Evidence map›Paper›PMID 30450457›Full record

ArticleKidney international reports2018

Randomized Controlled Trial Assessing the Impact of Tacrolimus Versus Cyclosporine on the Incidence of Posttransplant Diabetes Mellitus.

Armando Torres, Domingo Hernández, Francesc Moreso, Daniel Serón, María Dolores Burgos, Luis M Pallardó, Julia Kanter, Carmen Díaz Corte, Minerva Rodríguez, Juan Manuel Diaz and 18 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04489043 (Exercise, Prediabetes and Diabetes After Renal Transplantation.), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 4% 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.

NCT04489043 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Exercise, Prediabetes and Diabetes After Renal Transplantation.

TypeinterventionalSponsorHospital Universitario de CanariasRan2019 to 2021Enrolled60ConditionsDiabetes MellitusArmsExercise and healthy lifestyle recommendations
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Steroid avoidance or withdrawal for kidney transplant recipients.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. International consensus on post-transplantation diabetes mellitus.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Article
  11. Article
  12. Observational
  13. Article
  14. Review
  15. Article
  16. Review
  17. Dyslipidemia in Transplant Patients: Which Therapy?Journal of clinical medicine · 2022
    Review
  18. Observational
  19. Article
  20. Review
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

28 authors at 12 institutions in 1 country.

Armando TorresHospital Universitario de Canarias, Instituto de Tecnologías Biomédicas (ITB)-Universidad de La Laguna, Tenerife, Spain.
Domingo HernándezHospital Regional Universitario de Málaga, Universidad de Málaga, IBIMA, Málaga, Spain.
Francesc MoresoHospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
Daniel SerónHospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
María Dolores BurgosHospital Regional Universitario de Málaga, Universidad de Málaga, IBIMA, Málaga, Spain.
Luis M PallardóHospital Universitario Dr Peset, Valencia, Spain.
Julia KanterHospital Universitario Dr Peset, Valencia, Spain.
Carmen Díaz CorteHospital Universitario Central de Asturias, Oviedo, Spain.
Minerva RodríguezHospital Universitario Central de Asturias, Oviedo, Spain.
Juan Manuel DiazFundació Puigvert, Barcelona, Spain.
Irene SilvaFundació Puigvert, Barcelona, Spain.
Francisco ValdesComplexo Hospitalario Universitario Juan Canalejo, A Coruña, Spain.
Constantino Fernández-RiveraComplexo Hospitalario Universitario Juan Canalejo, A Coruña, Spain.
Antonio OsunaHospital Universitario Virgen de las Nieves, Granada, Spain.
María C Gracia GuindoHospital Universitario Virgen de las Nieves, Granada, Spain.
Carlos Gómez AlamilloHospital Universitario Marqués de Valdecilla, Santander, Spain.
Juan C RuizHospital Universitario Marqués de Valdecilla, Santander, Spain.
Domingo Marrero MirandaHospital Universitario de Canarias, Instituto de Tecnologías Biomédicas (ITB)-Universidad de La Laguna, Tenerife, Spain.
Lourdes Pérez-TamajónHospital Universitario de Canarias, Instituto de Tecnologías Biomédicas (ITB)-Universidad de La Laguna, Tenerife, Spain.
Aurelio RodríguezHospital Universitario de Canarias, Instituto de Tecnologías Biomédicas (ITB)-Universidad de La Laguna, Tenerife, Spain.
Ana González-RinneHospital Universitario de Canarias, Instituto de Tecnologías Biomédicas (ITB)-Universidad de La Laguna, Tenerife, Spain.
Alejandra AlvarezHospital Universitario de Canarias, Instituto de Tecnologías Biomédicas (ITB)-Universidad de La Laguna, Tenerife, Spain.
Estefanía Perez-CarreñoHospital Universitario de Canarias, Instituto de Tecnologías Biomédicas (ITB)-Universidad de La Laguna, Tenerife, Spain.
María José de la Vega PrietoHospital Universitario de Canarias, Instituto de Tecnologías Biomédicas (ITB)-Universidad de La Laguna, Tenerife, Spain.
Fernando HenriquezHospital Universitario de Gran Canaria Dr Negrín, Las Palmas de GC, Spain.
Roberto GallegoHospital Universitario de Gran Canaria Dr Negrín, Las Palmas de GC, Spain.
Eduardo SalidoHospital Universitario de Canarias, Instituto de Tecnologías Biomédicas (ITB)-Universidad de La Laguna, Tenerife, Spain.
Esteban PorriniHospital Universitario de Canarias, Instituto de Tecnologías Biomédicas (ITB)-Universidad de La Laguna, Tenerife, Spain.
Universidad de La Laguna · ESHospital Universitario de Canarias · ESComplexo Hospitalario Universitario A Coruña · ESHospital Universitario Central de Asturias · ESHospital Universitario de Gran Canaria Doctor Negrín · ESHospital Universitario Doctor Peset · ESHospital Universitario Virgen de las Nieves · ESMarqués de Valdecilla University Hospital · ESPuigvert Foundation · ESUniversitat Autònoma de Barcelona · ESHospital Regional Universitario de Málaga · ESUniversidad de Málaga · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite the high incidence of posttransplant diabetes mellitus (PTDM) among high-risk recipients, no studies have investigated its prevention by immunosuppression optimization.

methodsWe conducted an open-label, multicenter, randomized trial testing whether a tacrolimus-based immunosuppression and rapid steroid withdrawal (SW) within 1 week (Tac-SW) or cyclosporine A (CsA) with steroid minimization (SM) (CsA-SM), decreased the incidence of PTDM compared with tacrolimus with SM (Tac-SM). All arms received basiliximab and mycophenolate mofetil. High risk was defined by age >60 or >45 years plus metabolic criteria based on body mass index, triglycerides, and high-density lipoprotein-cholesterol levels. The primary endpoint was the incidence of PTDM after 12 months.

resultsThe study comprised 128

conclusionIn high-risk patients, tacrolimus-based immunosuppression with SM provides the best balance between PTDM and acute rejection incidence.

Indexed as

cyclosporin Aposttransplant diabetesposttransplant hyperglycemiarenal transplantationsteroid withdrawaltacrolimus

Identifiers

PMID30450457
PMCPMC6224662
OpenAlexW2829543455

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.