Effectiveness of Bariatric Surgery vs. Medical Therapy for Diabetes

Running head: Evidence Based Nursing Research 1
Evidence Based Nursing Research
Institution
Student
Course
Date

Evidence Based Nursing Research 2
Evidence Based Nursing Research
Systematic review
Research question: Is bariatric surgery more effective in increasing the probability of remission
of diabetes than conventional medical therapy in patients diagnosed with Diabetes?
How I developed the question
Diabetes is among the commonest chronic conditions listed by the Australian Institute of Health
and Welfare in their website. There are quite a number of medical approaches which can be used
to abate this malady but standard or conventional therapy and bariatric surgery are the most used
(Yan et al 2016). These are the two methodologies which will be looked into in this systematic
review. The first step in developing my PICOT question was the identification of a certain group
of Patients/Population (P) in this case, patients diagnosed with Diabetes. Secondly, I came up
with a variable of interest (Intervention) (I) that is bariatric surgery. The third step involved a
Comparison, C (conventional medical therapy) as an alternative method of remising diabetes. I
also mentioned the Outcomes (O) of the investigation that is remission of diabetes malady.
Evaluation of research
Ribaric, Buchwald, McGlennon, (2014) conducted a systematic review and meta-analysis with
an aim of assessing diabetes and weight outcomes of bariatric and standard or conventional
medical therapy. The research design applied by the researchers is at question because they
mainly relied on an electronic literature search of materials published in 2013 coming forward.

Evidence Based Nursing Research 3
This design though relatively reliable might not have provided reliable information regarding the
subject matter at hand. Data extracted was then passed through a stringent process of analysis
using SPSS software to reach to the conclusions. The entire procedure followed in this study can
be said to be somewhat reliable and consistent since it led the researchers into viable outcomes.
All studies incorporated in the entire research undertaking obtained ethical review board protocol
and local institutional approval. This evidently proves that Ribaric, Buchwald, and McGlennon
considered the ethical aspect of their research project. The findings of this research proved that
patients who’s their BMI ranged from 30.2-51.5 relied on bariatric surgery which substantially
remitted their diabetes, reduced their weight, and HbA1C more than conventional medical
therapy. Irrespective of the study design employed in the investigation and its limitations, the
outcomes can be deemed as accurate and factual.
Research Topic
The research topic aims at gauging the effectiveness of conventional medical therapy and
bariatric surgery in abating the progress of diabetes chronic condition. These two curative
approaches have different degree of efficiency in remitting this disease and thus it is important
for patients to comprehend which one to go for when the need arises (Rees et al, 2016). A study
aiming at comparing conventional medical therapy to bariatric surgery could aid people suffering
from diabetes and other associated maladies to make more informed decisions when undergoing
treatment. Bariatric surgery, for instance, has emerged a powerful tool used to combat against
diabetes disease and given its role in remitting type 2 diabetes and other diseases like obesity,
this surgical procedure has a wide array of uses (Wood, Mirshahi, Still, & Hirsch, 2016).
Conventionally, it was used to treat obesity, but now it is a reliable process for curing diabetes