The Effect of Diabetes Mellitus on the Postoperative Period in Breast Cancer Patients � A Three Years Retrospective Study

ABSTRACT

Background: Breast cancer is the most common type of cancer amongst women. Amongst the many factors which affect the outcome of breast cancer surgeries is Diabetes Mellitus. Diabetes Mellitus is an ongoing problem Worldwide. It is a predictor for Postoperative complications in women who undergo surgical management for breast cancer. Aims And Objectives: (1) To compare the rate of postoperative complications in Diabetic and non-diabetic patients undergoing breast cancer surgeries. (2) To compare the in hospital outcomes in diabetic and non diabetic patients. (3) To study the pre and Postoperative control of sugars in Diabetic patients undergoing breast cancer surgeries. Methods: Data will be collected from the in patient files and the surgery case completion register in the Medical records department of hospitals attached to Bangalore Medical College and the data will be retrospectively scrutinized for a period of 3 years from 01/09/2018 to 30/08/2021. Patients diagnosed with breast cancer and planned for surgical management of the same were included in the study. Results: A total of 100 breast cancer patients were studied. 34 were Diabetic of which 16 had uncontrolled sugars pre operatively. Out of which only 5 patients remained to have uncontrolled sugars Postoperatively. A total of 27 patients developed Postoperative complications. 13 were Diabetic of which 9 had uncontrolled sugars. Of the diabetic patients a total 27 had a drain duration of more than 7 days. Conclusion: Diabetic women who undergo breast cancer surgeries at an increased risk of complications post operatively, more so if they have uncontrolled sugars. In hospital outcomes too are different in patients with Diabetes as in the duration of drain thereby the total in patient days were higher in patients with diabetes. Also patients with uncontrolled sugars saw an improvement in their sugars postoperatively.