title: Weight loss surgery for non-morbidly obese populations with type 2 diabetes: is this an acceptable option for patients?
abstract: OBJECTIVE
  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.
authors.affiliation: 1Health Services Research Fellow,Primary Care and Population Sciences, Faculty of Medicine,University of Southampton,Southampton,UK.
authors.forename: Rachael H
authors.initials: RH
authors.lastname: Summers
authors.affiliation: 2Public Health Speciality Registrar,Academic Unit of Public Health,Leeds Institute of Health Sciences,University of Leeds,Leeds,UK.
authors.forename: Helen
authors.initials: H
authors.lastname: Elsey
authors.affiliation: 3Reader & Academic Lead Primary Care Research Network South West,Primary Care and Population Sciences, Faculty of Medicine,University of Southampton,Southampton,UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Moore
authors.affiliation: 4Professor Endocrinology & Metabolism,Nutrition and Metabolism, Faculty of Medicine,University of Southampton,Southampton,UK.
authors.forename: Christopher
authors.initials: C
authors.lastname: Byrne
authors.affiliation: 6Consultant Surgeon,General Surgery,University Hospital Southampton NHS Foundation Trust,Southampton,UK.
authors.forename: James
authors.initials: J
authors.lastname: Byrne
authors.affiliation: 7Consultant Surgeon,Department of Bariatric Surgery,Musgrove Park Hospital,Taunton,UK.
authors.forename: Richard
authors.initials: R
authors.lastname: Welbourn
authors.affiliation: 8Professor of Public Health,Primary Care and Population Sciences, Faculty of Medicine,University of Southampton,Southampton,UK.
authors.forename: Paul
authors.initials: P
authors.lastname: Roderick
mesh_terms: D000368:Aged; D001294:Attitude to Health; D050110:Bariatric Surgery / Q000523:psychology / Q000592:standards*; D015992:Body Mass Index; D015897:Comorbidity; D003362:Cost-Benefit Analysis; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000601:surgery*; D004739:England; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology / Q000601:surgery*; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D036301:Qualitative Research; D016032:Randomized Controlled Trials as Topic; D035842:Research Subjects / Q000523:psychology / Q000706:statistics & numerical data; D015431:Weight Loss / Q000502:physiology*