Evidence map›Paper›PMID 26417892›Full record

ArticleAnaesthesia2015

Peri-operative management of the surgical patient with diabetes 2015: Association of Anaesthetists of Great Britain and Ireland.

Membership of the Working Party, P Barker, P E Creasey, K Dhatariya, N Levy, A Lipp, M H Nathanson, N Penfold, B Watson, T Woodcock

Erratum issued Registry-linked trialAbstract readLetter
PubMed Full text at PMC Publisher
In one paragraph

Article in Anaesthesia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03816488 (Oral Peri-operative TIming of Metformin), which is not on this map. Cited by 71 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03816488 phase1withdrawnstarted 2023, after this paper: background citation

Oral Peri-operative TIming of Metformin (or) Salsalate to Improve Non-cardiac Surgery Glucose Control - A Placebo-Controlled Internal Feasibility Trial

Ran2023Enrolled0Registered outcomes5Posted comparisons0ConditionsDiabetes Mellitus, Type 2, Hyperglycemia, Perioperative/Postoperative Complications, Salsalate to Improve Non-cardiac Surgery Glucose ControlArmsMetformin, Salsalate
PMID 27554471PMID 20435798PMID 26957107other papers from this trial
Open the trial in the graph
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Membership of the Working Party
P Barker
P E Creasey
K DhatariyaJoint British Diabetes Societies Inpatient Care Group.
N Levy
A LippBritish Association of Day Surgery.
M H Nathanson
N PenfoldRoyal College of Anaesthetists.
B Watson
T Woodcock

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetes affects 10-15% of the surgical population and patients with diabetes undergoing surgery have greater complication rates, mortality rates and length of hospital stay. Modern management of the surgical patient with diabetes focuses on: thorough pre-operative assessment and optimisation of their diabetes (as defined by a HbA1c < 69 mmol.mol(-1) ); deciding if the patient can be managed by simple manipulation of pre-existing treatment during a short starvation period (maximum of one missed meal) rather than use of a variable-rate intravenous insulin infusion; and safe use of the latter when it is the only option, for example in emergency patients, patients expected not to return to a normal diet immediately postoperatively, and patients with poorly controlled diabetes. In addition, it is imperative that communication amongst healthcare professionals and between them and the patient is accurate and well informed at all times. Most patients with diabetes have many years of experience of managing their own care. The purpose of this guideline is to provide detailed guidance on the peri-operative management of the surgical patient with diabetes that is specific to anaesthetists and to ensure that all current national guidance is concordant.

Indexed as

Practice Guidelines as TopicPreoperative CareAnesthesiaDiabetes MellitusFluid TherapyHumansInsulinIntraoperative CareIrelandMonitoring, IntraoperativeUnited KingdomInsulin

Identifiers

PMID26417892
PMCPMC5054917

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.