Theoretical and Natural Science

- The Open Access Proceedings Series for Conferences


Theoretical and Natural Science

Vol. 32, 06 March 2024


Open Access | Article

The impact of diabetes on postoperative infections in colorectal cancer: A meta-analysis

Xueyu Peng * 1 , Yuanyuan Ning 2
1 Jinan University
2 Jinan University

* Author to whom correspondence should be addressed.

Theoretical and Natural Science, Vol. 32, 124-134
Published 06 March 2024. © 2023 The Author(s). Published by EWA Publishing
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Citation Xueyu Peng, Yuanyuan Ning. The impact of diabetes on postoperative infections in colorectal cancer: A meta-analysis. TNS (2024) Vol. 32: 124-134. DOI: 10.54254/2753-8818/32/20240812.

Abstract

Objective: This study aims to analyze and summarize the evidence concerning the relationship between diabetes and postoperative infections in colon cancer through a literature review. Methods: A comprehensive search was conducted on Chinese databases, including CNKI, VIP, Wanfang, and the biomedical literature database, as well as the English database PubMed. The search covered the period from February 1, 2003, to February 28, 2023. The Newcastle-Ottawa Scale was employed to score the included literature, and funnel plots along with Egger’s regression test were used to analyze publication bias. Stata 12.0 was utilized for the analysis of the collected raw data. Results: Following inclusion and exclusion criteria, this study incorporated seven retrospective studies, with a total of 4607 cases in the infection group and 9102 cases in the non-infection group. The quality scores of the seven studies ranged between 7 and 8 points. Funnel plot and Egger’s regression test analyses revealed no significant publication bias in the included literature. A correlation was identified between diabetes and postoperative infections in colon cancer, implicating diabetes as a risk factor for such infections. Subgroup analysis indicated that nationality, surgical methods, and infection types had no significant impact on the meta-analysis results. Conclusion: The analysis revealed a significant correlation between diabetes and postoperative infections in colon cancer. Diabetes emerged as a risk factor for postoperative infections, with odds ratios (OR) of 3.82 (P>0.1) and 95% CI of 2.91-5.01. Controlling blood glucose levels was associated with a reduced risk of postoperative infections in colon cancer.

Keywords

Diabetes; Colorectal Cancer; Postoperative Infection; Meta-Analysis

References

1. Kim, J. W., Park, J. W., Park, S. C., Kim, S. Y., Baek, J. Y., & Oh, J. H. (2015). Clinical outcomes of laparoscopic versus open surgery for primary tumor resection in patients with stage IV colorectal cancer with unresectable metastasis. Surgery Today, 45(6).

2. Jin, H., Chen, Y., Wang, D., et al. (2018). Distribution of Pathogenic Bacteria and Analysis of Related Factors in Postoperative Incision Infection in Patients with Colon Cancer and Intestinal Obstruction. Chinese Journal of Nosocomial Infection, 28(13), 1994-1997.

3. Tevis, S. E., & Kennedy, G. D. (2016). Postoperative complications: looking forward to a safer future. Clinics in Colon and Rectal Surgery, 29(03), 246-252.

4. Chen, H., Mia, L., Zhang, T., et al. (2022). Risk Factors for Postoperative Infection and Predictive Value of TLR4 in Cancer Tissues and Serum Endotoxin in Patients with Colon Cancer. Chinese Journal of Nosocomial Infection, 32(21), 3297-3301.

5. Ma, B., & Tao, J. (2022). Analysis of Influencing Factors and Characteristics of Pathogenic Bacteria in Postoperative Incision Infection in Patients with Colon Cancer. Zhejiang Journal of Traumatic Surgery, 27(03), 460-462.

6. National Health and Family Planning Commission Medical Administration Medical Management Bureau, Chinese Medical Association Oncology Branch. (2018). Chinese Guidelines for the Diagnosis and Treatment of Colorectal Cancer (2017 Edition). Chinese Journal of Gastrointestinal Surgery, 21(1), 92-106.

