{"id":"https://openalex.org/W3017051653","doi":"https://doi.org/10.1111/dme.14307","title":"Improving the peri\u2010operative pathway of people with diabetes undergoing elective surgery: the IP3D project","display_name":"Improving the peri\u2010operative pathway of people with diabetes undergoing elective surgery: the IP3D project","publication_year":2020,"publication_date":"2020-04-16","ids":{"openalex":"https://openalex.org/W3017051653","doi":"https://doi.org/10.1111/dme.14307","mag":"3017051653","pmid":"https://pubmed.ncbi.nlm.nih.gov/32297351"},"language":"en","primary_location":{"id":"doi:10.1111/dme.14307","doi":"https://doi.org/10.1111/dme.14307","is_oa":false,"landing_page_url":"https://doi.org/10.1111/dme.14307","pdf_url":null,"source":{"id":"https://openalex.org/S72944096","display_name":"Diabetic Medicine","issn_l":"0742-3071","issn":["0742-3071","1096-9136","1464-5491"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetic Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5073540906","display_name":"Emma Page","orcid":"https://orcid.org/0000-0002-6998-7064","observed_orcids":["https://orcid.org/0000-0002-6998-7064"]},"institutions":[{"id":"https://openalex.org/I4210101239","display_name":"East Suffolk and North Essex NHS Foundation Trust","ror":"https://ror.org/019g08z42","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210101239"]},{"id":"https://openalex.org/I4210160269","display_name":"Ipswich Hospital","ror":"https://ror.org/05m3qrs33","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210101239","https://openalex.org/I4210160269"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"E. Page","raw_affiliation_strings":["East Suffolk and North Essex NHS Foundation Trust Ipswich Hospital Ipswich UK"],"raw_orcid":"https://orcid.org/0000-0002-6998-7064","affiliations":[{"raw_affiliation_string":"East Suffolk and North Essex NHS Foundation Trust Ipswich Hospital Ipswich UK","institution_ids":["https://openalex.org/I4210101239","https://openalex.org/I4210160269"]}]},{"author_position":"middle","author":{"id":null,"display_name":"R. Allen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210101239","display_name":"East Suffolk and North Essex NHS Foundation Trust","ror":"https://ror.org/019g08z42","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210101239"]},{"id":"https://openalex.org/I4210160269","display_name":"Ipswich Hospital","ror":"https://ror.org/05m3qrs33","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210101239","https://openalex.org/I4210160269"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"R. Allen","raw_affiliation_strings":["East Suffolk and North Essex NHS Foundation Trust Ipswich Hospital Ipswich UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"East Suffolk and North Essex NHS Foundation Trust Ipswich Hospital Ipswich UK","institution_ids":["https://openalex.org/I4210101239","https://openalex.org/I4210160269"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085345849","display_name":"Frances Wensley","orcid":"https://orcid.org/0000-0003-4371-5340","observed_orcids":["https://orcid.org/0000-0003-4371-5340"]},"institutions":[{"id":"https://openalex.org/I2802965805","display_name":"University Hospital Southampton NHS Foundation Trust","ror":"https://ror.org/0485axj58","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802965805"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"F. Wensley","raw_affiliation_strings":["University Hospitals Southampton NHS Trust Southampton UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospitals Southampton NHS Trust Southampton UK","institution_ids":["https://openalex.org/I2802965805"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5015319215","display_name":"Gerry A. Rayman","orcid":"https://orcid.org/0000-0003-3331-7015","observed_orcids":["https://orcid.org/0000-0003-3331-7015"]},"institutions":[{"id":"https://openalex.org/I4210101239","display_name":"East Suffolk and North Essex NHS Foundation Trust","ror":"https://ror.org/019g08z42","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210101239"]},{"id":"https://openalex.org/I4210160269","display_name":"Ipswich Hospital","ror":"https://ror.org/05m3qrs33","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210101239","https://openalex.org/I4210160269"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"G. Rayman","raw_affiliation_strings":["East Suffolk and North Essex NHS Foundation Trust Ipswich Hospital Ipswich UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"East Suffolk and North Essex NHS Foundation Trust Ipswich Hospital Ipswich UK","institution_ids":["https://openalex.org/I4210101239","https://openalex.org/I4210160269"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5015319215"],"corresponding_institution_ids":["https://openalex.org/I4210101239","https://openalex.org/I4210160269"],"apc_list":{"value":4400,"currency":"USD","value_usd":4400},"apc_paid":null,"fwci":1.1763,"has_fulltext":false,"cited_by_count":13,"citation_normalized_percentile":{"value":0.77972581,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":97},"biblio":{"volume":"37","issue":"12","first_page":"2019","last_page":"2026"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11623","display_name":"Hyperglycemia and glycemic control in critically ill and hospitalized patients","score":0.9541000127792358,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11623","display_name":"Hyperglycemia and glycemic control in critically ill and hospitalized patients","score":0.9541000127792358,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12020","display_name":"Enhanced Recovery After Surgery","score":0.033399999141693115,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.00279999990016222,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9509999752044678},{"id":"https://openalex.org/keywords/elective-surgery","display_name":"elective surgery","score":0.9179999828338623},{"id":"https://openalex.org/keywords/hypoglycemia","display_name":"hypoglycemia","score":0.8349999785423279},{"id":"https://openalex.org/keywords/hyperglycemia","display_name":"hyperglycemia","score":0.9100000262260437},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8560000061988831},{"id":"https://openalex.org/keywords/30-day-readmission","display_name":"30-day readmission","score":0.9459999799728394},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.9990000128746033},{"id":"https://openalex.org/keywords/wound-infection","display_name":"wound infection","score":0.7620000243186951},{"id":"https://openalex.org/keywords/wound-healing","display_name":"wound healing","score":0.6610000133514404},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.4320000112056732}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9537248611450195},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.8903528451919556},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.665815532207489},{"id":"https://openalex.org/C2778374610","wikidata":"https://www.wikidata.org/wiki/Q1542990","display_name":"Peri","level":2,"score":0.5440548658370972},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.4929313659667969},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4054754078388214},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.32037824392318726},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.14078417420387268},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000072184","descriptor_name":"Nurse Specialists","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000085002","descriptor_name":"Glycemic Control","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000378","qualifier_name":"metabolism","is_major_topic":false},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006442","descriptor_name":"Glycated Hemoglobin","qualifier_ui":"Q000378","qualifier_name":"metabolism","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007003","descriptor_name":"Hypoglycemia","qualifier_ui":"Q000139","qualifier_name":"chemically induced","is_major_topic":false},{"descriptor_ui":"D007003","descriptor_name":"Hypoglycemia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D013527","descriptor_name":"Perioperative Nursing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013530","descriptor_name":"Surgical Wound Infection","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D017558","descriptor_name":"Elective Surgical Procedures","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019990","descriptor_name":"Perioperative Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D019990","descriptor_name":"Perioperative Care","qualifier_ui":"Q000451","qualifier_name":"nursing","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/dme.14307","doi":"https://doi.org/10.1111/dme.14307","is_oa":false,"landing_page_url":"https://doi.org/10.1111/dme.14307","pdf_url":null,"source":{"id":"https://openalex.org/S72944096","display_name":"Diabetic