Patient selection and risk factors in organ transplantation in diabetics: Experience with kidney and pancreas

J. Traeger, J. M. Dubernard, E. Bosi, P. M. Piatti, A. Gelet, S. El Yafi, H. Beutel, A. Secchi, J. L. Touraine, G. Pozza

Research output: Contribution to journalArticle

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Abstract

Type I end stage renal disease (ESRD) diabetics no longer have to be considered a special high-risk category of patients for kidney transplantation that, on the contrary, should be regarded as the therapy of choice. Nevertheless, the diabetic syndrome requires a different approach to these patients because of the number and the severity of the complications and the general brittleness of such patients. Some criteria for selection of patients in view of a kidney transplantation should have been assumed on the basis of a detailed assessment of the diabetic complications with special regard to the cardiovascular system. In fact, the predictability of cardiac and vascular complications is not sufficiently precise on the bases of the usual noninvasive investigations. However, the risk factors of transplantation must not be considered as absolute, but should be balanced with those of each of the alternative therapies; in addition, the better quality of life, the major autonomy, the artificial organ independence, and the recovered feeling of well-being, with all of the psychological implications obtainable in the cases of successful transplants, must also be carefully considered. On these bases, we believe that transplantation is reasonably proposable to almost the whole population of type I ESRD diabetics, but we are equally convinced of the need of standardized criteria for patient assessment and selection, perhaps established by an 'ad hoc' committee.

Original languageEnglish
Pages (from-to)577-582
Number of pages6
JournalTransplantation Proceedings
Volume16
Issue number3
Publication statusPublished - 1984

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Organ Transplantation
Patient Selection
Pancreas
Kidney
Kidney Transplantation
Chronic Kidney Failure
Transplantation
Artificial Organs
Diabetes Complications
Complementary Therapies
Cardiovascular System
Blood Vessels
Emotions
Quality of Life
Psychology
Transplants
Population
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Transplantation

Cite this

Patient selection and risk factors in organ transplantation in diabetics : Experience with kidney and pancreas. / Traeger, J.; Dubernard, J. M.; Bosi, E.; Piatti, P. M.; Gelet, A.; El Yafi, S.; Beutel, H.; Secchi, A.; Touraine, J. L.; Pozza, G.

In: Transplantation Proceedings, Vol. 16, No. 3, 1984, p. 577-582.

Research output: Contribution to journalArticle

Traeger, J, Dubernard, JM, Bosi, E, Piatti, PM, Gelet, A, El Yafi, S, Beutel, H, Secchi, A, Touraine, JL & Pozza, G 1984, 'Patient selection and risk factors in organ transplantation in diabetics: Experience with kidney and pancreas', Transplantation Proceedings, vol. 16, no. 3, pp. 577-582.
Traeger, J. ; Dubernard, J. M. ; Bosi, E. ; Piatti, P. M. ; Gelet, A. ; El Yafi, S. ; Beutel, H. ; Secchi, A. ; Touraine, J. L. ; Pozza, G. / Patient selection and risk factors in organ transplantation in diabetics : Experience with kidney and pancreas. In: Transplantation Proceedings. 1984 ; Vol. 16, No. 3. pp. 577-582.
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