First World Consensus Conference on pancreas transplantation: Part II – recommendations
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...
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| Veröffentlicht in: | American journal of transplantation 2021-09, Vol.21 (S3), p.17-59 |
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| creator | Boggi, Ugo Vistoli, Fabio Andres, Axel Arbogast, Helmut P. Badet, Lionel Baronti, Walter Bartlett, Stephen T. Benedetti, Enrico Branchereau, Julien Burke, George W. Buron, Fanny Caldara, Rossana Cardillo, Massimo Casanova, Daniel Cipriani, Federica Cooper, Matthew Cupisti, Adamasco Davide, Josè Drachenberg, Cinthia Koning, Eelco J. P. Ettorre, Giuseppe Maria Fernandez Cruz, Laureano Fridell, Jonathan A. Friend, Peter J. Furian, Lucrezia Gaber, Osama A. Gruessner, Angelika C. Gruessner, Rainer W.G. Gunton, Jenny E. Han, Duck‐Jong Iacopi, Sara Kauffmann, Emanuele Federico Kaufman, Dixon Kenmochi, Takashi Khambalia, Hussein A. Lai, Quirino Langer, Robert M. Maffi, Paola Marselli, Lorella Menichetti, Francesco Miccoli, Mario Mittal, Shruti Morelon, Emmanuel Napoli, Niccolò Neri, Flavia Oberholzer, Jose Odorico, Jon S. Öllinger, Robert Oniscu, Gabriel Orlando, Giuseppe Ortenzi, Monica Perosa, Marcelo Perrone, Vittorio Grazio Pleass, Henry Redfield, Robert R. Ricci, Claudio Rigotti, Paolo Robertson, R. Ross, Lainie F. Rossi, Massimo Saudek, Frantisek Scalea, Joseph R. Schenker, Peter Secchi, Antonio Socci, Carlo Sousa Silva, Donzilia Squifflet, Jean Paul Stock, Peter G. Stratta, Robert J. Terrenzio, Chiara Uva, Pablo Watson, Christopher J.E. White, Steven A. Marchetti, Piero Kandaswamy, Raja Berney, Thierry |
| description | 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.
This article described how pancreas transplantation impacts on life expectancy, quality of life, and course of diabetic complications based on the jury deliberations and expert recommendations from the First World Consensus
Conference on Pancreas Transplantation. |
| doi_str_mv | 10.1111/ajt.16750 |
| format | Article |
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P. ; Ettorre, Giuseppe Maria ; Fernandez Cruz, Laureano ; Fridell, Jonathan A. ; Friend, Peter J. ; Furian, Lucrezia ; Gaber, Osama A. ; Gruessner, Angelika C. ; Gruessner, Rainer W.G. ; Gunton, Jenny E. ; Han, Duck‐Jong ; Iacopi, Sara ; Kauffmann, Emanuele Federico ; Kaufman, Dixon ; Kenmochi, Takashi ; Khambalia, Hussein A. ; Lai, Quirino ; Langer, Robert M. ; Maffi, Paola ; Marselli, Lorella ; Menichetti, Francesco ; Miccoli, Mario ; Mittal, Shruti ; Morelon, Emmanuel ; Napoli, Niccolò ; Neri, Flavia ; Oberholzer, Jose ; Odorico, Jon S. ; Öllinger, Robert ; Oniscu, Gabriel ; Orlando, Giuseppe ; Ortenzi, Monica ; Perosa, Marcelo ; Perrone, Vittorio Grazio ; Pleass, Henry ; Redfield, Robert R. ; Ricci, Claudio ; Rigotti, Paolo ; Robertson, R. ; Ross, Lainie F. ; Rossi, Massimo ; Saudek, Frantisek ; Scalea, Joseph R. ; Schenker, Peter ; Secchi, Antonio ; Socci, Carlo ; Sousa Silva, Donzilia ; Squifflet, Jean Paul ; Stock, Peter G. ; Stratta, Robert J. ; Terrenzio, Chiara ; Uva, Pablo ; Watson, Christopher J.E. ; White, Steven A. ; Marchetti, Piero ; Kandaswamy, Raja ; Berney, Thierry</creator><creatorcontrib>Boggi, Ugo ; Vistoli, Fabio ; Andres, Axel ; Arbogast, Helmut P. ; Badet, Lionel ; Baronti, Walter ; Bartlett, Stephen T. ; Benedetti, Enrico ; Branchereau, Julien ; Burke, George W. ; Buron, Fanny ; Caldara, Rossana ; Cardillo, Massimo ; Casanova, Daniel ; Cipriani, Federica ; Cooper, Matthew ; Cupisti, Adamasco ; Davide, Josè ; Drachenberg, Cinthia ; Koning, Eelco J. P. ; Ettorre, Giuseppe Maria ; Fernandez Cruz, Laureano ; Fridell, Jonathan A. ; Friend, Peter J. ; Furian, Lucrezia ; Gaber, Osama