{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T04:38:52Z","timestamp":1792471132280,"version":"4.5.0"},"reference-count":39,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The detrimental impact of perioperative hyperglycaemia on surgical outcomes is well documented. However, economic evaluations on interventions to improve perioperative blood glucose management are lacking. This study aimed to assess the cost\u2010effectiveness of a multidisciplinary pre\u2010operative diabetes service compared with usual care in adults with diabetes undergoing elective non\u2010cardiac surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>An economic evaluation was conducted using data from a 3\u2010year prospective interventional study involving adults with sub\u2010optimally managed diabetes who were scheduled for elective non\u2010cardiac surgery. Analysis was from a healthcare institution perspective. A decision analytic model was used to compare healthcare costs and outcomes between an intervention arm receiving multidisciplinary pre\u2010operative diabetes input and a simulated usual care arm. Model inputs were derived from the interventional study, National Surgical Quality Improvement Program (NSQIP) data and published literature. Univariate and probabilistic sensitivity analyses were performed to assess the robustness of the model outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The intervention arm had a lower modelled incidence of 30\u2010day post\u2010operative infection\u2010related readmissions and lower total costs per patient compared with the usual care arm. The intervention avoided 7 readmissions per 100 patients treated and generated cost savings of A$3967 per patient (total cost intervention: A$8335 vs. total cost usual care: $12\u2009302). Probabilistic sensitivity analysis revealed an 89.5% probability that the intervention would remain dominant, with lower costs and fewer post\u2010operative infection\u2010related readmissions than usual care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In adults awaiting elective non\u2010cardiac surgery, a multidisciplinary pre\u2010operative diabetes service represents a cost\u2010effective strategy compared with usual care from a healthcare institution perspective.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.71139","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T01:56:51Z","timestamp":1785290211000},"page":"9367-9376","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Economic Impact of Multidisciplinary Pre\u2010operative Diabetes Care Versus Usual Care in Adults Undergoing Elective Non\u2010cardiac Surgery in Australia: A Trial\u2010Based Analysis"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0705-6459","authenticated-orcid":false,"given":"Abby","family":"Yu","sequence":"first","affiliation":[{"name":"School of Pharmacy and Pharmaceutical Sciences The University of Queensland  Woolloongabba Queensland Australia"},{"name":"Department of Pharmacy Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Whitfield","sequence":"additional","affiliation":[{"name":"School of Pharmacy and Pharmaceutical Sciences The University of Queensland  Woolloongabba Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Hale","sequence":"additional","affiliation":[{"name":"Discipline of Pharmacy, School of Clinical Sciences Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"D'Emden","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Donovan","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Centaine","family":"Snoswell","sequence":"additional","affiliation":[{"name":"School of Pharmacy and Pharmaceutical Sciences The University of Queensland  Woolloongabba Queensland 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