Evidence map›Paper›PMID 38491339›Full record

ArticleEndocrine2024

Effect of post-transplant diabetes mellitus on cardiovascular events and mortality: a single-center retrospective cohort study.

Uğur Ünlütürk, Tolga Yıldırım, Merve Savaş, Seda Hanife Oğuz, Büşra Fırlatan, Deniz Yüce, Nesrin Damla Karakaplan, Cemile Selimova, Rahmi Yılmaz, Yunus Erdem and 1 more

Abstract read
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In one paragraph

Article in Endocrine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Prognostic impact of post-transplant diabetes mellitus in kidney allograft recipients: a meta-analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Pooled it
  3. Impact of Early Post-Transplantation Diabetes Mellitus and Changes in Diabetic Status on Graft Failure and Mortality in Kidney Transplant Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  4. Observational
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

11 authors at 2 institutions in 1 country.

Uğur Ünlütürk *Division of Endocrinology and Metabolism, Hacettepe University School of Medicine, Ankara, Turkey. ugurunluturk@gmail.com.ORCID 0000-0002-5054-1396
Tolga Yıldırım *Department of Internal Medicine, Hacettepe University School of Medicine, Ankara, Turkey.
Merve SavaşDepartment of Internal Medicine, Hacettepe University School of Medicine, Ankara, Turkey.
Seda Hanife OğuzDivision of Endocrinology and Metabolism, Hacettepe University School of Medicine, Ankara, Turkey.
Büşra FırlatanDepartment of Internal Medicine, Hacettepe University School of Medicine, Ankara, Turkey.
Deniz YüceDepartment of Preventive Oncology, Hacettepe University Cancer Institute, Ankara, Turkey.
Nesrin Damla KarakaplanDepartment of Internal Medicine, Hacettepe University School of Medicine, Ankara, Turkey.
Cemile SelimovaDepartment of Internal Medicine, Hacettepe University School of Medicine, Ankara, Turkey.
Rahmi YılmazDepartment of Internal Medicine, Hacettepe University School of Medicine, Ankara, Turkey.
Yunus ErdemDepartment of Internal Medicine, Hacettepe University School of Medicine, Ankara, Turkey.
Miyase BayraktarDivision of Endocrinology and Metabolism, Hacettepe University School of Medicine, Ankara, Turkey.
Hacettepe University · TRHacettepe University Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to investigate the impact of post-transplant diabetes mellitus (PTDM) on cardiovascular events, graft survival, and mortality and to determine the risk factors involved in developing PTDM.

methodsA total of 703 patients who underwent kidney transplantation were included in the study. The total sample was subdivided into three groups: (i) patients with PTDM; (ii) patients who had diabetes before the transplantation (DM); and (iii) patients without diabetes (NoDM). The data on graft failure, cardiovascular events, all-cause mortality, and the potential risk factors that play a role in developing PTDM were recorded and analyzed.

resultsThe patients were followed for a median of 80 (6-300) months after transplantation. Out of all patients, 41 (5.8%) had DM before transplantation, and 101 (14.4%) developed PTDM. Recipient BMI, post-transplant fasting plasma glucose, and hepatitis C seropositivity were independent risk factors for PTDM development. The incidence of cardiovascular events was 6.1% in the NoDM group, 14.9% in the PTDM group, and 29.3% in the DM group (p < 0.001). In PTDM patients, hepatitis C seropositivity and the recipient's age at transplant were independent predictors of a cardiovascular event. There were no significant differences between the groups regarding the risk of graft loss. PTDM had no significant effect on all-cause mortality. However, the survival rates of DM patients were significantly reduced compared to those with NoDM or PTDM.

conclusionsPTDM had no impact on patient survival. Hepatitis C seropositivity and recipient age at transplant predicted cardiovascular events in PTDM patients.

Indexed as

Cardiovascular DiseasesDiabetes MellitusKidney TransplantationAdultAgedFemaleGraft SurvivalHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk FactorsCardiovascular diseasesDiabetes complicationsGreft survivalKidney transplantationMortality

Identifiers

PMID38491339
OpenAlexW4392857481

What Socratic holds

Textmetadata
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.