A. ; Gruessner, Angelika C. ; Gruessner, Rainer W.G. ; Gunton, Jenny E. ; Han, Duck‐Jong ; Iacopi, Sara ; Kauffmann, Emanuele Federico ; Kaufman, Dixon ; Kenmochi, Takashi ; Khambalia, Hussein A. ; Lai, Quirino ; Langer, Robert M. ; Maffi, Paola ; Marselli, Lorella ; Menichetti, Francesco ; Miccoli, Mario ; Mittal, Shruti ; Morelon, Emmanuel ; Napoli, Niccolò ; Neri, Flavia ; Oberholzer, Jose ; Odorico, Jon S. ; Öllinger, Robert ; Oniscu, Gabriel ; Orlando, Giuseppe ; Ortenzi, Monica ; Perosa, Marcelo ; Perrone, Vittorio Grazio ; Pleass, Henry ; Redfield, Robert R. ; Ricci, Claudio ; Rigotti, Paolo ; Robertson, R. ; Ross, Lainie F. ; Rossi, Massimo ; Saudek, Frantisek ; Scalea, Joseph R. ; Schenker, Peter ; Secchi, Antonio ; Socci, Carlo ; Sousa Silva, Donzilia ; Squifflet, Jean Paul ; Stock, Peter G. ; Stratta, Robert J. ; Terrenzio, Chiara ; Uva, Pablo ; Watson, Christopher J.E. ; White, Steven A. ; Marchetti, Piero ; Kandaswamy, Raja ; Berney, Thierry</creatorcontrib><description>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.
This article described how pancreas transplantation impacts on life expectancy, quality of life, and course of diabetic complications based on the jury deliberations and expert recommendations from the First World Consensus
Conference on Pancreas Transplantation.</description><identifier>ISSN: 1600-6135</identifier><identifier>EISSN: 1600-6143</identifier><identifier>DOI: 10.1111/ajt.16750</identifier><identifier>PMID: 34245223</identifier><language>eng</language><publisher>United States: Elsevier Limited</publisher><subject>clinical research/practice ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Type 1 ; Dialysis ; Graft Survival ; Humans ; Kidney Transplantation ; Kidney transplants ; Life span ; Original ; Pancreas ; Pancreas Transplantation ; Pancreas transplants ; pancreas/simultaneous pancreas‐kidney transplantation ; Patients ; Quality of Life ; Renal Dialysis ; Special ; survey ; Survival</subject><ispartof>American journal of transplantation, 2021-09, Vol.21 (S3), p.17-59</ispartof><rights>2021 The Authors. published by Wiley Periodicals LLC on behalf of The American Society of Transplantation and the American Society of Transplant Surgeons</rights><rights>2021 The Authors. American Journal of Transplantation published by Wiley Periodicals LLC on behalf of The American Society of Transplantation and the American Society of Transplant Surgeons.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). 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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.
This article described how pancreas transplantation impacts on life expectancy, quality of life, and course of diabetic complications based on the jury deliberations and expert recommendations from the First World Consensus
Conference on Pancreas Transplantation.</description><subject>clinical research/practice</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Type 1</subject><subject>Dialysis</subject><subject>Graft Survival</subject><subject>Humans</subject><subject>Kidney Transplantation</subject><subject>Kidney transplants</subject><subject>Life span</subject><subject>Original</subject><subject>Pancreas</subject><subject>Pancreas Transplantation</subject><subject>Pancreas transplants</subject><subject>pancreas/simultaneous pancreas‐kidney transplantation</subject><subject>Patients</subject><subject>Quality of Life</subject><subject>Renal Dialysis</subject><subject>Special</subject><subject>survey</subject><subject>Survival</subject><issn>1600-6135</issn><issn>1600-6143</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kctKBDEQRYMoPkYX_oAEXLkYJ69Oul0IMvgYEXShiKsQ09XaQ3fSJj2KO__BP_RL7Hk46MLaVEEdbl3qIrRLySHtamDG7SGVKiEraJNKQvqSCr66nHmygbZiHBNCFUvZOtrggomEMb6JHs7KEFt870OV46F3EVycxOlUQABnAXuHG-NsABNxG4yLTWVca9rSuyN8Y0KLRyP89fGJA1hf1-Dy2S5uo7XCVBF2Fr2H7s5Ob4cX_avr89Hw5KpvhUpJXxUCpHjMmGUpAAVJlaJKWmsMEVIAgZxIJnNIOSckMyCyzHAGQoKhRZ7wHjqe6zaTxxpyC65zWekmlLUJ79qbUv_duPJZP_lXnSY05Up2AvsLgeBfJhBbPfaT4DrPmiUqI6lU3e0eOphTNvgYAxTLC5ToaQq6S0HPUujYvd-WluTP2ztgMAfeygre_1fSJ5e3c8lvgoSTWg</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Boggi, Ugo</creator><creator>Vistoli, Fabio</creator><creator>Andres, Axel</creator><creator>Arbogast, Helmut P.