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April 1, 2002Archives of Surgery

Lack of Association of Diabetes With Increased Postoperative Mortality and Cardiac Morbidity

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Key result

Diabetes mellitus was inversely associated with perioperative death following major vascular operations (0.96% vs 1.46%; OR 0.53, P=0.01), although 5-year survival was significantly worse.

Why the study?

Does diabetes mellitus increase postoperative mortality and cardiac morbidity in patients undergoing major vascular operations?

Population

6,565 consecutive patients who underwent lower extremity revascularization or carotid or aortic procedures…

Comparison

Presence of diabetes mellitus (DM) vs Absence of diabetes mellitus (non-DM)

Design

Case_series

Follow-up

Perioperative and up to 5 years

Authors

AHAllen D. HamdanDartmouth CollegeSSStephanie S. SaltzbergBoston UniversityMSMalachi SheahanLouisiana State University

Discussion

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Member takes

Overview

Questions traditional perioperative risk assumptions in vascular surgery; leaves open confirmation beyond this case report.

Study Design

Type

Cohort (n=6,565)

Multicenter

No

Structured PICO

Does diabetes mellitus increase postoperative mortality and cardiac morbidity in patients undergoing major vascular operations?

P
Population
6,565 consecutive patients undergoing lower extremity revascularization, carotid, or aortic procedures, retrospectively reviewed to assess the impact of diabetes on postoperative outcomes.
E
Exposure
Presence of diabetes mellitus (DM)
C
Comparator
Absence of diabetes mellitus (non-DM)
O
Outcome
Postoperative mortality, congestive heart failure, or myocardial infarctionhard clinical

Main Result

Odds Ratio: 0.53

Absolute Event Rate: 0.96% vs 1.46%

p-value: p=0.01

Diabetes alone does not confer a higher perioperative mortality or cardiac morbidity rate following major vascular procedures, although it is associated with worse long-term survival.

Cite This Study

Hamdan et al. (2002) conducted a cohort in Major vascular operations (n=6,565). Diabetes mellitus vs. Absence of diabetes mellitus was evaluated on Postoperative mortality (OR 0.53, p=0.01). Diabetes mellitus was inversely associated with perioperative death following major vascular operations (0.96% vs 1.46%; OR 0.53, P=0.01), although 5-year survival was significantly worse.

synapsesocial.com/papers/6a9cfb19196d0fc147b7abb0https://doi.org/10.1001/archsurg.137.4.417
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of diabetes mellitus on long-term outcomes of surgical revascularization in patients with ischemic heart failure: a propensity score-matching study2021 · 2 citations
  2. 2Effect of diabetes mellitus on long-term outcomes of patients with ischemic heart disease and left ventricular dysfunction undergoing surgical revascularization: a propensity score-matching study2020
  3. 3Long-term postoperative mortality in diabetic patients undergoing major non-cardiac surgery2004 · 23 citations
  4. 4Long-term postoperative mortality in diabetic patients undergoing major non-cardiac surgery2004 · 24 citations
  5. 5Association of Diabetes Mellitus With Postoperative Complications and Mortality After Non-Cardiac Surgery: A Meta-Analysis and Systematic Review2022 · 103 citations