Evidence map›Paper›PMID 37391848›Full record

ArticleDiabetology & metabolic syndrome2023

Islet transplantation: overcoming the organ shortage.

Marluce da Cunha Mantovani, Ilana Gabanyi, Carlos Andrés Pantanali, Vinícius Rocha Santos, Maria Lúcia Cardillo Corrêa-Giannella, Mari Cleide Sogayar

Open access · goldAbstract read
In one paragraph

Article in Diabetology & metabolic syndrome, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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

6 authors at 2 institutions in 1 country.

Marluce da Cunha MantovaniCell and Molecular Therapy NUCEL Group, School of Medicine, University of São Paulo, Avenida Dr. Arnaldo, 455, São Paulo, 01246-903, SP, Brasil.
Ilana GabanyiCell and Molecular Therapy NUCEL Group, School of Medicine, University of São Paulo, Avenida Dr. Arnaldo, 455, São Paulo, 01246-903, SP, Brasil.
Carlos Andrés PantanaliGastroenterology Department, School of Medicine, University of São Paulo, São Paulo, 01246-903, SP, Brazil.
Vinícius Rocha SantosGastroenterology Department, School of Medicine, University of São Paulo, São Paulo, 01246-903, SP, Brazil.
Maria Lúcia Cardillo Corrêa-GiannellaCell and Molecular Therapy NUCEL Group, School of Medicine, University of São Paulo, Avenida Dr. Arnaldo, 455, São Paulo, 01246-903, SP, Brasil.
Mari Cleide SogayarCell and Molecular Therapy NUCEL Group, School of Medicine, University of São Paulo, Avenida Dr. Arnaldo, 455, São Paulo, 01246-903, SP, Brasil. mcsoga@iq.usp.br.
Universidade de São Paulo · BRUniversidade Federal de São Paulo · BR

Funding

BNDES No. 09.2.1066.1CAPES -PVE No. 88881.068070/2014-01CNPq Nos. 457601/2013-2 and 401430/2013-8Coordenação de Aperfeiçoamento de Pessoal de Nível Superior Ministries of Health and of Science, Technology and InnovationFAPESP Thematic grant number 2016/05311-2FINEP No. 01.08.0622.00
6 · The paper itself

Abstract

backgroundType 1 diabetes mellitus (T1D) is a condition resulting from autoimmune destruction of pancreatic β cells, leading patients to require lifelong insulin therapy, which, most often, does not avoid the most common complications of this disease. Transplantation of isolated pancreatic islets from heart-beating organ donors is a promising alternative treatment for T1D, however, this approach is severely limited by the shortage of pancreata maintained under adequate conditions.

methodsIn order to analyze whether and how this problem could be overcome, we undertook a retrospective study from January 2007 to January 2010, evaluating the profile of brain-dead human pancreas donors offered to our Cell and Molecular Therapy NUCEL Center ( www.usp.br/nucel ) and the basis for organ refusal.

resultsDuring this time period, 558 pancreata were offered by the São Paulo State Transplantation Central, 512 of which were refused and 46 were accepted for islet isolation and transplantation. Due to the elevated number of refused organs, we decided to analyze the main reasons for refusal in order to evaluate the possibility of improving the organ acceptance rate. The data indicate that hyperglycemia, technical issues, age, positive serology and hyperamylasemia are the top five main causes for declination of a pancreas offer.

conclusionsThis study underlines the main reasons to decline a pancreas offer in Sao Paulo-Brazil and provides some guidance to ameliorate the rate of eligible pancreas donors, aiming at improving the islet isolation and transplantation outcome.

trial registrationProtocol CAPPesq number 0742/02/CONEP 9230.

Indexed as

Diabetes mellitusIslet transplantationOrgan donationPancreasPancreas donors profile and selection

Identifiers

PMID37391848
PMCPMC10314390
OpenAlexW4382776948

What OpenQuestion holds

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LicenceCC BY
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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.