Evidence map›Paper›PMID 38641877›Full record

ArticleJournal of diabetes investigation2024

Risk factors and prediction score for new-onset diabetes mellitus after liver transplantation.

Ruiping Bai, Rui An, Siyu Chen, Wenkang Ding, Mengwen Xue, Ge Zhao, Qingyong Ma, Xin Shen

Abstract read
In one paragraph

Article in Journal of diabetes investigation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Ruiping BaiDepartment of Anesthesiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Rui AnDepartment of Anesthesiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Siyu ChenDepartment of Anesthesiology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.
Wenkang DingDepartment of Anesthesiology, The Second Xiangya Hospital of Central South University, Changsha, China.
Mengwen XueDepartment of Anesthesiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Ge ZhaoDepartment of Anesthesiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Qingyong MaDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Xin ShenDepartment of Anesthesiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.ORCID https://orcid.org/0000-0003-4999-626X

Funding

The National Natural Scientific Foundation of China 81670572The National Natural Scientific Foundation of China 81972241
6 · The paper itself

Abstract

aimNew-onset diabetes mellitus is a frequent and severe complication arising after liver transplantation (LT). We aimed to identify the risk factors for new-onset diabetes mellitus after liver transplantation (NODALT) and to develop a risk prediction score system for relevant risks.

methodsWe collected and analyzed data from all recipients who underwent liver transplantation at the First Affiliated Hospital of Xi'an Jiaotong University. The OR derived from a multiple logistic regression predicting the presence of NODALT was used to calculate the risk prediction score. The performance of the risk prediction score was externally validated in patients who were from the CLTR (China Liver Transplant Registry) database.

resultsA total of 468 patients met the outlined criteria and finished the follow-up. Overall, NODALT was diagnosed in 115 (24.6%) patients. Age, preoperative impaired fasting glucose (IFG), postoperative fasting plasma glucose (FPG), and the length of hospital stay were significantly associated with the presence of NODALT. The risk prediction score includes age, preoperative IFG, postoperative FPG, and the length of hospital stay. The risk prediction score of the area under the receiver operating curve was 0.785 (95% CI: 0.724-0.846) in the experimental population and 0.782 (95% CI: 0.708-0.856) in the validation population.

conclusionsAge at the time of transplantation, preoperative IFG, postoperative FPG, and length of hospital stay were independent predictive factors of NODALT. The use of a simple risk prediction score can identify the patients who have the highest risk of NODALT and interventions may start early.

Indexed as

Diabetes MellitusLiver TransplantationPostoperative ComplicationsAdultBlood GlucoseChinaFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk AssessmentRisk FactorsBlood GlucoseLiver transplantationNew‐onset diabetes mellitusPrediction

Identifiers

PMID38641877
PMCPMC11292396

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