Evidence map›Paper›PMID 30927288›Full record

Trial reportClinical transplantation2019

The impact of post-transplant diabetes mellitus on liver transplant outcomes.

Sarah R Lieber, Ruth-Ann Lee, Yue Jiang, Claire Reuter, Randall Watkins, Kristen Szempruch, David A Gerber, Chirag S Desai, G Stephen DeCherney, A Sidney Barritt

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Clinical transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Metabolic syndrome after liver transplantation: A silent threat to long-term success.World journal of gastrointestinal pharmacology and therapeutics · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. 2020 Clinical Update in Liver Transplantation.Journal of cardiothoracic and vascular anesthesia · 2022
    Review
  11. Risk factors associated with diabetes after liver transplant.Archives of endocrinology and metabolism · 2022
    Article
  12. Review
  13. Posttransplantation Diabetes Mellitus Among Solid Organ Recipients in a Danish Cohort.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  14. COVID-19 and liver disease: mechanistic and clinical perspectives.Nature reviews. Gastroenterology & hepatology · 2021
    Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. 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

10 authors at 3 institutions in 1 country.

Sarah R LieberDivision of Gastroenterology and Hepatology, Department of Medicine, UNC School of Medicine, Chapel Hill, North Carolina.ORCID 0000-0001-8304-4479
Ruth-Ann LeeDepartment of Pharmacy, UNC Health Care, Chapel Hill, North Carolina.
Yue JiangDepartment of Biostatistics, UNC Gillings School of Public Health, Chapel Hill, North Carolina.
Claire ReuterDepartment of Specialty Pharmacy, Ochsner Medical Center, New Orleans, Louisiana.
Randall WatkinsDepartment of Biostatistics, UNC Gillings School of Public Health, Chapel Hill, North Carolina.
Kristen SzempruchDepartment of Pharmacy, UNC Health Care, Chapel Hill, North Carolina.
David A GerberDepartment of Surgery, UNC School of Medicine, Chapel Hill, North Carolina.
Chirag S DesaiDepartment of Surgery, UNC School of Medicine, Chapel Hill, North Carolina.
G Stephen DeCherneyDivision of Endocrinology, Department of Medicine, UNC School of Medicine, Chapel Hill, North Carolina.
A Sidney BarrittDivision of Gastroenterology and Hepatology, Department of Medicine, UNC School of Medicine, Chapel Hill, North Carolina.
University of North Carolina Health Care · USUniversity of North Carolina at Chapel Hill · USOchsner Medical Center · US

Funding

PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Temitope O. Keku · 1985 to 2026
$30.5M
DIGESTIVE DISEASES EPIDEMIOLOGY TRAINING PROGRAMT32DK007634 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1990 to 2026
$7.4M
NIDDK NIH HHS P30 DK034987NIDDK NIH HHS T32 DK007634
6 · The paper itself

Abstract

backgroundPost-transplant diabetes mellitus (PTDM) is common after liver transplantation (LT). Yet, how PTDM relates to graft outcomes and survival needs elucidation as more individuals are transplanted for nonalcoholic fatty liver disease (NAFLD).

methodsThis single-center, retrospective study of adult LT recipients (2003-2016) identified PTDM incidence and associations with graft steatosis, rejection, and post-LT patient survival. Multivariable analysis investigated predictors of PTDM. Kaplan-Meier curves depicted patient survival 5 years post-LT.

resultsAmong 415 adult LT recipients, 23% had pre-LT DM and 13% were transplanted for NAFLD. PTDM incidence was 34.7%, 46.9%, and 56.2% and overall survival was 90%, 80.9%, and 71.7% at 1, 3, and 5 years, respectively. Over a third of non-NAFLD patients developed PTDM. Half of PTDM cases developed by 6 months and 75% by 12 months. The PTDM group had more rejection episodes compared to no PTDM (31.9% vs 21.8%, P = 0.055), with trends toward worse patient survival 5 years post-LT (log-rank test P = 0.254). Age was the only significant predictor of PTDM.

conclusionsPost-transplant diabetes mellitus occurs rapidly in the post-LT period and is a significant problem for both NAFLD and non-NAFLD LT recipients. Age is a significant risk factor for PTDM. Outcomes trended toward increased rejection and worse survival among PTDM individuals, suggesting the benefit of early strategies targeting glucose control.

Indexed as

AdultDiabetes MellitusFemaleFollow-Up StudiesGraft RejectionGraft SurvivalHumansIncidenceLiver DiseasesLiver TransplantationMaleMiddle AgedNorth CarolinaPostoperative ComplicationsPrognosisRetrospective Studieshyperglycemialiver transplantationpost-transplant diabetes mellitustransplant outcomes

Identifiers

PMID30927288
PMCPMC6995642
OpenAlexW2927575604

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.