title: Management of patients with diabetes mellitus referred for elective surgery from primary care: the challenge of the 18 weeks pathway.
abstract: A retrospective audit of diabetes glycaemic control optimisation in one primary care practice prior to elective surgery was undertaken. Collected data included: demographics, glycosylated haemoglobin A1c (HbA1c) records, evidence of diabetes related glycaemic control optimisation. Of the 82 patients in this study only 46 had an HbA1c measured pre-operatively and only 8 had a review with the practice nurse to optimise glycaemic control. Actions arising from quality improvement programmes are needed to optimise glycaemic control in diabetic patients undergoing elective surgery.
authors.affiliation: Morriston Hospital, Swansea.
authors.forename: Jakub
authors.initials: J
authors.lastname: Kaczynski
authors.forename: Julie
authors.initials: J
authors.lastname: May
authors.forename: Iwona
authors.initials: I
authors.lastname: Pogoda
authors.forename: Gordon
authors.initials: G
authors.lastname: Caldwell
mesh_terms: D000368:Aged; D054869:Clinical Audit; D003922:Diabetes Mellitus, Type 1 / Q000378:metabolism / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000378:metabolism / Q000628:therapy*; D017558:Elective Surgical Procedures / Q000706:statistics & numerical data; D004739:England; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D009722:Nurse Practitioners; D011300:Preoperative Care / Q000379:methods* / Q000451:nursing / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000458:organization & administration*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D017749:Total Quality Management
chemical_list: D006442:Glycated Hemoglobin