Evidence map›Paper›PMID 32832494›Full record

ArticleHepatobiliary surgery and nutrition2020

New-onset diabetes after adult liver transplantation in the Korean Organ Transplantation Registry (KOTRY) study.

Jong Man Kim, Shin Hwang, Kwang-Woong Lee, Jae-Geun Lee, Je Ho Ryu, Bong-Wan Kim, Dong Lak Choi, Young Kyoung You, Dong-Sik Kim, Yang Won Nah and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Hepatobiliary surgery and nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

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  8. New onset diabetes mellitus after liver transplantation.Hepatobiliary surgery and nutrition · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 9 institutions in 1 country.

Jong Man KimDepartment of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Shin HwangDepartment of Surgery, Asan Medical Center, College of Medicine University of Ulsan, South Korea.
Kwang-Woong LeeDepartment of Surgery, Seoul National University College of Medicine, Seoul, South Korea.
Jae-Geun LeeDepartment of Surgery, Yonsei University College of Medicine, Seoul, South Korea.
Je Ho RyuDepartment of Surgery, Pusan National University College of Medicine, Busan, South Korea.
Bong-Wan KimDepartment of Liver Transplantation and Hepatobiliary Surgery, Ajou University School of Medicine, Suwon, South Korea.
Dong Lak ChoiDepartment of Surgery, Catholic University of Daegu College of Medicine, Daegu, South Korea.
Young Kyoung YouDepartment of Surgery, College of Medicine, Catholic University of Korea, Seoul, South Korea.
Dong-Sik KimDivision of HBP Surgery and Liver Transplantation, Department of Surgery, Korea University College of Medicine, Seoul, South Korea.
Yang Won NahDepartment of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea.
Koo Jeong KangDepartment of Surgery, Keimyung University School of Medicine, Daegu, South Korea.
Jai Young ChoDepartment of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Sungnam, South Korea.
Geun HongDepartment of Surgery, Ewha Woman's University School of Medicine, Seoul, South Korea.
In Seok ChoiDepartment of Surgery, Konyang University Hospital, Daejon, South Korea.
Hee Chul YuDepartment of Surgery, Chonbuk National University School of Medicine, Jeonju, South Korea.
Dongho ChoiDepartment of Surgery, Hanyang University College of Medicine, Seoul, South Korea.
Myoung Soo KimDepartment of Surgery, Yonsei University College of Medicine, Seoul, South Korea.
Korean Organ Transplantation Registry Study Group
Samsung Medical Center · KRSeoul National University · KRYonsei University · KRAsan Medical Center · KRDaegu Catholic University · KRKorea University · KREwha Womans University · KRPusan National University · KRUlsan College · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNew-onset diabetes after transplantation (NODAT) is a serious complication following liver transplantation (LT). The present study aimed to investigate the incidence of and risk factors for NODAT using the Korean Organ Transplantation Registry (KOTRY) database.

methodsPatients with history of pediatric transplantation (age ≤18 years), re-transplantation, multi-organ transplantation, or pre-existing diabetes mellitus were excluded. A total of 1,919 non-diabetic adult patients who underwent a primary LT between May 2014 and December 2017 were included. Risk factors were identified using Cox regression analysis.

resultsNODAT occurred in 19.7% (n=377) of adult liver transplant recipients. Multivariate analysis showed steroid use, increased age, and high body mass index (BMI) in recipients, and implantation of a left-side liver graft was closely associated with NODAT in adult LT. In living donor liver transplant (LDLT) patients (n=1,473), open donor hepatectomy in the living donors, steroid use, small for size liver graft (graft to recipient weight ratio ≤0.8), increased age, and high BMI in the recipient were predictive factors for NODAT. The use of antimetabolite and basiliximab induction reduced the incidence of NODAT in adult LT and in adult LDLT.

conclusionsBasiliximab induction, early steroid withdrawal, and antimetabolite therapy may prevent NODAT after adult LT. High BMI or advanced age in liver recipients, open donor hepatectomy in living donors, and small size liver graft can predict the occurrence of NODAT after adult LT or LDLT.

Indexed as

AsiaDiabetesimmunosuppressionliving donors

Identifiers

PMID32832494
PMCPMC7423540
OpenAlexW2990977096

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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.