Evidence map›Paper›PMID 40245107›Full record

ArticleDiabetes care2025

Impact of Islet Transplantation on Diabetes Complications and Mortality in Patients Living With Type 1 Diabetes.

Quentin Perrier, Clément Jambon-Barbara, Laurence Kessler, Orianne Villard, Fanny Buron, Bruno Guerci, Sophie Borot, Matthieu Roustit, Ekaterine Berishvilli, Luc Rakotoarisoa and 8 more

Abstract readMulticenter Study
In one paragraph

Article in Diabetes care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Impact of Islet Transplantation on Type 1 Diabetes-Related Complication: A Systematic Review.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Pooled it
  2. Article
  3. Article
  4. Simultaneous kidney-islet transplantation from a donor after circulatory death using normothermic regional perfusion.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  5. Adenosine as a modulator of human islet function and hypoxic tolerance.Frontiers in bioengineering and biotechnology · 2026
    Article
  6. Review
  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

18 authors.

Quentin PerrierUniversity of Grenoble Alpes, INSERM U1055, Department of Pharmacy, Grenoble Alpes University Hospital, LBFA, Grenoble, France.ORCID 0000-0002-7445-7922
Clément Jambon-BarbaraUniversity of Grenoble Alpes, INSERM U1300, Pharmacovigilance Unit, Grenoble Alpes University Hospital, HP2, Grenoble, France.
Laurence KesslerUniversity of Strasbourg, INSERM UMR 1260, Department of Endocrinology and Diabetology, University Hospital of Strasbourg, Regenerative Nanomedicine Federation of Translational Medicine, Strasbourg, France.
Orianne VillardUniversity of Montpellier, INSERM U1191, CNRS UMR5203, Department of Endocrinology and Diabetes, University Hospital of Montpellier, Montpellier, France.
Fanny BuronUniversity of Lyon, Department of Nephrology, Immunology and Transplantation, Hospices Civils de Lyon, Lyon, France.
Bruno GuerciUniversity of Lorraine, Department of Endocrinology, Diabetology and Nutrition, Brabois Adult Hospital, Nancy, France.
Sophie BorotUniversity of Besançon, Department of Endocrinology, Besançon University Hospital, Besançon, France.
Matthieu RoustitUniversity of Grenoble Alpes, INSERM U1300, CIC1406, Grenoble Alpes University Hospital, HP2, Grenoble, France.
Ekaterine BerishvilliUniversity of Geneva, Cell Isolation and Transplantation Center, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland.
Luc RakotoarisoaUniversity of Strasbourg, INSERM UMR 1260, Department of Endocrinology and Diabetology, University Hospital of Strasbourg, Regenerative Nanomedicine Federation of Translational Medicine, Strasbourg, France.
Marie-Christine VantyghemUniversity of Lille, INSERM UMR 1190, Department of Endocrinology, Diabetology, Metabolism and Nutrition, University Hospital of Lille, Translational Research in Diabetes, Lille, France.
Emmanuel MorelonUniversity of Lyon, Department of Nephrology, Immunology and Transplantation, Hospices Civils de Lyon, Lyon, France.
Eric RenardUniversity of Montpellier, INSERM U1191, CNRS UMR5203, Department of Endocrinology and Diabetes, University Hospital of Montpellier, Montpellier, France.
Camille BeschUniversity of Strasbourg, INSERM UMR 1260, Department of Endocrinology and Diabetology, University Hospital of Strasbourg, Regenerative Nanomedicine Federation of Translational Medicine, Strasbourg, France.
Thierry BerneyUniversity of Lyon, Department of Nephrology, Immunology and Transplantation, Hospices Civils de Lyon, Lyon, France.
Pierre-Yves BenhamouUniversity of Grenoble Alpes, INSERM U1055, Department of Diabetology, Endocrinology and Nutrition, Grenoble Alpes University Hospital, LBFA, Grenoble, France.
Sandrine LablancheUniversity of Grenoble Alpes, INSERM U1055, Department of Diabetology, Endocrinology and Nutrition, Grenoble Alpes University Hospital, LBFA, Grenoble, France.
GRAGIL Network

Funding

Agence de la BiomédecineGrenoble Alpes University Hospital
6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the impact of islet transplantation (IT) on diabetes complications, death, and cancer incidence. RESEARCH DESIGN AND

methodsThis retrospective, multicenter, cohort study included patients from three IT clinical trials (intervention group) and from the French health insurance claims database Système National des Données de Santé (SNDS) (control group). Two cohorts of IT recipients were analyzed: IT recipients after kidney transplantation (IAK) and IT recipients alone (ITA). They were matched with patients living with type 1 diabetes (T1D) from the SNDS using a propensity score. The primary outcome was a composite criterion including death, dialysis, amputation, nonfatal stroke, nonfatal myocardial infarction, and transient ischemic attack. The secondary outcome was cancer. Hazard ratio (HRs) and P values were obtained using Cox proportional hazards analysis and log-rank test, respectively.

resultsThe study included 61 ITA recipients matched to 610 T1D control patients and 45 IAK recipients matched to 45 T1D control patients over a median follow-up period >10 years. Compared with T1D control patients, ITA and IAK recipients had a lower composite outcome risk (HR 0.39 [95% CI 0.21-0.71; P = 0.002] and 0.52 [0.30-0.88; P = 0.014], respectively) that seemed driven by reduced mortality (0.22 [0.09-0.54]; P < 0.001) for ITA and reduced dialysis (0.19 [0.07-0.50]; P < 0.001) for IAK. Both groups showed no significant changes in cancer risk.

conclusionsThis study suggests long-term benefits of IT on diabetes-related outcomes. Furthermore, despite the use of immunosuppressive drugs following IT, we observed no significant increase in the risk of cancer. Altogether, these findings highlight a favorable risk-benefit ratio of IT in treating patients with unstable T1D.

Indexed as

Diabetes ComplicationsDiabetes Mellitus, Type 1Islets of Langerhans TransplantationAdultFemaleHumansKidney TransplantationMaleMiddle AgedRetrospective Studies

Identifiers

PMID40245107
PMCPMC12094206

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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.