title: Attitudes and Concerns of Diabetic Patients towards Bariatric Surgery as Treatment of Diabetes.
abstract: BACKGROUND
  Bariatric surgery is increasingly recognised as an effective treatment for type 2 diabetes that significantly improves glycaemic control, even achieving remission. This study examined perceptions and concerns of diabetic patients towards bariatric surgery as a treatment option for diabetes.
  
  
  METHODS
  A total of 150 patients were recruited from a specialised diabetic outpatient clinic and completed a questionnaire (items were rated on a Likert scale from slightly important [lowest score of 1] to extremely important [maximum score of 5]). Logistic regression was performed to identify factors influencing decision for surgery.
  
  
  RESULTS
  The 74 males and 76 females had mean age of 50 (range 20 to 78) and body mass index (BMI) of 29.6 kg/m2(range 18.1 to 51); 61% considered surgery favourably. Predictive factors for interest in surgery: higher educational levels (OR = 2.3; 95% CI, 1.2 to 4.4), duration of diabetes (OR = 0.4; 95% CI, 0.2 to 1.0) and use of insulin (OR = 2.1; 95% CI, 1.1 to 4.1). Reasons for surgery: desire for remission (Likert scale 4.7 ± 0.7), to prevent complications (Likert scale 4.5 ± 0.9) and to reduce medications (Likert scale 4.3 ± 1.1). For those not keen on surgery, main reasons were fear of surgery (Likert scale 4 ± 1.5) and satisfaction with current therapy (Likert scale 3.7 ± 1.6).
  
  
  CONCLUSIONS
  Many diabetic patients would consider surgery as an option to improve their metabolic disorder (greater interest in patients with higher educational levels, currently using insulin and with shorter duration of diabetes). Surgical complications, length of recovery and duration of benefits were the main concerns.
authors.affiliation: Department of General Surgery, University Surgical Cluster, National University Health System, Singapore.
authors.forename: Hui Wen
authors.initials: HW
authors.lastname: Chua
authors.forename: Hui Jun
authors.initials: HJ
authors.lastname: Zhou
authors.forename: Chin Meng
authors.initials: CM
authors.lastname: Khoo
authors.forename: Asim
authors.initials: A
authors.lastname: Shabbir
authors.forename: Davide
authors.initials: D
authors.lastname: Lomanto
authors.forename: Jimmy By
authors.initials: JB
authors.lastname: So
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D050110:Bariatric Surgery; D003657:Decision Making; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D004522:Educational Status; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009765:Obesity / Q000150:complications / Q000601:surgery; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D013997:Time Factors; D055815:Young Adult
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin