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Duke University Medical Center Perioperative Diabetes Management Program.

Tara A Lenk1, John Whittle1, Solomon Aronson1

  • 1Duke University Medical Center, Durham, NC.

Clinical Diabetes : a Publication of the American Diabetes Association
|May 14, 2021
PubMed
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This quality improvement project successfully identified surgical patients with uncontrolled diabetes early. Early identification improved perioperative glycemic control and surgical outcomes for patients with diabetes.

Area of Science:

  • Endocrinology
  • Surgical Care
  • Quality Improvement

Background:

  • Uncontrolled diabetes in surgical patients is associated with poor perioperative outcomes.
  • Early identification of surgical patients with uncontrolled diabetes is crucial for effective management.
  • Existing preoperative processes may not consistently identify all patients with uncontrolled diabetes.

Purpose of the Study:

  • To describe a project aimed at early identification of surgical patients with uncontrolled diabetes.
  • To improve perioperative glycemic control in this patient population.
  • To enhance surgical outcomes for patients with diabetes undergoing surgery.

Main Methods:

  • Implementation of a targeted screening process for uncontrolled diabetes in surgical patients.

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  • Integration of screening into the early preoperative workflow.
  • Multidisciplinary approach involving surgical and endocrine teams.
  • Main Results:

    • Successful identification of a significant number of surgical patients with previously unrecognized uncontrolled diabetes.
    • Demonstrated improvement in perioperative glycemic control metrics.
    • Observed positive trends in surgical outcomes for the identified patient group.

    Conclusions:

    • Early identification of uncontrolled diabetes in surgical patients is feasible and beneficial.
    • Targeted preoperative screening improves glycemic control and surgical outcomes.
    • This quality improvement initiative offers a model for other academic medical centers.