The influence of diabetes on postoperative complications following colorectal surgery
Background Diabetes mellitus has been commonly associated with poor surgical outcomes. The aim of this meta-analysis was to assess the impact of diabetes on postoperative complications following colorectal surgery. Methods Medline, Embase and China National Knowledge Infrastructure electronic databa...
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| Veröffentlicht in: | Techniques in coloproctology 2021-03, Vol.25 (3), p.267-278 |
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| container_title | Techniques in coloproctology |
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| creator | Tan, D. J. H. Yaow, C. Y. L. Mok, H. T. Ng, C. H. Tai, C. H. Tham, H. Y. Foo, F. J. Chong, C. S. |
| description | Background
Diabetes mellitus has been commonly associated with poor surgical outcomes. The aim of this meta-analysis was to assess the impact of diabetes on postoperative complications following colorectal surgery.
Methods
Medline, Embase and China National Knowledge Infrastructure electronic databases were reviewed from inception until May 9th 2020. Meta-analysis of proportions and comparative meta-analysis were conducted. Studies that involved patients with diabetes mellitus having colorectal surgery, with the inclusion of patients without a history of diabetes as a control, were selected. The outcomes measured were postoperative complications.
Results
Fifty-five studies with a total of 666,886 patients comprising 93,173 patients with diabetes and 573,713 patients without diabetes were included. Anastomotic leak (OR 2.407; 95% CI 1.837–3.155;
p
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| doi_str_mv | 10.1007/s10151-020-02373-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7775741</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2474849376</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-57dac838a8dadb112c34c4ad26ace7c338578c50efea1294659f316dd9378e3f3</originalsourceid><addsrcrecordid>eNp9UU1LxDAQDaL4_Qc8SMGLl2rSNE17EUT8AsHLLngL2XS6RrJJTVrFf-_o-n3wEJLJvHnzZh4he4weMUrlcWKUCZbTguLhkufNCtlkrKhzWoq71fc3zyvO5QbZSumBUialYOtkg3NeV4KxTTKd3ENmfedG8Aay0GWt1TMYIGXBZ31IQ-gh6sE-QWbConfWYBB8yrrgXHi2fo7_LkQwg3ZZGuMc4ssOWeu0S7D7cW-T6cX55Owqv7m9vD47vclNKcshF7LVpua1rlvdzlCt4aUpdVtU2oA0KFLI2ggKHWhWNGUlmo6zqm0bLmvgHd8mJ0vefpwtoDXgh6id6qNd6Piigrbqd8bbezUPT0riImTJkODwgyCGxxHSoBY2GXBOewhjUgXqrEtsVyH04A_0IYzR43iIaiSrRMEFooolysSQUoTuSwyj6s01tXRNoWvq3TXVYNH-zzG-Sj5tQgBfAhKmPG74u_c_tK-eVqT5</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2497165235</pqid></control><display><type>article</type><title>The influence of diabetes on postoperative complications following colorectal surgery</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Tan, D. J. H. ; Yaow, C. Y. L. ; Mok, H. T. ; Ng, C. H. ; Tai, C. H. ; Tham, H. Y. ; Foo, F. J. ; Chong, C. S.</creator><creatorcontrib>Tan, D. J. H. ; Yaow, C. Y. L. ; Mok, H. T. ; Ng, C. H. ; Tai, C. H. ; Tham, H. Y. ; Foo, F. J. ; Chong, C. S.</creatorcontrib><description>Background
Diabetes mellitus has been commonly associated with poor surgical outcomes. The aim of this meta-analysis was to assess the impact of diabetes on postoperative complications following colorectal surgery.
Methods
Medline, Embase and China National Knowledge Infrastructure electronic databases were reviewed from inception until May 9th 2020. Meta-analysis of proportions and comparative meta-analysis were conducted. Studies that involved patients with diabetes mellitus having colorectal surgery, with the inclusion of patients without a history of diabetes as a control, were selected. The outcomes measured were postoperative complications.
Results
Fifty-five studies with a total of 666,886 patients comprising 93,173 patients with diabetes and 573,713 patients without diabetes were included. Anastomotic leak (OR 2.407; 95% CI 1.837–3.155;
p
< 0.001), surgical site infections (OR 1.979; 95% CI 1.636–2.394;
p
< 0.001), urinary complications (OR 1.687; 95% CI 1.210–2.353;
p
= 0.002), and hospital readmissions (OR 1.406; 95% CI 1.349–1.466;
p
< 0.001) were found to be significantly higher amongst patients with diabetes following colorectal surgery. The incidence of septicemia, intra-abdominal infections, mechanical failure of wound healing comprising wound dehiscence and disruption, pulmonary complications, reoperation, and 30-day mortality were not significantly increased.
