Improving the outcomes for people with diabetes undergoing surgery: An observational study of the Improving the Peri-operative Pathway of People with Diabetes (IP3D) intervention
Authors' conclusion
The IP3D intervention has the potential to increase efficiency and reduce waiting lists for elective surgery on a nationwide basis.
Study context
- Population
- People with diabetes undergoing elective surgery, 8 hospitals in England
- Participants
- 1,164 vs 1,837
- Exposure
- Post-implementation of IP3D intervention vs pre-implementation
- Post-implementationn = 1,164
- Pre-implementationn = 1,837reference
- Outcome
- Change in LOS
Methodological detailsmulticentre, routinely collected data, pre- vs post-implementation
- Multicentre
- Routinely collected data
- Pre- vs post-implementation
Main finding
As reported in the abstract
LOS (in-patients)
Observational data: associations, not effects.
Further findings
Day-case surgery
Patient experience
- Significant improvement in patient experience post-implementation
Safety
Peri-operative complications
- Significant improvements in hypo- and hyperglycaemic events, wound complications and diabetes related complications
Original publication
Improving the outcomes for people with diabetes undergoing surgery: An observational study of the Improving the Peri-operative Pathway of People with Diabetes (IP3D) intervention. Diabetes Res Clin Pract. Published 16 December 2023. doi:10.
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