Evidence map›Paper›PMID 19920782›Full record

ArticleTransplantation2009

Islet alone versus islet after kidney transplantation: metabolic outcomes and islet graft survival.

Shaoping Deng, James F Markmann, Micheal Rickels, Heidi Yeh, James I Kim, Moh-Moh Lian, Yi Gu, Eileen Markmann, Maral Palanjian, Clyde F Barker and 1 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Transplantation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Shaoping DengHarrison Department of Surgical Research, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
James F Markmann
Micheal Rickels
Heidi Yeh
James I Kim
Moh-Moh Lian
Yi Gu
Eileen Markmann
Maral Palanjian
Clyde F Barker
Ali Naji
Hospital of the University of Pennsylvania · US

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
VIRAL VECTOR COREP30DK019525 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI Patrick Seale · 1986 to 2026
$48.3M
ISOLATION/DISTRIBUTION OF HUMAN PANCREATIC ISLETSU42RR016600 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI NAJI, ALI · 2001 to 2008
$5.8M
NCRR NIH HHS U42 RR016600NCRR NIH HHS UL1 RR024134NCRR NIH HHS UL1-RR-024134NIDDK NIH HHS P30 DK019525NIDDK NIH HHS P30-DK-19525
6 · The paper itself

Abstract

backgroundIsolated islet transplantation with infusions from two to three donor pancreata and Edmonton immunosuppression consistently achieves insulin independence in patients with type 1 diabetes. The success of this protocol has been attributed to a novel combination of immunosuppressive agents and avoidance of steroids; however, the outcome of islet transplantation may differ in kidney transplant recipients who are already immunosuppressed.

methodsWe compared the metabolic outcomes and graft survival of islet transplantation in our program where nine patients underwent islet transplantation alone treated with Edmonton immunosuppression and eight patients received islet after kidney (IAK) transplants under standard kidney transplant immunosuppression often including steroids.

resultsTransplants in the IAK and islet transplantation alone setting demonstrated similar islet potency (islet equivalents/unit insulin reduction) and recipients from both groups routinely gained insulin independence, functional islet mass, and duration of graft survival, however, seemed superior in the IAK group.

conclusionsThese results suggest that better islet graft function and survival may be attained using non-Edmonton rather than Edmonton immunosuppression and can include maintenance steroid therapy.

Indexed as

AdultBlood GlucoseC-PeptideDiabetes Mellitus, Type 1FemaleGlycated HemoglobinGraft SurvivalHumansImmunosuppression TherapyInsulinIslets of Langerhans TransplantationKidney TransplantationMaleMiddle AgedTime FactorsBlood GlucoseC-PeptideGlycated Hemoglobinhemoglobin A1c protein, humanInsulin

Identifiers

PMID19920782
PMCPMC2805912
OpenAlexW1979079562

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.