. Interviews explored participants' thoughts surrounding their diabetes and weight, the acceptability of BS and the willingness to participate in BS research. Data were analysed using Framework Analysis
1463-4236
277-286
Summers, Rachael H.
811d6b74-d5f4-4e92-a507-9bdca978fda5
Elsey, Helen
6d62e2f3-bfa0-44c1-b22c-ec1f93029829
Moore, Michael
1be81dad-7120-45f0-bbed-f3b0cc0cfe99
Byrne, Christopher
1370b997-cead-4229-83a7-53301ed2a43c
Byrne, James
a8082e4a-5f21-4dee-956a-6a1a5319893a
Welbourn, Richard
8c5383cc-ba8b-4fd2-a3da-a3d6ddce943e
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Summers, Rachael H.
811d6b74-d5f4-4e92-a507-9bdca978fda5
Elsey, Helen
6d62e2f3-bfa0-44c1-b22c-ec1f93029829
Moore, Michael
1be81dad-7120-45f0-bbed-f3b0cc0cfe99
Byrne, Christopher
1370b997-cead-4229-83a7-53301ed2a43c
Byrne, James
a8082e4a-5f21-4dee-956a-6a1a5319893a
Welbourn, Richard
8c5383cc-ba8b-4fd2-a3da-a3d6ddce943e
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a

Summers, Rachael H., Elsey, Helen, Moore, Michael, Byrne, Christopher, Byrne, James, Welbourn, Richard and Roderick, Paul (2014) Weight loss surgery for non-morbidly obese populations with type 2 diabetes: is this an acceptable option for patients? Primary Health Care Research & Development, 15 (3), 277-286. (doi:10.1017/S146342361300025X). (PMID:23735219)

Record type: Article

Abstract

Aim To explore the views of non-morbidly obese people (BMI 30-40 kg/m2) with type 2 diabetes regarding: (a) the acceptability of bariatric surgery (BS) as a treatment for type 2 diabetes, and (b) willingness to participate in randomised controlled trials comparing BS versus non-surgical intervention. BACKGROUND: Despite weight management being a key therapeutic goal in type 2 diabetes, achieving and sustaining weight loss is problematic. BS is an effective treatment for people with morbid obesity and type 2 diabetes; it is less certain whether non-morbidly obese patients (BMI 30-39.9 kg/m2) with type 2 diabetes benefit from this treatment and whether this approach would be cost-effective. Before evaluating this issue by randomised trials, it is important to understand whether BS and such research are acceptable to this population. METHODS: Non-morbidly obese people with type 2 diabetes were purposively sampled from primary care and invited to participate in semi-structured interviews. Interviews explored participants' thoughts surrounding their diabetes and weight, the acceptability of BS and the willingness to participate in BS research. Data were analysed using Framework Analysis

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e-pub ahead of print date: 5 June 2013
Published date: July 2014
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 354251
URI: https://eprints.soton.ac.uk/id/eprint/354251
ISSN: 1463-4236
PURE UUID: 12008eb8-8311-48dc-a31b-9ade9673d099
ORCID for Rachael H. Summers: ORCID iD orcid.org/0000-0001-9060-0584
ORCID for Michael Moore: ORCID iD orcid.org/0000-0002-5127-4509
ORCID for Christopher Byrne: ORCID iD orcid.org/0000-0001-6322-7753
ORCID for Paul Roderick: ORCID iD orcid.org/0000-0001-9475-6850

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Date deposited: 05 Jul 2013 08:11
Last modified: 20 Jul 2019 01:19

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