Produção Nacional
Revisado por pares
First World Consensus Conference on pancreas transplantation: Part II – recommendations
2021; Elsevier BV; Volume: 21; Linguagem: Inglês
10.1111/ajt.16750
ISSN1600-6143
AutoresUgo Boggi, Fabio Vistoli, Axel Andrès, Helmut Arbogast, Lionel Badet, Walter Baronti, Stephen T. Bartlett, Enrico Benedetti, Julien Branchereau, George W. Burke, Fanny Buron, Rossana Caldara, Massimo Cardillo, Daniel Casanova, Federica Cipriani, Matthew Cooper, Adamasco Cupisti, José Davide, Cinthia B. Drachenberg, Eelco J.P. de Koning, Giuseppe Maria Ettorre, Laureano Fernández Cruz, Jonathan A. Fridell, Peter J. Friend, Lucrezia Furian, Osama Gaber, Angelika C. Gruessner, Rainer W.G. Gruessner, Jenny E. Gunton, Duck Jong Han, Sara Iacopi, Emanuele F. Kauffmann, Dixon B. Kaufman, Takashi Kenmochi, Hussein Khambalia, Quirino Lai, R.M. Langer, Paola Maffi, Lorella Marselli, Francesco Menichetti, Mario Miccoli, Shruti Mittal, Emmanuel Morélon, Niccolò Napoli, Flavia Neri, José Oberholzer, Jon S. Odorico, Robert Öllinger, Gabriel C. Oniscu, Giuseppe Orlando, Monica Ortenzi, Marcelo Perosa, Vittorio Perrone, Henry Pleass, Robert R. Redfield, Claudio Ricci, Paolo Rigotti, R. Paul Robertson, Lainie Friedman Ross, Massimo Rossi, F Saudek, Joseph R. Scalea, Peter Schenker, Antonio Secchi, Carlo Socci, Donzília Sousa Silva, Jean Squifflet, Peter G. Stock, Robert J. Stratta, Chiara Terrenzio, Pablo Uva, Christopher J.E. Watson, Steven White, Piero Marchetti, Raja Kandaswamy, Thierry Berney,
Tópico(s)Renal Transplantation Outcomes and Treatments
ResumoThe 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.
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