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Goltsman D, Morrison KA, Ascherman JA. Defining the Association between Diabetes and Plastic Surgery Outcomes: An Analysis of Nearly 40,000 Patients. Plast Reconstr Surg Glob Open. 2017;5(8):e1461doi: 10.1097/GOX.0000000000001461.
Goltsman, D., Morrison, K. A., & Ascherman, J. A. (2017). Defining the Association between Diabetes and Plastic Surgery Outcomes: An Analysis of Nearly 40,000 Patients. Plastic and reconstructive surgery. Global open, 5(8), e1461. https://doi.org/10.1097/GOX.0000000000001461
Goltsman, David, et al. "Defining the Association between Diabetes and Plastic Surgery Outcomes: An Analysis of Nearly 40,000 Patients." Plastic and reconstructive surgery. Global open vol. 5,8 (2017): e1461. doi: https://doi.org/10.1097/GOX.0000000000001461
Goltsman D, Morrison KA, Ascherman JA. Defining the Association between Diabetes and Plastic Surgery Outcomes: An Analysis of Nearly 40,000 Patients. Plast Reconstr Surg Glob Open. 2017 Aug 17;5(8):e1461. doi: 10.1097/GOX.0000000000001461. eCollection 2017 Aug. PMID: 28894673; PMCID: PMC5585446.
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Plast Reconstr Surg Glob Open. 2017 Aug 17;5(8):e1461. doi: 10.1097/GOX.0000000000001461. eCollection 2017 Aug.

Defining the Association between Diabetes and Plastic Surgery Outcomes: An Analysis of Nearly 40,000 Patients.

Plastic and reconstructive surgery. Global open

David Goltsman, Kerry A Morrison, Jeffrey A Ascherman

Affiliations

  1. Division of Plastic Surgery, Department of Surgery, Columbia University College of Physicians and Surgeons, Columbia University Medical Center, New York Presbyterian Hospital, New York, N.Y.; and Department of Plastic Surgery, Prince of Wales Hospital, Sydney, New South Wales, Australia.

PMID: 28894673 PMCID: PMC5585446 DOI: 10.1097/GOX.0000000000001461

Abstract

BACKGROUND: Diabetes is an increasingly prevalent comorbidity in patients presenting for surgery, impacting nearly 14% of adults in the United States. Although it is known that diabetic patients are at an increased risk for postoperative complications, there is a paucity of literature on the specific ramifications of diabetes on different surgical procedures.

METHODS: Using the American College of Surgeons National Surgical Quality Improvement Program dataset, demographics, outcomes, and length of in-patient hospitalization were examined for patients who underwent plastic surgery between 2007 and 2012. Adjusted multivariable logistic regression models were used to assess the relationship between diabetes status and a spectrum of medical and surgical postoperative outcomes.

RESULTS: Thirty-nine thousand four hundred seventy-five plastic surgery patients were identified, including 1,222 (3.10%) with insulin-dependent diabetes mellitus (IDDM) and 1,915 (4.75%) with non-insulin-dependent diabetes mellitus (NIDDM), who had undergone breast, hand/upper and lower extremity, abdominal, or craniofacial procedures. Logistic regression analyses showed that only insulin-dependent diabetics had a higher likelihood of surgical complications (IDDM:

CONCLUSIONS: Diabetes is associated with an increase in a multitude of postoperative complications and in hospital length of stay, in patients undergoing plastic surgery. Diabetes status should thus be evaluated and addressed when counseling patients preoperatively. Risks may be further stratified based on IDDM versus NIDDM status.

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