Variability of Clinical Practice Management of Type 1 and Type 2 Diabetes During Surgery Across Canada.
Can J Diabetes
; 45(6): 519-523.e2, 2021 Aug.
Article
en En
| MEDLINE
| ID: mdl-33358540
ABSTRACT
OBJECTIVE:
As part of a larger project to develop quality standards in perioperative diabetes management, the goal of this project was to assess self-reported management of surgical patients with diabetes across healthcare institutions and specialties in Canada.METHODS:
Current practice of perioperative management of patients with diabetes was assessed using multiple-choice questions based on commonly encountered clinical scenarios involving patients with type 1 and type 2 diabetes. The survey was sent to a broad stakeholder group of individuals involved in perioperative medicine in academic and community settings across Canada.RESULTS:
Responses to clinical case scenarios demonstrated more consistent approaches for patients with type 1 diabetes undergoing cardiac surgery, possibly reflecting more robust evidence. There was more variability in the management of noninsulin antihyperglycemic agents and hyperglycemia in patients with type 2 diabetes undergoing noncardiac surgery.CONCLUSIONS:
Given the variability in clinical practice, standards and clinical tools are required for perioperative and periprocedural glycemic management in Canada to inform practice, improve the experience and outcomes for people with diabetes and provide a foundation for quality improvement initiatives and benchmarking.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Manejo de Atención al Paciente
/
Diabetes Mellitus Tipo 1
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Diabetes Mellitus Tipo 2
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Procedimientos Quirúrgicos Cardíacos
Tipo de estudio:
Guideline
Límite:
Aged
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Female
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Humans
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Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Can J Diabetes
Año:
2021
Tipo del documento:
Article