Conclusions
This meta-analysis and systematic review found a higher incidence of postoperative complications including anastomotic leaks and a higher re-admission rate. Risk profiling for diabetes prior to surgery and perioperative optimization for patients with diabetes is critical to improve surgical outcomes.</description><identifier>ISSN: 1123-6337</identifier><identifier>EISSN: 1128-045X</identifier><identifier>DOI: 10.1007/s10151-020-02373-9</identifier><identifier>PMID: 33386511</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Anastomotic Leak - epidemiology ; Anastomotic Leak - etiology ; Colorectal Surgery ; Diabetes ; Diabetes Mellitus - epidemiology ; Digestive System Surgical Procedures ; Gastroenterology ; Humans ; Hyperglycemia ; Medicine ; Medicine & Public Health ; Meta-analysis ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Proctology ; Review ; Surgery ; Surgical outcomes ; Surgical Wound Infection - epidemiology ; Surgical Wound Infection - etiology</subject><ispartof>Techniques in coloproctology, 2021-03, Vol.25 (3), p.267-278</ispartof><rights>Springer Nature Switzerland AG 2021</rights><rights>Springer Nature Switzerland AG 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-57dac838a8dadb112c34c4ad26ace7c338578c50efea1294659f316dd9378e3f3</citedby><cites>FETCH-LOGICAL-c474t-57dac838a8dadb112c34c4ad26ace7c338578c50efea1294659f316dd9378e3f3</cites><orcidid>0000-0003-0669-7307</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10151-020-02373-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10151-020-02373-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33386511$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tan, D. J. H.</creatorcontrib><creatorcontrib>Yaow, C. Y. L.</creatorcontrib><creatorcontrib>Mok, H. T.</creatorcontrib><creatorcontrib>Ng, C. H.</creatorcontrib><creatorcontrib>Tai, C. H.</creatorcontrib><creatorcontrib>Tham, H. Y.</creatorcontrib><creatorcontrib>Foo, F. J.</creatorcontrib><creatorcontrib>Chong, C. S.</creatorcontrib><title>The influence of diabetes on postoperative complications following colorectal surgery</title><title>Techniques in coloproctology</title><addtitle>Tech Coloproctol</addtitle><addtitle>Tech Coloproctol</addtitle><description>Background
Diabetes mellitus has been commonly associated with poor surgical outcomes. The aim of this meta-analysis was to assess the impact of diabetes on postoperative complications following colorectal surgery.
Methods
Medline, Embase and China National Knowledge Infrastructure electronic databases were reviewed from inception until May 9th 2020. Meta-analysis of proportions and comparative meta-analysis were conducted. Studies that involved patients with diabetes mellitus having colorectal surgery, with the inclusion of patients without a history of diabetes as a control, were selected. The outcomes measured were postoperative complications.
Results
Fifty-five studies with a total of 666,886 patients comprising 93,173 patients with diabetes and 573,713 patients without diabetes were included. Anastomotic leak (OR 2.407; 95% CI 1.837–3.155;
p
< 0.001), surgical site infections (OR 1.979; 95% CI 1.636–2.394;
p
< 0.001), urinary complications (OR 1.687; 95% CI 1.210–2.353;
p
= 0.002), and hospital readmissions (OR 1.406; 95% CI 1.349–1.466;
p
< 0.001) were found to be significantly higher amongst patients with diabetes following colorectal surgery. The incidence of septicemia, intra-abdominal infections, mechanical failure of wound healing comprising wound dehiscence and disruption, pulmonary complications, reoperation, and 30-day mortality were not significantly increased.
