Evidence map›Paper›PMID 41191602›Full record

ArticleClinical transplantation2025

Five Decades of Pancreas Transplantation at the University Hospital of Zurich-A Story of Continuous Improvement and Success.

Michael C Frey, Sandro Hügli, Olivier de Rougemont, Kerstin Hübel, Thomas Schachtner, Elena Rho, Lukas Weidmann, Roger Lehmann, Jakob Nilsson, Lukas Frischknecht and 2 more

Abstract read
In one paragraph

Article in Clinical transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Michael C FreyDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0003-2504-8417
Sandro HügliDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.
Olivier de RougemontDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.
Kerstin HübelDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.
Thomas SchachtnerDepartment of Nephrology, University Hospital Zurich, Zurich, Switzerland.
Elena RhoDepartment of Nephrology, University Hospital Zurich, Zurich, Switzerland.
Lukas WeidmannDepartment of Nephrology, University Hospital Zurich, Zurich, Switzerland.
Roger LehmannDepartment of Endocrinology, University Hospital Zurich, Zurich, Switzerland.
Jakob NilssonDepartment of Immunology, University Hospital Zurich, Zurich, Switzerland.
Lukas FrischknechtDepartment of Immunology, University Hospital Zurich, Zurich, Switzerland.
José OberholzerDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.
Fabian RösslerDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-2968-347X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPancreas transplantation (PT) represents the gold standard in patients with type I diabetes mellitus (T1D) and end-stage kidney disease (ESKD). We aimed to describe the evolution of PT at the University Hospital of Zurich from 1973 to 2023, and to analyze differences in patient and graft survival within different eras of surgical technique.

methodsThis study represents a retrospective analysis of all primary PT performed at the University Hospital Zurich between 1973 and 2023. According to differences in surgical technique, we defined five different eras of PT.

resultsOverall, 280 primary PT were performed. Overall survival at 1, 5, and 10 years improved from 73.5%, 51%, 44.9% in Era 3, to 69.7%, 60.6%, 51.5% in Era 4, and 95.8%, 95.4%, 82.1% in Era 5, respectively (p < 0.001). Insulin-free survival after 1, 5, and 10 years was 34.5%, 25.5%, 16.4% in Era 3, 41.5%, 34.1%, 31.7% in Era 4, and reached 85.5%, 78%, 64.5% in Era 5 (p < 0.001), respectively.

conclusionEnhanced surgical techniques and improvements in immunosuppression helped to overcome many obstacles that hampered the early days of PT, evolving PT into a safe and highly efficient procedure. PT represents the treatment of choice for patients with T1D and ESKD.

Indexed as

Diabetes Mellitus, Type 1Graft RejectionHospitals, UniversityKidney Failure, ChronicPancreas TransplantationPostoperative ComplicationsAdolescentAdultFemaleFollow-Up StudiesGraft SurvivalHumansMaleMiddle AgedPrognosisRetrospective Studieschronic kidney diseaseend‐stage renal failureinsulin‐free survivalpancreas transplantationsimultaneous pancreas and kidney transplantationtype 1 diabetes mellitus

Identifiers

PMID41191602
PMCPMC12588550

What Socratic holds

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LicenceCC BY
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Registered trials

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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.