7. Ministry of Health of the People’s Republic of China. (2001). Diagnostic Criteria for Hospital Infection (Trial). Chinese Medical Journal, 81(5), 314-320.

8. Zhang, W. (2023). Clinical Study on the Correlation between Cholecystectomy and the Occurrence and Development of Colon Cancer (Doctoral dissertation, China Medical University). DOI:10.27652/d.cnki.gzyku.2022.001758.

9. Hu, Z., Liao, Y., Zhou, Y., et al. (2021). Meta-analysis of Risk Factors for Surgical Incision Infection in Patients with Colorectal Cancer. Chinese Journal of Nursing, 28(08), 23-27. DOI:10.16460/j.issn1008-9969.2021.08.023.

10. Nakamura, T., Takayama, Y., Sato, T., et al. (2020). Risk Factors for Wound Infection After Laparoscopic Surgery for Colon Cancer. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 30(1), 45-48. DOI:10.1097/SLE.0000000000000735.

11. Wang, H., & An, D. (2021). Analysis of Risk Factors for Surgical Site Infection After Radical Resection of Colon Cancer. Gansu Science and Technology, 37(01), 147-150.

12. Du, J., Gao, J., Zhao, J. (2019). Distribution of Pathogenic Bacteria and Analysis of Related Factors in Postoperative Incision Infection in Patients with Radical Resection of Colon Cancer. Hainan Medicine, 22.

13. Shi, C., Qin, H., & Shi, T. (2009). Risk factors for postoperative wound infection in patients with colon cancer. Chinese Journal of Nosocomiology, 19(4), 396-398+436.

14. Zhang, H. (2016). Analysis of risk factors for postoperative pulmonary infection in colon cancer patients. (Unpublished doctoral dissertation, Shandong University).

15. Lei, J., Zhang, X., Lin, D., et al. (2019). Analysis of risk factors for concurrent pulmonary infection after operation for colon cancer. Journal of B.U.ON. : Official Journal of the Balkan Union of Oncology, 24(2).

16. Liu, P. (2018). Exploring the impact of different surgical methods and blood glucose on the prognosis of radical surgery for colon cancer. (Unpublished doctoral dissertation, Fujian Medical University).

17. Yang, W., Hu, Y., & Wu, W. (2014). Investigation of postoperative infection-related factors and analysis of pathogen status in 549 cases of colon cancer. Practical Preventive Medicine, 21(4), 483-485.

18. Wang, K., Cao, B., Wang, Y., et al. (2014). Application of continuous quality improvement in lavage during surgery for obstructive left-sided colon cancer. Hainan Medicine, 25(4), 618-620.

19. Lohsiriwat, V., & Jitmungngan, R. (2019). Enhanced recovery after surgery in emergency colorectal surgery: review of literature and current practices. World Journal of Gastrointestinal Surgery, 11(2), 41.

20. Hawkins, A. T., Geiger, T. M., King, A. B., et al. (2019). An enhanced recovery program in colorectal surgery is associated with decreased organ-level rates of complications: a difference-in-differences analysis. Surgical Endoscopy, 33, 2222-2230.

21. Pop-Vicas, A. E., Abad, C., Baubie, K., et al. (2020). Colorectal bundles for surgical site infection prevention: a systematic review and meta-analysis. Infection Control & Hospital Epidemiology, 41(7), 805-812.

22. Kiran, R. P., Murray, A. C. A., Chiuzan, C., et al. (2015). Combined preoperative mechanical bowel preparation with oral antibiotics significantly reduces surgical site infection, anastomotic leak, and ileus after colorectal surgery. Annals of Surgery, 262(3), 416-425.

23. Midura, E. F., Jung, A. D., Hanseman, D. J., et al. (2018). Combination oral and mechanical bowel preparations decrease complications in both right and left colectomy. Surgery, 163(3), 528-534.

24. Chen, M., Song, X., Chen, L., et al. (2016). Comparing mechanical bowel preparation with both oral and systemic antibiotics versus mechanical bowel preparation and systemic antibiotics alone for the prevention of surgical site infection after elective colorectal surgery. Diseases of the Colon & Rectum, 59(1), 70-78.