Conclusions
This meta-analysis and systematic review found a higher incidence of postoperative complications including anastomotic leaks and a higher re-admission rate. Risk profiling for diabetes prior to surgery and perioperative optimization for patients with diabetes is critical to improve surgical outcomes.</description><subject>Abdominal Surgery</subject><subject>Anastomotic Leak - epidemiology</subject><subject>Anastomotic Leak - etiology</subject><subject>Colorectal Surgery</subject><subject>Diabetes</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Digestive System Surgical Procedures</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Hyperglycemia</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Proctology</subject><subject>Review</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Surgical Wound Infection - etiology</subject><issn>1123-6337</issn><issn>1128-045X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU1LxDAQDaL4_Qc8SMGLl2rSNE17EUT8AsHLLngL2XS6RrJJTVrFf-_o-n3wEJLJvHnzZh4he4weMUrlcWKUCZbTguLhkufNCtlkrKhzWoq71fc3zyvO5QbZSumBUialYOtkg3NeV4KxTTKd3ENmfedG8Aay0GWt1TMYIGXBZ31IQ-gh6sE-QWbConfWYBB8yrrgXHi2fo7_LkQwg3ZZGuMc4ssOWeu0S7D7cW-T6cX55Owqv7m9vD47vclNKcshF7LVpua1rlvdzlCt4aUpdVtU2oA0KFLI2ggKHWhWNGUlmo6zqm0bLmvgHd8mJ0vefpwtoDXgh6id6qNd6Piigrbqd8bbezUPT0riImTJkODwgyCGxxHSoBY2GXBOewhjUgXqrEtsVyH04A_0IYzR43iIaiSrRMEFooolysSQUoTuSwyj6s01tXRNoWvq3TXVYNH-zzG-Sj5tQgBfAhKmPG74u_c_tK-eVqT5</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Tan, D. J. H.</creator><creator>Yaow, C. Y. L.</creator><creator>Mok, H. T.</creator><creator>Ng, C. H.</creator><creator>Tai, C. H.</creator><creator>Tham, H. Y.</creator><creator>Foo, F. J.</creator><creator>Chong, C. S.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0669-7307</orcidid></search><sort><creationdate>20210301</creationdate><title>The influence of diabetes on postoperative complications following colorectal surgery</title><author>Tan, D. J. H. ; Yaow, C. Y. L. ; Mok, H. T. ; Ng, C. H. ; Tai, C. H. ; Tham, H. Y. ; Foo, F. J. ; Chong, C. S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-57dac838a8dadb112c34c4ad26ace7c338578c50efea1294659f316dd9378e3f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdominal Surgery</topic><topic>Anastomotic Leak - epidemiology</topic><topic>Anastomotic Leak - etiology</topic><topic>Colorectal Surgery</topic><topic>Diabetes</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Digestive System Surgical Procedures</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Hyperglycemia</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Proctology</topic><topic>Review</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Surgical Wound Infection - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tan, D. J. H.</creatorcontrib><creatorcontrib>Yaow, C. Y. L.</creatorcontrib><creatorcontrib>Mok, H. T.</creatorcontrib><creatorcontrib>Ng, C. H.</creatorcontrib><creatorcontrib>Tai, C. H.</creatorcontrib><creatorcontrib>Tham, H. Y.</creatorcontrib><creatorcontrib>Foo, F. J.</creatorcontrib><creatorcontrib>Chong, C. S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Techniques in coloproctology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tan, D. J. H.</au><au>Yaow, C. Y. L.</au><au>Mok, H. T.</au><au>Ng, C. H.</au><au>Tai, C. H.</au><au>Tham, H. Y.</au><au>Foo, F. J.</au><au>Chong, C. S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The influence of diabetes on postoperative complications following colorectal surgery</atitle><jtitle>Techniques in coloproctology</jtitle><stitle>Tech Coloproctol</stitle><addtitle>Tech Coloproctol</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>25</volume><issue>3</issue><spage>267</spage><epage>278</epage><pages>267-278</pages><issn>1123-6337</issn><eissn>1128-045X</eissn><abstract>Background
Diabetes mellitus has been commonly associated with poor surgical outcomes. The aim of this meta-analysis was to assess the impact of diabetes on postoperative complications following colorectal surgery.
Methods
Medline, Embase and China National Knowledge Infrastructure electronic databases were reviewed from inception until May 9th 2020. Meta-analysis of proportions and comparative meta-analysis were conducted. Studies that involved patients with diabetes mellitus having colorectal surgery, with the inclusion of patients without a history of diabetes as a control, were selected. The outcomes measured were postoperative complications.
Results
Fifty-five studies with a total of 666,886 patients comprising 93,173 patients with diabetes and 573,713 patients without diabetes were included. Anastomotic leak (OR 2.407; 95% CI 1.837–3.155;
p
< 0.001), surgical site infections (OR 1.979; 95% CI 1.636–2.394;
p
< 0.001), urinary complications (OR 1.687; 95% CI 1.210–2.353;
p
= 0.002), and hospital readmissions (OR 1.406; 95% CI 1.349–1.466;
p
< 0.001) were found to be significantly higher amongst patients with diabetes following colorectal surgery. The incidence of septicemia, intra-abdominal infections, mechanical failure of wound healing comprising wound dehiscence and disruption, pulmonary complications, reoperation, and 30-day mortality were not significantly increased.
Conclusions
This meta-analysis and systematic review found a higher incidence of postoperative complications including anastomotic leaks and a higher re-admission rate. Risk profiling for diabetes prior to surgery and perioperative optimization for patients with diabetes is critical to improve surgical outcomes.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33386511</pmid><doi>10.1007/s10151-020-02373-9</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-0669-7307</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Anastomotic Leak - epidemiology Anastomotic Leak - etiology Colorectal Surgery Diabetes Diabetes Mellitus - epidemiology Digestive System Surgical Procedures Gastroenterology Humans Hyperglycemia Medicine Medicine & Public Health Meta-analysis Postoperative Complications - epidemiology Postoperative Complications - etiology Proctology Review Surgery Surgical outcomes Surgical Wound Infection - epidemiology Surgical Wound Infection - etiology |
| title | The influence of diabetes on postoperative complications following colorectal surgery |
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