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Kidney Transplantation in the Diabetic Patient

Diabetes mellitus is one of the most important causes of chronic kidney disease (CKD). In patients with advanced diabetic kidney disease, kidney transplantation (KT) with or without a pancreas transplant is the treatment of choice. We aimed to review current data regarding kidney and pancreas transp...

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Detalles Bibliográficos
Autores principales: Pérez-Sáez, María José, Pascual, Julio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4484999/
https://www.ncbi.nlm.nih.gov/pubmed/26239558
http://dx.doi.org/10.3390/jcm4061269
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author Pérez-Sáez, María José
Pascual, Julio
author_facet Pérez-Sáez, María José
Pascual, Julio
author_sort Pérez-Sáez, María José
collection PubMed
description Diabetes mellitus is one of the most important causes of chronic kidney disease (CKD). In patients with advanced diabetic kidney disease, kidney transplantation (KT) with or without a pancreas transplant is the treatment of choice. We aimed to review current data regarding kidney and pancreas transplant options in patients with both type 1 and 2 diabetes and the outcomes of different treatment modalities. In general, pancreas transplantation is associated with long-term survival advantages despite an increased short-term morbidity and mortality risk. This applies to simultaneous pancreas kidney transplantation or pancreas after KT compared to KT alone (either living donor or deceased). Other factors as living donor availability, comorbidities, and expected waiting time have to be considered whens electing one transplant modality, rather than a clear benefit in survival of one strategy vs. others. In selected type 2 diabetic patients, data support cautious utilization of simultaneous pancreas kidney transplantation when a living kidney donor is not an option. Pancreas and kidney transplantation seems to be the treatment of choice for most type 1 diabetic and selected type 2 diabetic patients.
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spelling pubmed-44849992015-07-28 Kidney Transplantation in the Diabetic Patient Pérez-Sáez, María José Pascual, Julio J Clin Med Review Diabetes mellitus is one of the most important causes of chronic kidney disease (CKD). In patients with advanced diabetic kidney disease, kidney transplantation (KT) with or without a pancreas transplant is the treatment of choice. We aimed to review current data regarding kidney and pancreas transplant options in patients with both type 1 and 2 diabetes and the outcomes of different treatment modalities. In general, pancreas transplantation is associated with long-term survival advantages despite an increased short-term morbidity and mortality risk. This applies to simultaneous pancreas kidney transplantation or pancreas after KT compared to KT alone (either living donor or deceased). Other factors as living donor availability, comorbidities, and expected waiting time have to be considered whens electing one transplant modality, rather than a clear benefit in survival of one strategy vs. others. In selected type 2 diabetic patients, data support cautious utilization of simultaneous pancreas kidney transplantation when a living kidney donor is not an option. Pancreas and kidney transplantation seems to be the treatment of choice for most type 1 diabetic and selected type 2 diabetic patients. MDPI 2015-06-09 /pmc/articles/PMC4484999/ /pubmed/26239558 http://dx.doi.org/10.3390/jcm4061269 Text en © 2015 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Pérez-Sáez, María José
Pascual, Julio
Kidney Transplantation in the Diabetic Patient
title Kidney Transplantation in the Diabetic Patient
title_full Kidney Transplantation in the Diabetic Patient
title_fullStr Kidney Transplantation in the Diabetic Patient
title_full_unstemmed Kidney Transplantation in the Diabetic Patient
title_short Kidney Transplantation in the Diabetic Patient
title_sort kidney transplantation in the diabetic patient
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4484999/
https://www.ncbi.nlm.nih.gov/pubmed/26239558
http://dx.doi.org/10.3390/jcm4061269
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