{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T07:58:34Z","timestamp":1783065514143,"version":"3.54.6"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T00:00:00Z","timestamp":1595203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The development of pancreatogenic diabetes mellitus (PDM) is a common complication post\u2010pancreatectomy; however, its prevalence has not been described in Australia. We aimed to describe the glycaemic status pre\u2010 and post\u2010pancreatectomy, compare patients' clinical characteristics, group according to pre\u2010 and post\u2010pancreatectomy diabetes mellitus (DM) status and identify predictors of post\u2010operative PDM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed the medical records of patients admitted for pancreatic resection at a single institution from 2011 to 2017. Post\u2010operative DM status was determined at the time of discharge or at 30\u2009days post\u2010operation. Longer term DM onset was as documented in medical record subsequent to admission for pancreatic surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 137 cases were analysed; 13.3% and 24.8% of patients developed post\u2010operative PDM within 30\u2009days and at median of 1 year (range 1\u20134\u2009years) follow\u2010up, respectively. All patients with pre\u2010existing DM continued to have DM post\u2010operatively. Patients with pre\u2010existing DM were older (<jats:italic>P<\/jats:italic> = 0.004) and had a family history of DM (<jats:italic>P<\/jats:italic> = 0.020); 8.3% of patients who had undergone pancreaticoduodenectomy versus 17.1% of patients who had undergone distal pancreatectomy developed PDM (<jats:italic>P<\/jats:italic> = 0.318). A lower estimated glomerular filtration rate (<jats:italic>P<\/jats:italic> = 0.033) was significantly associated with post\u2010operative PDM development. No independent predictors for post\u2010operative PDM were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The new development of DM within 30\u2009days post\u2010pancreatectomy occurs in approximately one in seven persons. No patients with pre\u2010existing DM demonstrated a remission of DM post\u2010pancreatectomy. These findings suggest that all patients should be screened for DM pre\u2010operatively and followed up post\u2010operatively, particularly those with pre\u2010existing impaired renal function.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16129","type":"journal-article","created":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T05:54:31Z","timestamp":1595310871000},"page":"2004-2010","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Diabetes\u2010related outcomes after pancreatic surgery"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2149-6901","authenticated-orcid":false,"given":"Cynthia Ying Chian","family":"Lee","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Depczynski","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Prince of Wales Hospital and Community Health Services  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Poynten","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Prince of Wales Hospital and Community Health Services  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koroush S.","family":"Haghighi","sequence":"additional","affiliation":[{"name":"Department of General Surgery Prince of Wales Hospital and Community Health Services  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-018-04084-x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-017-4204-3"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199905000-00012"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-008-0560-5"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000328785"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-015-3228-9"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000009404"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2008.01.039"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-013-3095-2"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/db16-1477"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-014-2669-z"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.18632\/oncotarget.24325"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-012-2039-7"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.02.010"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00592-014-0614-y"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313481107700823"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-012-2577-y"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2015.11.003"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc17-S017"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1152\/ajprenal.00340.2016"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI86181"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(16)30106-6"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2260"},{"key":"e_1_2_7_25_1","first-page":"1","article-title":"Diabetes care after pancreatic surgery","volume":"23","author":"Woodcock L","year":"2019","journal-title":"J. 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