{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T08:49:44Z","timestamp":1790412584688,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,6,13]],"date-time":"2020-06-13T00:00:00Z","timestamp":1592006400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We assessed the performance of the factory\u2010calibrated, sixth\u2010generation continuous glucose monitoring (CGM) system Dexcom G6\u00ae (DexCom Inc., San Diego, California) during elective abdominal surgery. Twenty adults with (pre)diabetes undergoing abdominal surgery (&gt;2 hours; 15 men, age 69\u2009\u00b1\u200913\u2009years, glycated haemoglobin 53 \u00b1\u200914 mmol\/mol) wore the sensor from 1 week prior to surgery until hospital discharge. From induction of anaesthesia until 2 hours post\u2010surgery, reference capillary glucose values were obtained every 20\u2009minutes using the Accu\u2010Chek\u00ae Inform II meter (Roche Diabetes Care, Mannheim, Germany). The primary endpoint was the mean absolute relative difference (ARD) between sensor and reference method during this period. In total, 1207 CGM\/reference pairs were obtained. In the peri\u2010operative period (523 pairs), mean\u2009\u00b1\u2009SD and median (interquartile range [IQR]) ARD were 12.7%\u2009\u00b1\u20098.7% and 9.9 (6.3;15.9)%, respectively, and 67.4% of sensor readings were within International Organization of Standardization 15197:2013 limits. CGM overestimated reference glucose by 1.1 \u00b1\u20090.8\u2009mmol\/L (95% limits of agreement \u22120.5;2.7\u2009mmol\/L). Clarke error grid zones A or B contained 99.2% of pairs (A: 78.8%; B: 20.4%). The median (IQR) peri\u2010operative sensor availability was 98.6 (95.9;100.0)%. No clinically significant adverse events occurred. In conclusion, the Dexcom G6 device showed consistent and acceptable accuracy during elective abdominal surgery, opening new avenues for peri\u2010operative glucose management.<\/jats:p>","DOI":"10.1111\/dom.14073","type":"journal-article","created":{"date-parts":[[2020,6,13]],"date-time":"2020-06-13T05:01:50Z","timestamp":1592024510000},"page":"1678-1682","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Performance of a factory\u2010calibrated, real\u2010time continuous glucose monitoring system during elective abdominal surgery"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6096-0009","authenticated-orcid":false,"given":"Afroditi","family":"Tripyla","sequence":"first","affiliation":[{"name":"Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism Inselspital, Bern University Hospital, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Herzig","sequence":"additional","affiliation":[{"name":"Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism Inselspital, Bern University Hospital, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dehais","family":"Joachim","sequence":"additional","affiliation":[{"name":"Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism Inselspital, Bern University Hospital, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christos T.","family":"Nakas","sequence":"additional","affiliation":[{"name":"School of Agricultural Sciences, Laboratory of Biometry University of Thessaly  Volos Greece"},{"name":"University Institute of Clinical Chemistry Inselspital, Bern University Hospital, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franziska","family":"Amiet","sequence":"additional","affiliation":[{"name":"University Institute of Clinical Chemistry Inselspital, Bern University Hospital, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Andreou","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery and Medicine Inselspital, Bern University Hospital, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beat","family":"Gloor","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery and Medicine Inselspital, Bern University Hospital, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Vogt","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Pain Medicine Inselspital, Bern University Hospital, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1993-7672","authenticated-orcid":false,"given":"Lia","family":"Bally","sequence":"additional","affiliation":[{"name":"Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism Inselspital, Bern University Hospital, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.06.212"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc17-2046"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-1407"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-146-4-200702200-00002"},{"key":"e_1_2_8_6_1","unstructured":"U.S. Food and Drug Administration. FDA authorizes first fully interoperable continuous glucose monitoring system streamlines review pathway for similar devices.https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-authorizes-first-fully-interoperable-continuous-glucose-monitoring-system-streamlines-review. Accessed April 6 2020."},{"key":"e_1_2_8_7_1","unstructured":"International Organization for Standardization. ISO15197:2013 in vitro diagnostic test systems: requirements for in vitro blood glucose monitoring systems for self\u2010testing in managing diabetes mellitus.https:\/\/www.iso.org\/standard\/54976.html. 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