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Predictive factors for posttransplant diabetes mellitus within one-year of liver transplantation

Authors :
Laure Esposito
Laurence Lavayssière
Hélène Hanaire
Laurent Alric
Lionel Rostaing
Loubna Oufroukhi
Fabrice Muscari
Joelle Guitard
Nassim Kamar
Davis Ribes
Service de Néphrologie - Hypertension Artérielle Dialyse - Transplantation
CHU Toulouse [Toulouse]-Hôpital de Rangueil
CHU Toulouse [Toulouse]
Institut de médecine moléculaire de Rangueil (I2MR)
Université Toulouse III - Paul Sabatier (UT3)
Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-IFR150-Institut National de la Santé et de la Recherche Médicale (INSERM)
Department of Liver Transplantation
Service de Médecine Interne, Fédération Digestive
CHU Toulouse [Toulouse]-Hôpital Purpan [Toulouse]
Service de Diabétologie - Maladies Métaboliques - Nutrition
Centre de Physiopathologie Toulouse Purpan (CPTP)
Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)
Simon, Marie Francoise
Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées- Institut Fédératif de Recherche Bio-médicale Institution (IFR150)-Institut National de la Santé et de la Recherche Médicale (INSERM)
Département de Néphrologie et Transplantation d'organes [CHU Toulouse]
Pôle Urologie - Néphrologie - Dialyse - Transplantations - Brûlés - Chirurgie plastique - Explorations fonctionnelles et physiologiques [CHU Toulouse]
Centre Hospitalier Universitaire de Toulouse (CHU Toulouse)-Centre Hospitalier Universitaire de Toulouse (CHU Toulouse)
Service Médecine Interne et immunologie clinique [CHU Toulouse]
Pôle Maladies de l'appareil digestif [CHU Toulouse]
Service Diabétologie [CHU Toulouse]
Pôle Cardiovasculaire et Métabolique [CHU Toulouse]
Source :
Transplantation, Transplantation, Lippincott, Williams & Wilkins, 2008, 85 (10), pp.1436-42. ⟨10.1097/TP.0b013e31816f1b7c⟩, Transplantation, 2008, 85 (10), pp.1436-42. ⟨10.1097/TP.0b013e31816f1b7c⟩
Publication Year :
2008
Publisher :
HAL CCSD, 2008.

Abstract

International audience; INTRODUCTION: The aims of our single-center study were to identify whether pretransplant diabetes had an impact on patient survival and, secondly, the predictive factors for development of new-onset diabetes mellitus (NODM) (as defined by American Diabetes Association/World Health Organization). PATIENTS AND METHODS: One hundred seventy-nine consecutive adult orthotopic liver-transplant patients were included in this study. Immunosuppression was based on calcineurin inhibitors with steroids, with or without mycophenolate mofetil, and with or without induction therapy. To evaluate the predictive factors for NODM, donor and recipient pre- and posttransplant data were included. RESULTS: At transplantation, 38 patients had diabetes (group I), and the 141 nondiabetic patients constituted group II. In group I, paternal history of diabetes was more frequent (P=0.03), as was length of exposure to smoking (P=0.03), higher pretransplant glycemia (P

Details

Language :
English
ISSN :
00411337 and 15346080
Database :
OpenAIRE
Journal :
Transplantation, Transplantation, Lippincott, Williams & Wilkins, 2008, 85 (10), pp.1436-42. ⟨10.1097/TP.0b013e31816f1b7c⟩, Transplantation, 2008, 85 (10), pp.1436-42. ⟨10.1097/TP.0b013e31816f1b7c⟩
Accession number :
edsair.doi.dedup.....38101f99fd0c9d3b5273a2bfa7607ee0
Full Text :
https://doi.org/10.1097/TP.0b013e31816f1b7c⟩