Evidence map›Paper›PMID 35230938›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2022

Simultaneous pancreas-kidney transplantation: Early complications and long-term outcomes - a single-center experience.

Natalia Vidal Crespo, Pedro López Cubillana, Pedro A López González, Cristóbal Moreno Alarcón, Javier Rull Hernández, Laura Aznar Martínez, Alicia López Abad, Juan C Fernández Garay, Rocío Martínez Muñoz, Santiago Llorente Viñas and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Simultaneous Pancreas-Kidney Versus Kidney Transplant Alone: Real-World Outcomes in a Propensity-Matched Global Cohort.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  7. 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

12 authors at 1 institution in 1 country.

Natalia Vidal CrespoServicio de Urología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Pedro López CubillanaServicio de Urología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Pedro A López GonzálezServicio de Urología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Cristóbal Moreno AlarcónServicio de Urología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Javier Rull HernándezServicio de Urología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Laura Aznar MartínezServicio de Urología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Alicia López AbadServicio de Urología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Juan C Fernández GarayServicio de Urología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Rocío Martínez MuñozServicio de Urología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Santiago Llorente ViñasServicio de Nefrología, Hospital Clínico Universitario de la Arrixaca, Murcia, Spain.
Juan A Fernández HernándezServicio de Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Guillermo A Gómez GómezServicio de Urología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Hospital Universitario Virgen de la Arrixaca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to assess the prevalence and severity of complications after simultaneous pancreas-kidney transplantation (SPKT) and to evaluate its influence on both grafts' long-term results.

methodsThis was an observational, retrospective study including 39 consecutive SPKT cases from 2000-2018. Complications were classified into kidney-related and pancreas-related. The severity of complications was assessed using the modified Clavien-Dindo scale. Kaplan-Meier curve analysis and log-rank tests were used. Cox regression was performed for the multivariate analysis.

resultsAll 39 recipients had long-term type I diabetes. Twenty-one (53.8%) patients suffered a Clavien-Dindo ≥IIIa complication. Most complications were pancreas-related, with 17 (43.6%) patients suffering from one. Kidney-related major complications were seen in 11 (28.2%) patients. Patient survival at one, five, and 15 years was 89.7%, 87.1%, and 83.9%, respectively; kidney survival was 87.1%, 81.4%, and 73.6%, respectively; and pancreas survival was 76.9%, 71.3%, and 72%, respectively. Pancreas graft survival was influenced by the presence of major postoperative complications; patients and kidney graft survival were not.

conclusionsComplications after SPKT influence pancreas graft survival. Despite the high rate of complications, our results suggest that patient and kidney graft survival may not be affected by complications.

Identifiers

PMID35230938
PMCPMC9328853
OpenAlexW4214521880

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Registered trials

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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.