Fewer cancellations, better care: Supporting patients with diabetes through surgery.

IF 0.9 Q3 SURGERY

Journal of perioperative practice Pub Date : 2026-07-01 Epub Date: 2026-04-15 DOI:10.1177/17504589261427976

Phoebe J Cope, Finn Highfield, Elizabeth Camfield, Charlotte Taylor, Aaisha Saqib

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引用次数: 0

Abstract

Background: Every year 15% of all operative procedures take place in people with diabetes. Suboptimal glycaemic control is associated with increased postoperative complications. This study aimed to identify why people with diabetes have their operations cancelled and introduce interventions to reduce the rate of cancellation.

Methods: A retrospective review of all adult people with diabetes with cancelled surgery in 2024 was completed in an inner-city teaching hospital. A new perioperative guideline for elective surgery in people with diabetes was implemented and cancellations were re-audited in June 2025.

Results: Postintervention 7% of cancellations were due to suboptimal diabetes control, with none occurring within 2 weeks of surgery (previously 10% and 63%). Prior to intervention, only 32% of patients proceeded to surgery within 1 year of initial cancellation.

Conclusion: People with diabetes experience significant delays to surgery; however, targeted perioperative guidelines enable early identification of suboptimal glycaemic control and reduced cancellations. This work highlights the importance of locally tailored perioperative pathways.

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更少的取消，更好的护理：通过手术支持糖尿病患者。

背景：每年15%的外科手术发生在糖尿病患者身上。血糖控制不理想与术后并发症增加有关。本研究旨在确定糖尿病患者手术取消的原因，并引入干预措施以降低手术取消率。方法：回顾性分析市内某教学医院2024年所有取消手术的成年糖尿病患者。2025年6月实施了糖尿病患者择期手术的新围手术期指南，并对取消手术进行了重新审核。结果：干预后7%的取消是由于糖尿病控制不佳，手术2周内没有发生（先前为10%和63%）。在干预之前，只有32%的患者在首次取消手术后1年内继续进行手术。结论：糖尿病患者手术延迟明显；然而，有针对性的围手术期指南可以早期识别次优血糖控制并减少取消。这项工作强调了局部定制围手术期路径的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of perioperative practice Nursing-Medical and Surgical Nursing

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： The Journal of Perioperative Practice (JPP) is the official journal of the Association for Perioperative Practice (AfPP). It is an international, peer reviewed journal with a multidisciplinary ethos across all aspects of perioperative care. The overall aim of the journal is to improve patient safety through informing and developing practice. It is an informative professional journal which provides current evidence-based practice, clinical, management and educational developments for practitioners working in the perioperative environment. The journal promotes perioperative practice by publishing clinical research-based articles, literature reviews, topical discussions, advice on clinical issues, current news items and product information.