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European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

26.04.2024 | Original Article

Role of insulin-dependent and non-insulin-dependent diabetes in aseptic revision total shoulder arthroplasty

verfasst von: Rachel A. Loyst, Steven H. Liu, Patricia Cerri-Droz, William Leatherwood, David E. Komatsu, Edward D. Wang

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 5/2024

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Abstract

Purpose

This study investigates the association between insulin-dependent and non-insulin-dependent diabetes and 30-day postoperative complications following aseptic revision total shoulder arthroplasty (TSA).

Methods

The American College of Surgeons National Surgical Quality Improvement Program database was queried for all patients who underwent aseptic revision TSA from 2015 to 2021. The study population was divided into three groups based on diabetic status: nondiabetes, insulin-dependent diabetes, and non-insulin-dependent diabetes. Logistic regression analysis was conducted to investigate the relationship between diabetic status and postoperative complications.

Results

Compared to nondiabetes, insulin-dependent diabetes was independently associated with a significantly greater likelihood of experiencing any complication (OR 1.59, 95% CI 1.08–2.35; P = 0.020) and LOS > 2 days (OR 1.73, 95% CI 1.13–2.65; P = 0.012). Compared to nondiabetes, non-insulin-dependent diabetes was not independently associated with a significantly greater likelihood of experiencing complications. Preoperative insulin-dependent diabetic status was significantly associated with a greater rate of early postoperative complications following aseptic revision TSA, while preoperative non-insulin-dependent diabetic status was not.

Conclusion

Preoperative insulin-dependent diabetic status was significantly associated with a greater rate of early postoperative complications following aseptic revision TSA. A better understanding of the role diabetes, both insulin-dependent and non-insulin-dependent, as a risk factor may help physicians better risk stratify and select surgical candidates for revision TSA.

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Titel: Role of insulin-dependent and non-insulin-dependent diabetes in aseptic revision total shoulder arthroplasty
verfasst von: Rachel A. Loyst
Steven H. Liu
Patricia Cerri-Droz
William Leatherwood
David E. Komatsu
Edward D. Wang
Publikationsdatum: 26.04.2024
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 5/2024
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-024-03954-2

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Role of insulin-dependent and non-insulin-dependent diabetes in aseptic revision total shoulder arthroplasty