ArticleJournal of clinical medicine2019
Adverse Outcomes after Major Surgeries in Patients with Diabetes: A Multicenter Matched Study.
Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Risk factors for pneumonia after radical gastrectomy for gastric cancer: a systematic review and meta-analysis.BMC cancer · 2025Pooled it
- Perioperative Risks and Outcomes in Asian American Patients with Type 2 Diabetes Mellitus and/or Metabolic Syndrome: a Systematic Scoping Review.Journal of racial and ethnic health disparities · 2026Article
- Inpatient Use of Automated Insulin Delivery Systems.Journal of diabetes science and technology · 2026Review
- Outcomes of Microsurgical Treatment for Unruptured Intracranial Aneurysms: A 7-Year Institutional Review.Neurosurgery practice · 2026Article
- Early, unplanned readmission in diabetes inpatients: Comparing the utility and performance of machine learning and traditional prediction models to guide timely diabetes management team review.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
- Using EMG Biofeedback to Restore Closed-Loop Neural Control on a Powered Prosthetic Ankle.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026Article
- Predicting visual acuity recovery in orbital decompression surgery for dysthyroid optic neuropathy.Thyroid research · 2025Article
- Impact of systematic diabetes screening on peri-operative infections in patients undergoing cardiac surgery.Scientific reports · 2024Article
- Complications and Mortality After Surgery in Patients with Chronic Kidney Disease: A Retrospective Cohort Study Based on a Multicenter Clinical Database.Journal of multidisciplinary healthcare · 2024Article
- Recent Trends in Diabetes-Associated Hospitalizations in the United States.Journal of clinical medicine · 2022Article
- Development of a Preoperative Clinical Risk Assessment Tool for Postoperative Complications After Hysterectomy.Journal of minimally invasive gynecology · 2022Article
- Amputations of Lower Limb in Subjects with Diabetes Mellitus: Reasons and 30-Day Mortality.Journal of diabetes research · 2021Article
- Investigation of dual antiplatelet therapy after coronary stenting in patients with chronic kidney disease.PloS one · 2021Article
- Effect of Postoperative Adverse Events on Hospitalization Expenditures and Length of Stay Among Surgery Patients in Taiwan: A Nationwide Population-Based Case-Control Study.Frontiers in medicine · 2021Article
- Outcomes after surgery in patients with diabetes who used metformin: a retrospective cohort study based on a real-world database.BMJ open diabetes research & care · 2020Article
- Diabetes: Oral Health Related Quality of Life and Oral Alterations.BioMed research international · 2019Review
- RSSDI-ESI Clinical Practice Recommendations for the Management of Type 2 Diabetes Mellitus 2020.Indian journal of endocrinology and metabolismArticle
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
Abstract
The impact of diabetes on perioperative outcomes remains incompletely understood. Our purpose is to evaluate post-operative complications and mortality in patients with diabetes. Using the institutional and clinical databases of three university hospitals from 2009⁻2015, we conducted a matched study of 16,539 diabetes patients, aged >20 years, who underwent major surgery. Using a propensity score matching procedure, 16,539 surgical patients without diabetes who underwent surgery were also selected. Logistic regressions were used to calculate the odds ratios (ORs) with 95% confidence intervals (CIs) for post-operative complications and in-hospital mortality associated with diabetes. Patients with diabetes had a higher risk of postoperative septicemia (OR 1.33, 95% CI 1.01⁻1.74), necrotizing fasciitis (OR 3.98, 95% CI 1.12⁻14.2), cellulitis (OR 2.10, 95% CI 1.46⁻3.03), acute pyelonephritis (OR 1.86, 95% CI 1.01⁻3.41), infectious arthritis (OR 3.89, 95% CI 1.19⁻12.7), and in-hospital mortality (OR 1.51, 95% CI 1.07⁻2.13) compared to people without diabetes. Previous admission for diabetes (OR 2.33, 95% CI 1.85⁻2.93), HbA1c >8% (OR 1.96, 95% CI 1.64⁻2.33) and fasting glucose >180 mg/dL (OR 1.90, 95% CI 1.68⁻2.16) were predictors for post-operative adverse events. Diabetes patients who underwent surgery had higher risks of infectious complications and in-hospital mortality compared with patients without diabetes who underwent similar major surgeries.
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