</creator><creator>Badet, Lionel</creator><creator>Baronti, Walter</creator><creator>Bartlett, Stephen T.</creator><creator>Benedetti, Enrico</creator><creator>Branchereau, Julien</creator><creator>Burke, George W.</creator><creator>Buron, Fanny</creator><creator>Caldara, Rossana</creator><creator>Cardillo, Massimo</creator><creator>Casanova, Daniel</creator><creator>Cipriani, Federica</creator><creator>Cooper, Matthew</creator><creator>Cupisti, Adamasco</creator><creator>Davide, Josè</creator><creator>Drachenberg, Cinthia</creator><creator>Koning, Eelco J. 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World Consensus Conference on pancreas transplantation: Part II – recommendations</title><author>Boggi, Ugo ; Vistoli, Fabio ; Andres, Axel ; Arbogast, Helmut P. ; Badet, Lionel ; Baronti, Walter ; Bartlett, Stephen T. ; Benedetti, Enrico ; Branchereau, Julien ; Burke, George W. ; Buron, Fanny ; Caldara, Rossana ; Cardillo, Massimo ; Casanova, Daniel ; Cipriani, Federica ; Cooper, Matthew ; Cupisti, Adamasco ; Davide, Josè ; Drachenberg, Cinthia ; Koning, Eelco J. P. ; Ettorre, Giuseppe Maria ; Fernandez Cruz, Laureano ; Fridell, Jonathan A. ; Friend, Peter J. ; Furian, Lucrezia ; Gaber, Osama A. ; Gruessner, Angelika C. ; Gruessner, Rainer W.G. ; Gunton, Jenny E. ; Han, Duck‐Jong ; Iacopi, Sara ; Kauffmann, Emanuele Federico ; Kaufman, Dixon ; Kenmochi, Takashi ; Khambalia, Hussein A. ; Lai, Quirino ; Langer, Robert M. ; Maffi, Paola ; Marselli, Lorella ; Menichetti, Francesco ; Miccoli, Mario ; Mittal, Shruti ; Morelon, Emmanuel ; Napoli, Niccolò ; Neri, Flavia ; Oberholzer, Jose ; Odorico, Jon S. ; Öllinger, Robert ; Oniscu, Gabriel ; Orlando, Giuseppe ; Ortenzi, Monica ; Perosa, Marcelo ; Perrone, Vittorio Grazio ; Pleass, Henry ; Redfield, Robert R. ; Ricci, Claudio ; Rigotti, Paolo ; Robertson, R. ; Ross, Lainie F. ; Rossi, Massimo ; Saudek, Frantisek ; Scalea, Joseph R. ; Schenker, Peter ; Secchi, Antonio ; Socci, Carlo ; Sousa Silva, Donzilia ; Squifflet, Jean Paul ; Stock, Peter G. ; Stratta, Robert J. ; Terrenzio, Chiara ; Uva, Pablo ; Watson, Christopher J.E. ; White, Steven A. ; Marchetti, Piero ; Kandaswamy, Raja ; Berney, Thierry</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4780-7f4e64b92c28ee1e6177176ccaa0464e0ed0626de833009ae499a32e46ea1fd53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>clinical research/practice</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus, Type 1</topic><topic>Dialysis</topic><topic>Graft Survival</topic><topic>Humans</topic><topic>Kidney Transplantation</topic><topic>Kidney transplants</topic><topic>Life span</topic><topic>Original</topic><topic>Pancreas</topic><topic>Pancreas Transplantation</topic><topic>Pancreas transplants</topic><topic>pancreas/simultaneous pancreas‐kidney transplantation</topic><topic>Patients</topic><topic>Quality of Life</topic><topic>Renal Dialysis</topic><topic>Special</topic><topic>survey</topic><topic>Survival</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boggi, Ugo</creatorcontrib><creatorcontrib>Vistoli, Fabio</creatorcontrib><creatorcontrib>Andres, Axel</creatorcontrib><creatorcontrib>Arbogast, Helmut P.