A comprehensive study on the long-term incidence and clinical impact of pancreatogenic diabetes mellitus (P-DM) after partial pancreatectomy reveals significant findings. The analysis of Medicare data from 2013 to 2017, including 4255 patients, found that 20.3% developed P-DM within a median of 3.6 months post-surgery, with the incidence rising to 32.2% in patients with at least three years of follow-up. Key risk factors for developing P-DM include male sex, distal pancreatectomy, malignant diagnosis, family history of diabetes, and preoperative prediabetes. Patients with P-DM experienced higher rates of 90-day readmission and increased healthcare expenditures. These findings underscore the necessity for rigorous screening and improved patient education, especially for those at higher risk. The study advocates for heightened awareness and proactive management to mitigate the long-term impact of P-DM on postoperative outcomes. Access the full study here.
https://journals.lww.com/journalacs/fulltext/2022/12000/pancreatogenic_diabetes_after_partial.3.aspx
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