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|Title:||Renal impairment and diabetes mellitus after liver transplant|
|Citation:||Sutedja, D.S., Wai, C.-T., Teoh, K.-F., Lee, H.-L., Dacosta, M., Lee, M., Kaur, M., Lee, Y.-M., Lee, K.-H., Mak, K., Quak, S.-H., Isaac, J., Lim, S.-G., Prabhakaran, K. (2004). Renal impairment and diabetes mellitus after liver transplant. Transplantation Proceedings 36 (8) : 2324-2327. ScholarBank@NUS Repository. https://doi.org/10.1016/j.transproceed.2004.06.059|
|Abstract:||One of the major concerns in liver transplant patients who survive past 1 year posttransplant is the development of chronic diseases. We studied two important clinical conditions that can have a chronic course--renal impairment and diabetes mellitus--among long-term liver transplant survivors. All adult patients transplanted and followed for at least 1 year were evaluated for clinical status, blood tests, and imaging studies. The occurrence and development of renal impairment, defined as a serum creatinine above 125 μmol/L or creatinine clearance less than 75 mL/min, or diabetes mellitus were evaluated for contributing factors. The 35 evaluated patients of mean age at transplant of 50 years had a mean follow-up duration of 45 months. The incidence of posttransplant renal impairment was 22.8% at 1 year and 47.6% at 3 years. This disorder was associated with pretransplant renal impairment and with a diagnosis of diabetes. Posttransplant diabetes mellitus was observed in 48.6% with 41.1% resolving over time. Posttransplant renal impairment appears to be a potential long-term problem. Although this relates to pretransplant conditions, longer follow-up is required to examine whether posttransplant factors contribute to its progression.|
|Source Title:||Transplantation Proceedings|
|Appears in Collections:||Staff Publications|
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