</creatorcontrib><creatorcontrib>Badet, Lionel</creatorcontrib><creatorcontrib>Baronti, Walter</creatorcontrib><creatorcontrib>Bartlett, Stephen T.</creatorcontrib><creatorcontrib>Benedetti, Enrico</creatorcontrib><creatorcontrib>Branchereau, Julien</creatorcontrib><creatorcontrib>Burke, George W.</creatorcontrib><creatorcontrib>Buron, Fanny</creatorcontrib><creatorcontrib>Caldara, Rossana</creatorcontrib><creatorcontrib>Cardillo, Massimo</creatorcontrib><creatorcontrib>Casanova, Daniel</creatorcontrib><creatorcontrib>Cipriani, Federica</creatorcontrib><creatorcontrib>Cooper, Matthew</creatorcontrib><creatorcontrib>Cupisti, Adamasco</creatorcontrib><creatorcontrib>Davide, Josè</creatorcontrib><creatorcontrib>Drachenberg, Cinthia</creatorcontrib><creatorcontrib>Koning, Eelco J. 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P.</au><au>Ettorre, Giuseppe Maria</au><au>Fernandez Cruz, Laureano</au><au>Fridell, Jonathan A.</au><au>Friend, Peter J.</au><au>Furian, Lucrezia</au><au>Gaber, Osama A.</au><au>Gruessner, Angelika C.</au><au>Gruessner, Rainer W.G.</au><au>Gunton, Jenny E.</au><au>Han, Duck‐Jong</au><au>Iacopi, Sara</au><au>Kauffmann, Emanuele Federico</au><au>Kaufman, Dixon</au><au>Kenmochi, Takashi</au><au>Khambalia, Hussein A.</au><au>Lai, Quirino</au><au>Langer, Robert M.</au><au>Maffi, Paola</au><au>Marselli, Lorella</au><au>Menichetti, Francesco</au><au>Miccoli, Mario</au><au>Mittal, Shruti</au><au>Morelon, Emmanuel</au><au>Napoli, Niccolò</au><au>Neri, Flavia</au><au>Oberholzer, Jose</au><au>Odorico, Jon S.</au><au>Öllinger, Robert</au><au>Oniscu, Gabriel</au><au>Orlando, Giuseppe</au><au>Ortenzi, Monica</au><au>Perosa, Marcelo</au><au>Perrone, Vittorio Grazio</au><au>Pleass, Henry</au><au>Redfield, Robert R.</au><au>Ricci, Claudio</au><au>Rigotti, Paolo</au><au>Robertson, R.</au><au>Ross, Lainie F.</au><au>Rossi, Massimo</au><au>Saudek, Frantisek</au><au>Scalea, Joseph R.</au><au>Schenker, Peter</au><au>Secchi, Antonio</au><au>Socci, Carlo</au><au>Sousa Silva, Donzilia</au><au>Squifflet, Jean Paul</au><au>Stock, Peter G.</au><au>Stratta, Robert J.</au><au>Terrenzio, Chiara</au><au>Uva, Pablo</au><au>Watson, Christopher J.E.</au><au>White, Steven A.</au><au>Marchetti, Piero</au><au>Kandaswamy, Raja</au><au>Berney, Thierry</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>First World Consensus Conference on pancreas transplantation: Part II – recommendations</atitle><jtitle>American journal of transplantation</jtitle><addtitle>Am J Transplant</addtitle><date>2021-09</date><risdate>2021</risdate><volume>21</volume><issue>S3</issue><spage>17</spage><epage>59</epage><pages>17-59</pages><issn>1600-6135</issn><eissn>1600-6143</eissn><abstract>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.
This article described how pancreas transplantation impacts on life expectancy, quality of life, and course of diabetic complications based on the jury deliberations and expert recommendations from the First World Consensus
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| fulltext | fulltext |
| identifier | ISSN: 1600-6135 |
| ispartof | American journal of transplantation, 2021-09, Vol.21 (S3), p.17-59 |
| issn | 1600-6135 1600-6143 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8518376 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | clinical research/practice Diabetes Diabetes mellitus Diabetes Mellitus, Type 1 Dialysis Graft Survival Humans Kidney Transplantation Kidney transplants Life span Original Pancreas Pancreas Transplantation Pancreas transplants pancreas/simultaneous pancreas‐kidney transplantation Patients Quality of Life Renal Dialysis Special survey Survival |
| title | First World Consensus Conference on pancreas transplantation: Part II – recommendations |
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