Evidence map›Paper›PMID 22189549›Full record

ArticleThe review of diabetic studies : RDS2011

Results of pancreas transplantation alone with special attention to native kidney function and proteinuria in type 1 diabetes patients.

Ugo Boggi, Fabio Vistoli, Gabriella Amorese, Rosa Giannarelli, Alberto Coppelli, Rita Mariotti, Lorenzo Rondinini, Massimiliamo Barsotti, Alberto Piaggesi, Anna Tedeschi and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in The review of diabetic studies : RDS, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01957696 (A Prospective, Observational Study in Pancreatic Allograft Recipients), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT01957696 enrolling by invitationnot on this mapstarted 2013, after this paper: background citation

A Prospective, Observational Study in Pancreatic Allograft Recipients: The Effect of Risk Factors, Immunosuppressive Level and the Benefits of Scheduled Biopsies - on Surgical Complications, Rejections and Graft Survival

Typeobservational_patient_registrySponsorOslo University HospitalRan2013 to 2028Enrolled80ConditionsDiabetes Mellitus, Pancreas Transplantation, Allograft Rejection, Surgical Complication Nec
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Simultaneous Pancreas and Kidney Transplantation in Patients With Type 2 Diabetes Mellitus.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  4. First World Consensus Conference on pancreas transplantation: Part II - recommendations.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Transplantation of the pancreas.Current diabetes reports · 2012
    Review
  13. 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

18 authors.

Ugo BoggiDivision of General and Transplant Surgery in Uremic and Diabetic Patients, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy. uboggi@patchir.med.unipi.it
Fabio Vistoli
Gabriella Amorese
Rosa Giannarelli
Alberto Coppelli
Rita Mariotti
Lorenzo Rondinini
Massimiliamo Barsotti
Alberto Piaggesi
Anna Tedeschi
Stefano Signori
Nelide De Lio
Margherita Occhipinti
Emanuela Mangione
Diego Cantarovich
Stefano Del Prato
Franco Mosca
Piero Marchetti

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report on our single-center experience with pancreas transplantation alone (PTA) in 71 patients with type 1 diabetes, and a 4-year follow-up. Portal insulin delivery was used in 73.2% of cases and enteric drainage of exocrine secretion in 100%. Immunosuppression consisted of basiliximab (76%), or thymoglobulin (24%), followed by mycophenolate mofetil, tacrolimus, and low-dose steroids. Actuarial patient and pancreas survival at 4 years were 98.4% and 76.7%, respectively. Relaparatomy was needed in 18.3% of patients. Restored endogenous insulin secretion resulted in sustained normalization of fasting plasma glucose levels and HbA1c concentration in all technically successful transplantations. Protenuria (24-hour) improved significantly after PTA. Renal function declined only in recipients with pretransplant glomerular filtration rate (GFR) greater than 90 ml/min, possibly as a result of correction of hyperfiltration following normalization of glucose metabolism. Further improvements were recorded in several cardiovascular risk factors, retinopathy, and neuropathy. We conclude that PTA was an effective and reasonably safe procedure in this single-center experience.

Indexed as

AdultBlood GlucoseDiabetes Mellitus, Type 1FemaleFollow-Up StudiesGlycated HemoglobinHumansKaplan-Meier EstimateKidneyMalePancreas TransplantationBlood GlucoseGlycated Hemoglobin

Identifiers

PMID22189549
PMCPMC3280011

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.