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Major gaps between recommended perioperative diabetes care and current practice

  • Inge Hommel
    Correspondence
    Corresponding author at: Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, PO Box 9101, Post 114, 6500 HB, Nijmegen, The Netherlands. Tel.: +31 243615305; fax: +31 24 3540166.
    Affiliations
    Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, PO Box 9101, Post 114, 6500 HB, Nijmegen, The Netherlands
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  • Petra J. van Gurp
    Affiliations
    Department of General Internal Medicine, Radboud Institute for Health Sciences, Radboud University Medical Center, PO Box 9101, Post 463, 6500 HB, Nijmegen, The Netherlands
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  • Cees J. Tack
    Affiliations
    Department of General Internal Medicine, Radboud Institute for Health Sciences, Radboud University Medical Center, PO Box 9101, Post 463, 6500 HB, Nijmegen, The Netherlands
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  • Reinier P. Akkermans
    Affiliations
    Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, PO Box 9101, Post 114, 6500 HB, Nijmegen, The Netherlands
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  • Hub Wollersheim
    Affiliations
    Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, PO Box 9101, Post 114, 6500 HB, Nijmegen, The Netherlands
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  • Marlies E.J.L. Hulscher
    Affiliations
    Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, PO Box 9101, Post 114, 6500 HB, Nijmegen, The Netherlands
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      Surgery for patients with diabetes is associated with longer hospital stay, more use of healthcare resources and increased perioperative morbidity and mortality compared to patients without diabetes [
      • Frisch A.
      • Chandra P.
      • Smiley D.
      • et al.
      Prevalence and clinical outcome of hyperglycemia in the perioperative period in noncardiac surgery.
      ,
      • Estrada C.A.
      • Young J.A.
      • Nifong L.W.
      • Chitwood Jr., W.R.
      Outcomes and perioperative hyperglycemia in patients with or without diabetes mellitus undergoing coronary artery bypass grafting.
      ]. This may – in part – be explained by suboptimal perioperative diabetes care.
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      References

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        • Chandra P.
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        • Estrada C.A.
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