{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T20:47:59Z","timestamp":1773607679132,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T00:00:00Z","timestamp":1554768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T00:00:00Z","timestamp":1554768000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T00:00:00Z","timestamp":1554768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T00:00:00Z","timestamp":1554768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare complications after shoulder arthroscopy in patients with insulin\u2010dependent diabetes mellitus (IDDM), patients with non\u2013insulin\u2010dependent diabetes mellitus (NIDDM), and nondiabetic patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program database for the years 2005 to 2016 was conducted. Logistic regression analyses were used to assess the relation between diabetic status (nondiabetic patients, n\u00a0= 50,626; NIDDM patients, n\u00a0= 5,332; and IDDM patients, n\u00a0= 2,484) and outcomes. Multivariate models were established to adjust for age, sex, body mass index, hypertension, congestive heart failure, chronic obstructive pulmonary disease, smoking status, American Society of Anesthesiologists classification, and functional status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients with IDDM were at a higher risk of medical complications, with an adjusted odds ratio (AOR) of 1.524 (95% confidence interval [CI], 1.082\u20102.147), including pulmonary complications (AOR, 2.078; 95% CI, 1.089\u20103.964) and urinary tract infections (AOR, 2.129; 95% CI, 1.027\u20104.415). Patients with IDDM also had a higher risk of 30\u2010day hospital admission (AOR, 1.581; 95% CI, 1.153\u20102.169) and 30\u2010day mortality (AOR, 3.821; 95% CI, 1.243\u201011.750). Conversely, patients with NIDDM had comparable risks of medical and surgical complications, unplanned hospital admission, and death to nondiabetic patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Medical complications, 30\u2010day hospital admission, and death after shoulder arthroscopy were more likely in patients with IDDM. These risks diminished among patients with NIDDM, with their risks being comparable with those of nondiabetic patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparison study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2018.11.059","type":"journal-article","created":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T18:09:21Z","timestamp":1554833361000},"page":"1316-1321","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Insulin Dependence Is Associated With Increased Medical Complications and Mortality After Shoulder Arthroscopy"],"prefix":"10.1002","volume":"35","author":[{"given":"Sophia A.","family":"Traven","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Medical University of South Carolina Charleston South Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell A.","family":"Reeves","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Medical University of South Carolina Charleston South Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeke J.","family":"Walton","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Medical University of South Carolina Charleston South Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane K.","family":"Woolf","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Medical University of South Carolina Charleston South Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harris S.","family":"Slone","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Medical University of South Carolina Charleston South Carolina 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