Microvascular Outcomes in Patients With Diabetes After Bariatric Surgery
Authors: Lena Carlsson, Björn Carlsson, Markku Peltonen
Journal: Annals of Internal Medicine (2019)

Letters2 April 2019Microvascular Outcomes in Patients With Diabetes After Bariatric SurgeryLena Carlsson, MD, PhD, Björn Carlsson, MD, PhD, and Markku Peltonen, PhDLena Carlsson, MD, PhDUniversity of Gothenburg, Gothenburg, Sweden (L.C.)Search for more papers by this author, Björn Carlsson, MD, PhDUniversity of Gothenburg and AstraZeneca Gothenburg, Gothenburg, Sweden (B.C.)Search for more papers by this author, and Markku Peltonen, PhDNational Institute for Health and Welfare, Helsinki, Finland (M.P.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0013 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In their matched retrospective cohort study, O'Brien and colleagues (1) show that bariatric surgery is associated with reduced incidence of microvascular disease in patients with type 2 diabetes. Their findings confirm our observations from the prospective SOS (Swedish Obese Subjects) study, which had a median follow-up of 19 years (2, 3). However, O'Brien and colleagues incorrectly state that the SOS study did not examine retinopathy independent of other microvascular outcomes.In our 2017 article (3), we showed that bariatric surgery is associated with reduced incidence of retinopathy in patients with established type 2 diabetes, as shown in ...References1. O'Brien R, Johnson E, Haneuse S, Coleman KJ, O'Connor PJ, Fisher DP, et al. Microvascular outcomes in patients with diabetes after bariatric surgery versus usual care. A matched cohort study. Ann Intern Med. 2018;169:300-10. [PMID: 30083761]. doi:10.7326/M17-2383 LinkGoogle Scholar2. Sjöström L, Peltonen M, Jacobson P, Ahlin S, Andersson-Assarsson J, Anveden Å, et al. Association of bariatric surgery with long-term remission of type 2 diabetes and with microvascular and macrovascular complications. JAMA. 2014;311:2297-304. [PMID: 24915261] doi:10.1001/jama.2014.5988 CrossrefMedlineGoogle Scholar3. Carlsson LMS, Sjöholm K, Karlsson C, Jacobson P, Andersson-Assarsson JC, Svensson PA, et al. Long-term incidence of microvascular disease after bariatric surgery or usual care in patients with obesity, stratified by baseline glycaemic status: a post-hoc analysis of participants from the Swedish Obese Subjects study. Lancet Diabetes Endocrinol. 2017;5:271-9. [PMID: 28237791] doi:10.1016/S2213-8587(17)30061-X CrossrefMedlineGoogle Scholar4. Lascar N, Brown J, Pattison H, Barnett AH, Bailey CJ, Bellary S. Type 2 diabetes in adolescents and young adults. Lancet Diabetes Endocrinol. 2018;6:69-80. [PMID: 28847479] doi:10.1016/S2213-8587(17)30186-9 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Gothenburg, Gothenburg, Sweden (L.C.)University of Gothenburg and AstraZeneca Gothenburg, Gothenburg, Sweden (B.C.)National Institute for Health and Welfare, Helsinki, Finland (M.P.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L19-0013. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoMicrovascular Outcomes in Patients With Diabetes After Bariatric Surgery Versus Usual Care Rebecca O'Brien , Eric Johnson , Sebastien Haneuse , Karen J. Coleman , Patrick J. O'Connor , David P. Fisher , Stephen Sidney , Andy Bogart , Mary Kay Theis , Jane Anau , Emily B. Schroeder , and David Arterburn Microvascular Outcomes in Patients With Diabetes After Bariatric Surgery Yeongkeun Kwon and Sungsoo Park Microvascular Outcomes in Patients With Diabetes After Bariatric Surgery David Arterburn Metrics 2 April 2019Volume 170, Issue 7Page: 506-507KeywordsAbsolute risk reductionBariatric surgeryCohort studiesDisclosureHazard ratioHyperglycemiaOverweightRelative riskRetinopathyType 2 diabetes ePublished: 2 April 2019 Issue Published: 2 April 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...