Evidence map›Paper›PMID 23328712›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2013

Novel views on new-onset diabetes after transplantation: development, prevention and treatment.

Manfred Hecking, Johannes Werzowa, Michael Haidinger, Walter H Hörl, Julio Pascual, Klemens Budde, Fu L Luan, Akinlolu Ojo, Aiko P J de Vries, Esteban Porrini and 5 more

Abstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
12.8field-weighted citation impact, top 1% 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

41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 121 citations in OpenAlex.

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  4. Criteria for prediabetes and posttransplant diabetes mellitus after kidney transplantation: A 2-year diagnostic accuracy study of participants from a randomized controlled trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
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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

15 authors at 9 institutions in 7 countries.

Manfred HeckingDepartment of Internal Medicine, Medical University of Vienna, Vienna, Austria.
Johannes Werzowa
Michael Haidinger
Walter H Hörl
Julio Pascual
Klemens Budde
Fu L Luan
Akinlolu Ojo
Aiko P J de Vries
Esteban Porrini
Giovanni Pacini
Friedrich K Port
Adnan Sharif
Marcus D Säemann
European-New-Onset Diabetes After Transplantation Working Group
Medical University of Vienna · ATUniversity of Michigan–Ann Arbor · USArbor Research Collaborative for Health · USCharité - Universitätsmedizin Berlin · DELeiden University · NLNational Research Council · ITParc de Salut · ESQueen Elizabeth Hospital Birmingham · GBUniversidad de La Laguna · ES

Funding

Renal and Cardiovascular Events in Patients with Chronic Kidney DiseaseK24DK062234 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI OJO, AKINLOLU OLUSEUN · 2002 to 2013
$1.6M
NIDDK NIH HHS K24 DK062234
6 · The paper itself

Abstract

New-onset diabetes after transplantation (NODAT) is associated with increased risk of allograft failure, cardiovascular disease and mortality, and therefore, jeopardizes the success of renal transplantation. Increased awareness of NODAT and the prediabetic states (impaired fasting glucose and impaired glucose tolerance, IGT) has fostered previous and present recommendations, based on the management of type 2 diabetes mellitus (T2DM). Unfortunately, the idea that NODAT merely resembles T2DM is potentially misleading, because the opportunity to initiate adequate anti-hyperglycaemic treatment early after transplantation might be given away for 'tailored' immunosuppression in patients who have developed NODAT or carry personal risk factors. Risk factor-independent mechanisms, however, seem to render postoperative hyperglycaemia with subsequent development of overt or 'full-blown' NODAT, the unavoidable consequence of the transplant and immunosuppressive process itself, at least in many cases. A proof of the concept that timely preventive intervention with exogenous insulin against post-transplant hyperglycaemia may decrease NODAT was recently provided by a small clinical trial, which is awaiting confirmation from a multicentre study. However, because early insulin therapy aimed at beta-cell protection seems to contrast the currently recommended, stepwise approach of 'watchful waiting' prior to pancreatic decompensation, we here aim at reviewing recent concepts regarding the development, prevention and treatment of NODAT, some of which seem to challenge the traditional view on T2DM and NODAT. In summary, we suggest a novel, risk factor-independent management approach to NODAT, which includes glycaemic monitoring and anti-hyperglycaemic treatment in virtually everybody after transplantation. This approach has widespread implications for future research and is intended to tackle NODAT and also ultimately cardiovascular disease.

Indexed as

Diabetes Mellitus, Type 2HumansOrgan TransplantationRisk Factors

Identifiers

PMID23328712
PMCPMC4375396
OpenAlexW2164732183

What OpenQuestion holds

Textmetadata
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.