Medicine","issn_l":"0742-3071","issn":["0742-3071","1096-9136","1464-5491"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetic Medicine","raw_type":"journal-article"},{"id":"pmid:32297351","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32297351","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetic medicine : a journal of the British Diabetic Association","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[{"id":"https://openalex.org/G2179294562","display_name":null,"funder_award_id":"ACF-2019-26-006","funder_id":"https://openalex.org/F4320319990","funder_display_name":"National Institute for Health and Care Research"}],"funders":[{"id":"https://openalex.org/F4320319990","display_name":"National Institute for Health and Care Research","ror":"https://ror.org/0187kwz08"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W1999713752","https://openalex.org/W2088624742","https://openalex.org/W2162502328","https://openalex.org/W2460753955","https://openalex.org/W2566185290","https://openalex.org/W2619834389","https://openalex.org/W2624669122","https://openalex.org/W2754167328","https://openalex.org/W2778361295","https://openalex.org/W2954657168"],"related_works":["https://openalex.org/W4389833618","https://openalex.org/W2883434173","https://openalex.org/W4385457519","https://openalex.org/W3047687098","https://openalex.org/W7167590403","https://openalex.org/W4281619214","https://openalex.org/W4200270548","https://openalex.org/W7214702924","https://openalex.org/W2808803654","https://openalex.org/W4415781205"],"abstract_inverted_index":{"AIM:":[0],"To":[1],"determine":[2],"whether":[3],"outcomes":[4,240],"for":[5,34,116,137,241,251,260],"people":[6,30,174,242],"with":[7,31,41,243,248],"diabetes":[8,32,71,78,85,93,109,141,244],"undergoing":[9,245],"elective":[10,35,246],"surgery":[11,36,72,117,247],"improve":[12],"following":[13],"the":[14,19,81,119,130,140,167,249],"introduction":[15],"of":[16,28,44,51,60,69,76,83,91,112,134,170,186,218],"innovations":[17],"in":[18,53,173],"peri-operative":[20,63,94,108,142,239,261],"care":[21,262],"pathway.":[22],"METHODS:":[23],"Following":[24],"a":[25,42,49,61,70,92,216,264],"baseline":[26],"audit":[27],"185":[29],"listed":[33,115],"(July":[37,122],"to":[38,65,123],"December":[39,124],"2017)":[40],"length":[43,185],"stay":[45,188],">":[46],"24":[47],"hours,":[48],"number":[50,169],"changes":[52],"practice":[54],"were":[55,126],"implemented.":[56],"These":[57,254],"included":[58,98],"dissemination":[59],"'diabetes":[62],"passport'":[64],"participants":[66],"preoperatively,":[67],"formation":[68],"working":[73],"group,":[74],"recruitment":[75,90],"surgical":[77,84],"champions":[79],"and":[80,100,103,166,226],"roll-out":[82],"study":[86],"days.":[87],"Crucial":[88],"was":[89],"nurse,":[95],"whose":[96],"role":[97],"engaging":[99],"educating":[101],"others":[102],"supporting":[104],"individuals":[105,114],"throughout":[106],"their":[107],"care.":[110],"Records":[111],"166":[113],"during":[118],"implementation":[120],"period":[121],"2018)":[125],"then":[127],"audited":[128],"using":[129],"same":[131],"methodology.":[132],"RESULTS:":[133],"those":[135],"seen":[136],"optimizations":[138],"by":[139],"nurse":[143],"significantly":[144,158,189,209],"decreased":[145,159,190,210],"[84":[146],"mmol/mol":[147,151],"(9.8%)":[148],"vs":[149,161,180,192,204,212,230],"62":[150],"(7.8%);":[152],"P":[153,163],"\u2264":[154],"0.001].":[155],"Recurrent":[156],"hypoglycaemia":[157],"(7.0%":[160],"0.6%;":[162],"=":[164],"0.002)":[165],"mean":[168,184],"hyperglycaemic":[171],"events":[172],"experiencing":[175],"hyperglycaemia":[176],"almost":[177],"halved":[178],"(3.0":[179],"1.7;":[181],"P=0.007).":[182],"The":[183,234],"hospital":[187],"(4.8":[191],"3.3":[193],"days;":[194],"P=0.001)":[195],"and,":[196],"crucially,":[197],"30-day":[198],"readmissions":[199],"did":[200],"not":[201],"increase":[202],"(12%":[203,229],"9%;":[205],"P=0.307).":[206],"Postoperative":[207],"complications":[208],"(28%":[211],"16%;":[213],"P=0.008),":[214],"including":[215],"composite":[217],"dysglycaemic":[219],"complications,":[220],"poor":[221],"wound":[222,224],"healing,":[223],"infection":[225],"other":[227],"infections":[228],"5.4%;":[231],"P=0.023).":[232],"CONCLUSION:":[233],"new":[235],"pathway":[236],"improved":[237],"important":[238,258],"potential":[250],"cost":[252],"savings.":[253],"findings":[255],"could":[256],"have":[257],"implications":[259],"on":[263],"wider":[265],"scale.":[266]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-04-24T00:00:00"}