25. Klinger, A. L., Green, H., Monlezun, D. J., et al. (2019). The role of bowel preparation in colorectal surgery: results of the 2012–2015 ACS-NSQIP data. Annals of Surgery, 269(4), 671-677.

26. Gao, J. L. (2022). Nursing care of VAC therapy for wound dehiscence accompanied by infection after colorectal cancer surgery. In Proceedings of the 5th Shanghai International Nursing Conference (Vol. 1, p. 2). Shanghai Nursing Association. DOI: [10.26914/c.cnkihy.2022.030090](https://doi.org/10.26914/c.cnkihy.2022.030090).

27. Wukich, D. K., McMillen, R. L., Lowery, N. J., et al. (2011). Surgical site infections after foot and ankle surgery: a comparison of patients with and without diabetes. Diabetes Care, 34(10), 2211-2213.

28. Shigetomi, N., Masafumi, O., Yasuo, N., et al. (2021). Successful experience of negative pressure wound therapy with instillation and dwelling (NPWTi-d) for patients with wound dehiscence developed by infection after right-hemicolectomy for ascending colon cancer. Gan to kagaku ryoho. Cancer & chemotherapy, 48(2).

29. Xiang, T., & Zheng, S. (2022). Predictive value of PGSGA score combined with inflammatory factors for postoperative infection in colorectal cancer patients with diabetes. China Modern Doctor, 60(05), 4-7+197.

30. Mu, D. H., Yang, P., Ying, Z. X., et al. (2020). Factors influencing surgical site infection and characteristics of pathogens in patients undergoing radical surgery for colorectal cancer. Chinese Journal of Disinfection, 37(08), 598-600.

31. Liu, Y. W., Chen, B. C., Chen, J., et al. (2018). Analysis of pathogenic bacteria and influencing factors of postoperative wound infection in patients undergoing radical surgery for colon cancer. Chinese Journal of Nosocomiology, 28(15), 2341-2344.

32. Sun, Z., Xie, Y., Sun, Y. F., et al. (2023). Analysis of risk factors for abdominal infection in patients after radical surgery for colon cancer. Hainan Medicine, 34(12), 1774-1777.

33. Sun, W. (2018). Analysis of risk factors and clinical prognosis of abdominal infection after radical surgery for colon cancer. Journal of Colorectal and Anal Surgery, 24(06), 548-553. DOI: [10.19668/j.cnki.issn1674-0491.2018.06.005](https://doi.org/10.19668/j.cnki.issn1674-0491.2018.06.005).

34. Zhang, J., Li, J., Zhou, C. X., et al. (2015). Analysis of influencing factors for incision infection after colon cancer surgery. Chinese Journal of Pathogenic Biology, 10(12), 1140-1143. DOI: [10.13350/j.cjpb.151219](https://doi.org/10.13350/j.cjpb.151219).

35. Qing, W., Xingxing, D., Jianing, C., et al. (2023). PECAM-1 drives β-catenin-mediated EndMT via internalization in colon cancer with diabetes mellitus. Cell Communication and Signaling, 21(1), 203-203.

36. Zhou, H., & Sheng, D. Q. (2022). Research progress on the relationship between diabetes mellitus and tumors. Tumor Prevention and Treatment Research, 49(11), 1107-1111.

Data Availability

The datasets used and/or analyzed during the current study will be available from the authors upon reasonable request.

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Volume Title
Proceedings of the 2nd International Conference on Modern Medicine and Global Health
ISBN (Print)
978-1-83558-321-0
ISBN (Online)
978-1-83558-322-7
Published Date
06 March 2024
Series
Theoretical and Natural Science
ISSN (Print)
2753-8818
ISSN (Online)
2753-8826
DOI
10.54254/2753-8818/32/20240812
Copyright
06 March 2024
Open Access
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Copyright © 2023 EWA Publishing. Unless Otherwise Stated