Evidence map›Paper›PMID 20037833›Full record

ReviewSurgery today2010

Tight perioperative glycemic control using an artificial endocrine pancreas.

Kazuhiro Hanazaki, Hiromichi Maeda, Takehiro Okabayashi

Abstract readReview
PubMed Publisher
In one paragraph

Review in Surgery today, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Comparison between a novel and conventional artificial pancreas for perioperative glycemic control using a closed-loop system.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2017
    Article
  8. Current topics in glycemic control by wearable artificial pancreas or bedside artificial pancreas with closed-loop system.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2016
    Review
  9. Comparison of subcutaneous and intravenous continuous glucose monitoring accuracy in an operating room and an intensive care unit.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2016
    Observational
  10. Review
  11. Article
  12. Review
  13. Blood glucose control using an artificial pancreas reduces the workload of ICU nurses.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2012
    Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Continuous monitoring of glucose levels in the hepatic vein and systemic circulation during the Pringle maneuver in beagles.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2011
    Article
  19. Review
  20. Tight glycemic control and cardiovascular effects in type 2 diabetic patients.Heart views : the official journal of the Gulf Heart Association
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Kazuhiro HanazakiDepartment of Surgery, Kochi Medical School, Kochi University, Kohasu-Okocho, Nankoku, Kochi, 783-8505, Japan.
Hiromichi Maeda
Takehiro Okabayashi
Kōchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Van den Berghe et al. reported in 2001 that tight glycemic control (maintaining blood glucose levels at 80-110 mg/dl) improved morbidity and mortality in the surgical intensive care unit. This method was termed intensive insulin therapy (IIT), and it is now being adopted worldwide for perioperative care. Recent evidence has suggested that perioperative hyperglycemia significantly contributes to the development of postoperative infection (POI). Many professional societies therefore now recommend IIT over conventional standard glycemic control measures for critically ill adult patients to minimize infectious complications. However, IIT carries a risk of inducing hypoglycemia, which is linked to serious neurological events. We recently demonstrated that achieving perioperative tight glycemic control using an artificial endocrine pancreas for surgical patients was a safe and effective method for decreasing the incidence of POI without increasing the risk of hypoglycemia. We herein review the benefits and requirements of tight glycemic control in surgery, with a focus on infection control. Strict perioperative glycemic control using a closed-loop artificial endocrine pancreas system is recommended for safe and effective performance of IIT.

Indexed as

Pancreas, ArtificialPerioperative CareAnimalsBlood GlucoseCritical IllnessDiabetes ComplicationsHumansHyperglycemiaHypoglycemic AgentsInfection ControlInsulinIslets of LangerhansPostoperative ComplicationsTime FactorsBlood GlucoseHypoglycemic AgentsInsulin

Identifiers

PMID20037833
OpenAlexW2034200143

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.