Preoperative Hemoglobin A <sub>1C</sub> , Glycemic Status, and Postoperative Outcomes in General Surgery
Dysglycemia-both diagnosed and undiagnosed-is highly prevalent among general surgery patients and independently associated with increased risks of complications, readmissions, or mortality. A significant proportion of patients had HbA1c levels in the diabetes range, despite lacking a diabetes diagnosis. These findings support routine preoperative HbA1c screening and the adoption of individualized glycemic management strategies to optimize surgical risk assessment, reduce complications, and improve perioperative outcomes.
Authors
- Wilson M. Alobuia (ORCID: https://orcid.org/0000-0003-4360-0658)
- Giovanni M. Perottino
- Dany Y. Matar (ORCID: https://orcid.org/0000-0001-7108-0413)
- Samuel A. Knoedler (ORCID: https://orcid.org/0000-0001-5798-8003)
- George A. Poultsides (ORCID: https://orcid.org/0000-0002-7584-0405)
- Adriana C. Panayi (ORCID: https://orcid.org/0000-0003-4053-9855)
- Jason Brandt (ORCID: https://orcid.org/0000-0001-7381-6244)
- Mohammad Sabagh
- Gabriel Hundeshagen (ORCID: https://orcid.org/0000-0002-6173-8602)
- Johann Pratschke (ORCID: https://orcid.org/0000-0001-9839-1369)
- Dennis Paul Orgill (ORCID: https://orcid.org/0000-0002-8279-7310)
- Leonard Knoedler (ORCID: https://orcid.org/0009-0009-4279-5669)
- Tobias Niederegger (ORCID: https://orcid.org/0009-0004-3065-4352)
- Thomas Schaschinger (ORCID: https://orcid.org/0009-0000-6523-1641)
Institutions
- Brigham and Women's Hospital (US)
- Harvard University (US)
- Heidelberg University (DE)
- University Hospital Heidelberg (DE)
- The Ohio State University Wexner Medical Center (US)
- Humboldt-Universität zu Berlin (DE)
- Stanford University (US)
Publication Details
- Journal
- JAMA Surgery
- Published
- 2025-11-05
- DOI
- https://doi.org/10.1001/jamasurg.2025.4706
- Citations
- 5
- Primary Topic
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Type
- article
- Field-Weighted Citation Impact
- 6.47