Evidence mapPaperPMID 41312221Full record

SynthesisTransplant international : official journal of the European Society for Organ Transplantation2025

Impact of Islet Transplantation on Type 1 Diabetes-Related Complication: A Systematic Review.

Karim Gariani, Andrea Peloso, Fadi Haidar, Rohan Kumar, Charles-Henri Wassmer, Marika Morabito, Nicerine Krause, Philippe Compagnon, Ekaterine Berishvili, Thierry Berney

Abstract readSystematic Review
In one paragraph

Synthesis in Transplant international : official journal of the European Society for Organ 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

10 authors.

Karim Gariani *Division of Endocrinology, Diabetes, Nutrition and Patient Therapeutic Education, Geneva University Hospitals, Geneva, Switzerland.
Andrea Peloso *Division of Transplantation, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland.
Fadi HaidarDepartment of Surgery, University of Insubria, Varese, Italy.
Rohan KumarDivision of Transplantation, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland.
Charles-Henri WassmerDivision of Transplantation, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland.
Marika MorabitoDivision of Transplantation, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland.
Nicerine KrauseDiabetes Center of the Faculty of Medicine, University of Geneva Medical School, Geneva, Switzerland.
Philippe CompagnonDivision of Transplantation, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland.
Ekaterine BerishviliDiabetes Center of the Faculty of Medicine, University of Geneva Medical School, Geneva, Switzerland.
Thierry BerneyCell Isolation and Transplantation Centre, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Islet transplantation is a valuable therapy for selected type 1 diabetes mellitus (T1DM) patients, especially those with recurrent severe hypoglycemia, glycemic variability, or impaired hypoglycemia awareness. It improves glycemic control and protects against hypoglycemic episodes. Beyond glucose regulation, islet transplantation may mitigate diabetes-related microvascular and macrovascular complications. We conducted a systematic review to assess its impact on vascular outcomes in T1DM, focusing on islet transplantation alone (ITA) and islet-after-kidney transplantation (IAK). We included studies that quantitatively assessed vascular complications after ITA or IAK in adults with T1DM. Eligible studies compared pre-and post-transplant outcomes or posttransplant outcomes with control groups receiving standard treatment. Twenty-five studies (1,373 patients) evaluated microvascular and macrovascular outcomes using eGFR, ophthalmic e xams, and nerve conduction studies. Islet transplantation was associated with stabilization or improvement in most microvascular complications and longterm renal function preservation. While macrovascular data were less frequent, improvements in vascular health markers such as reduced procoagulant states and atherosclerosis progression were reported, suggesting possible reductions in cardiovascular events and mortality, though data remain limited. Islet transplantation shows clear benefits for microvascular complications and potential advantages for macrovascular outcomes, alongside its established role in improving glycemic stability and quality of life.

Indexed as

Diabetes Mellitus, Type 1Islets of Langerhans TransplantationHumansKidney TransplantationQuality of LifeTreatment Outcomecardiovascular diseasediabetesislets transplantationnephropathyneuropathy

Identifiers

PMID41312221
PMCPMC12648045

What Socratic holds

Textmetadata
LicenceCC BY
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.