Kidney Transplantation in the Diabetic Patient.
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- dc.contributor.author Pérez-Sáez, María Joséca
- dc.contributor.author Pascual Santos, Julioca
- dc.date.accessioned 2015-11-02T12:07:07Z
- dc.date.available 2015-11-02T12:07:07Z
- dc.date.issued 2015
- dc.description.abstract 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.ca
- dc.description.sponsorship This study was undertaken with grants ISCIII FIS PI13/00598 and RedinRen RDRD12/0021/0024
- dc.format.mimetype application/pdfca
- dc.identifier.citation Pérez-Sáez MJ, Pascual J. Kidney Transplantation in the Diabetic Patient. J Clin Med. 2015 Jun 9;4(6):1269-80. doi: 10.3390/jcm4061269.ca
- dc.identifier.doi http://dx.doi.org/10.3390/jcm4061269
- dc.identifier.issn 2077-0383
- dc.identifier.uri http://hdl.handle.net/10230/24979
- dc.language.iso engca
- dc.publisher MDPIca
- dc.relation.ispartof Journal of Clinical Medicine. 2015 Jun 9;4(6):1269-80
- dc.rights © 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/), wich permits unrestrictec use, distribution, and reproduction in any medium, provided the original work is properly cited.ca
- dc.rights.accessRights info:eu-repo/semantics/openAccessca
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/ca
- dc.subject.other Ronyons -- Trasplantacióca
- dc.subject.other Diabetisca
- dc.title Kidney Transplantation in the Diabetic Patient.ca
- dc.type info:eu-repo/semantics/articleca
- dc.type.version info:eu-repo/semantics/publishedVersionca