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First World Consensus Conference on pancreas transplantation: Part II - recommendations
U. Boggi, F. Vistoli, A. Andres, HP. Arbogast, L. Badet, W. Baronti, ST. Bartlett, E. Benedetti, J. Branchereau, GW. Burke, F. Buron, R. Caldara, M. Cardillo, D. Casanova, F. Cipriani, M. Cooper, A. Cupisti, J. Davide, C. Drachenberg, EJP. de...
Language English Country United States
Document type Journal Article, Research Support, Non-U.S. Gov't
NLK
Free Medical Journals
from 2001 to 2022
Wiley Free Content
from 2001 to 2022
ROAD: Directory of Open Access Scholarly Resources
from 2001
PubMed
34245223
DOI
10.1111/ajt.16750
Knihovny.cz E-resources
- MeSH
- Diabetes Mellitus, Type 1 * MeSH
- Renal Dialysis MeSH
- Quality of Life MeSH
- Humans MeSH
- Graft Survival MeSH
- Kidney Transplantation * MeSH
- Pancreas Transplantation * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
The First World Consensus Conference on Pancreas Transplantation provided 49 jury deliberations regarding the impact of pancreas transplantation on the treatment of diabetic patients, and 110 experts' recommendations for the practice of pancreas transplantation. The main message from this consensus conference is that both simultaneous pancreas-kidney transplantation (SPK) and pancreas transplantation alone can improve long-term patient survival, and all types of pancreas transplantation dramatically improve the quality of life of recipients. Pancreas transplantation may also improve the course of chronic complications of diabetes, depending on their severity. Therefore, the advantages of pancreas transplantation appear to clearly surpass potential disadvantages. Pancreas after kidney transplantation increases the risk of mortality only in the early period after transplantation, but is associated with improved life expectancy thereafter. Additionally, preemptive SPK, when compared to SPK performed in patients undergoing dialysis, appears to be associated with improved outcomes. Time on dialysis has negative prognostic implications in SPK recipients. Increased long-term survival, improvement in the course of diabetic complications, and amelioration of quality of life justify preferential allocation of kidney grafts to SPK recipients. Audience discussions and live voting are available online at the following URL address: http://mediaeventi.unipi.it/category/1st-world-consensus-conference-of-pancreas-transplantation/246.
Department of Abdominal Surgery and Transplantation University of Liege Liege Belgium
Department of Clinical and Experimental Medicine University of Pisa Pisa Italy
Department of General and Emergency Surgery Polytechnic University of Marche Ancona Italy
Department of Internal Medicine and Surgery University of Bologna Bologna Italy
Department of Medicine and Transplant Center Leiden University Medical Center Leiden The Netherlands
Department of Organ Transplant Surgery Fujita Health University Toyoake Japan
Department of Pathology University of Maryland School of Medicine Baltimore Maryland USA
Department of Surgery Addenbrooke's Hospital University of Cambridge Cambridge England UK
Department of Surgery Indiana University Indianapolis Indiana USA
Department of Surgery Ruhr University Bochum Bochum Germany
Department of Surgery Scientific Institute San Raffaele Milan Italy
Department of Surgery University of Illinois at Chicago College of Medicine Chicago Illinois USA
Department of Surgery University of Minnesota Minneapolis Minnesota USA
Department of Surgery University of Virginia Charlottesville Virginia USA
Department of Surgery Wake Forest School of Medicine Winston Salem North Carolina USA
Department of Surgery Weastmead Clinical School University of Sydney Sydney Australia
Department of Urology and Transplantation E Herriot Hospital Lyon 1 University Lyon France
Department of Urology Nantes University Hospital CHU de Nantes Nantes France
Department Surgery University of Cantabria Santander Spain
Diabetes Center Institute for Clinical and Experimental Medicine Prague Czech Republic
Division of General and Transplant Surgery University of Pisa Pisa Italy
Division of Transplantation Department of Surgery University of Geneva Geneva Switzerland
Hepatobiliary Surgery Division IRCCS San Raffaele Scientific Institute Milan Italy
Hospital Clinic University of Barcelona Barcelona Spain
Internal Medicine and Transplantation Scientific Institute San Raffaele Milan Italy
Italian National Transplant Center Istituto Superiore di Sanità Rome Italy
Kidney Pancreas Transplantation Instituto de Trasplantes y Alta Complejidad Buenos Aires Argentina
Medstar Georgetown Transplant Institute Washington DC USA
Nuffield Department of Surgical Sciences University of Oxford Oxford England UK
Ordensklinikum Elisabethinen University of Linz Linz Austria
Transplantation Department Asan Medical Center Ulsan University Seoul South Korea
Transplantation Department S Camillo Forlanini Hospital Rome Italy
References provided by Crossref.org
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