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- Title
Posttransplantation Diabetes Mellitus Among Solid Organ Recipients in a Danish Cohort.
- Authors
Dos Santos, Quenia; Hornum, Mads; Terrones-Campos, Cynthia; Geisler Crone, Cornelia; Ete Wareham, Neval; Soeborg, Andreas; Rasmussen, Allan; Gustafsson, Finn; Perch, Michael; Soerensen, Soeren Schwartz; Lundgren, Jens; Feldt-Rasmussen, Bo; Reekie, Joanne
- Abstract
Post-transplant diabetes mellitus (PTDM) is associated with a higher risk of adverse outcomes. We aimed to describe the proportion of patients with diabetes prior to solid organ transplantation (SOT) and post-transplant diabetes mellitus (PTDM) in three time periods (early-likely PTDM: 0-45 days; 46-365 days and >365 days) post-transplant and to estimate possible risk factors associated with PTDM in each time-period. Additionally, we compared the risk of death and causes of death in patients with diabetes prior to transplant, PTDM, and non-diabetes patients. A total of 959 SOT recipients (heart, lung, liver, and kidney) transplanted at University Hospital of Copenhagen between 2010 and 2015 were included. The highest PTDM incidence was observed at 46-365 days after transplant in all SOT recipients. Age and the Charlson Comorbidity Index (CCI Score) in all time periods were the two most important risk factors for PTDM. Compared to nondiabetes patients, SOT recipients with pre-transplant diabetes and PTDM patients had a higher risk of all-cause mortality death (aHR: 1.77, 95% CI: 1.16-2.69 and aHR: 1.89, 95% CI: 1.17-3.06 respectively). Pre-transplant diabetes and PTDM patients had a higher risk of death due to cardiovascular diseases and cancer, respectively, when compared to nondiabetes patients.
- Subjects
COPENHAGEN (Denmark); DIABETES; PEOPLE with diabetes; MORTALITY; CAUSES of death; TRANSPLANTATION of organs, tissues, etc.
- Publication
Transplant International, 2022, Vol 35, Issue 4, p70
- ISSN
0934-0874
- Publication type
Article
- DOI
10.3389/ti.2022.10352