Evidence mapPaperPMID 33135259Full record

ReviewTransplant international : official journal of the European Society for Organ Transplantation2021

Management of post-transplant diabetes: immunosuppression, early prevention, and novel antidiabetics.

Manfred Hecking, Adnan Sharif, Kathrin Eller, Trond Jenssen

Open access · hybridAbstract readReview
In one paragraph

Review in Transplant international : official journal of the European Society for Organ Transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
8.4field-weighted citation impact, top 2% of its field
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

56 citing papers in PubMed, 106 citations in OpenAlex.

  1. Trial
  2. Criteria for prediabetes and posttransplant diabetes mellitus after kidney transplantation: A 2-year diagnostic accuracy study of participants from a randomized controlled trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
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  16. Kidney Transplant: More than Immunological Problems.Journal of clinical medicine · 2025
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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

4 authors at 4 institutions in 3 countries.

Manfred HeckingDepartment of Internal Medicine III, Clinical Division of Nephrology & Dialysis, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-8047-2395
Adnan SharifDepartment of Nephrology and Transplantation, Queen Elizabeth Hospital, Birmingham, UK.ORCID 0000-0002-7586-9136
Kathrin EllerClinical Division of Nephrology, Medical University of Graz, Graz, Austria.
Trond JenssenDepartment of Organ Transplantation, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Medical University of Graz · ATMedical University of Vienna · ATOslo University Hospital · NOQueen Elizabeth Hospital Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-transplant diabetes mellitus (PTDM) shows a relationship with risk factors including obesity and tacrolimus-based immunosuppression, which decreases pancreatic insulin secretion. Several of the sodium-glucose-linked transporter 2 inhibitors (SGLT2is) and glucagon-like peptide 1 receptor agonists (GLP1-RAs) dramatically improve outcomes of individuals with type 2 diabetes with and without chronic kidney disease, which is, as heart failure and atherosclerotic cardiovascular disease, differentially affected by both drug classes (presumably). Here, we discuss SGLT2is and GLP1-RAs in context with other PTDM management strategies, including modification of immunosuppression, active lifestyle intervention, and early postoperative insulin administration. We also review recent studies with SGLT2is in PTDM, reporting their safety and antihyperglycemic efficacy, which is moderate to low, depending on kidney function. Finally, we reference retrospective case reports with GLP1-RAs that have not brought forth major concerns, likely indicating that GLP1-RAs are ideal for PTDM patients suffering from obesity. Although our article encompasses PTDM after solid organ transplantation in general, data from kidney transplant recipients constitute the largest proportion. The PTDM research community still requires data that treating and preventing PTDM will improve clinical conditions beyond hyperglycemia. We therefore suggest that it is time to collaborate, in testing novel antidiabetics among patients of all transplant disciplines.

Indexed as

Diabetes MellitusDiabetes Mellitus, Type 2Kidney TransplantationHumansHypoglycemic AgentsImmunosuppression TherapyImmunosuppressive AgentsPostoperative ComplicationsRetrospective StudiesRisk FactorsHypoglycemic AgentsImmunosuppressive Agentsatherosclerosiscardiovascular diseaseschronicdiabetes mellitusglucagon-like peptide-1 receptorglucosehypoglycemic agentsimmunosuppressioninsulinprospective studiesrenal insufficiencyretrospective studiestype 2

Identifiers

PMID33135259
PMCPMC7839745
OpenAlexW3097051330

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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 Socratic graph.