Summary
Twenty-seven Type I diabetic patients in end-stage renal failure were followed after combined pancreas-kidney transplantation. All patients received duct-occluded segmental pancreas grafts. Clinical progression of extrarenal diabetic complications was studied in 11 patients with long-term functioning pancreatic and renal transplants (Group 1), and in 16 patients who had lost pancreatic graft function, but retained renal graft function (Group 2). Pretransplant, extrarenal diabetic complications were equally distributed in the two groups. In the follow-up period, however, the progress of these complications was less severe in patients with functioning pancreatic transplants. No differences were found between the groups concerning rehabilitation, working capacity, need of help or hospital admittance. It is suggested that pancreas transplantation performed in an earlier stage of diabetes before serious complications have developed, would probably improve rehabilitation and quality of life in these patients.
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References
Abendroth D, Illner WD, Landgraf R, Land W (1990) A different clinical course of IDDM patients after simultaneous pancreas and kidney transplantation and kidney grafting alone. Transplant Proc 22:1579
Brekke IB, Holdaas H, Albrechtsen D, Fauchald P, Flatmark A (1990) Combined pancreatic and renal transplantation:improved survival of uremic diabetic patients and renal grafts. Transplant Proc 22:1580
Evans RW, Manninen DL, Garrison LP (1985) The quality of life of patients with end stage renal disease. N Engl J Med 312: 553–559
Johnson JP, Mc Cauley CR, Copley JB (1982) The quality of life of hemodialysis and transplant patients. Kidney Int 22: 286–291
Kutner NG, Brogan D, Kutner MH (1986) End stage renal disease treatment modality and patients' quality of life. Am J Nephrol 6: 396–402
Nakache R, Tydén G, Groth CG (1989) Quality of life in diabetic patients after combined pancreas-kidney or kidney transplantation. Diabetes 38:40–42
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Bentdal, Ø.H., Fauchald, P., Brekke, I.B. et al. Rehabilitation and quality of life in diabetic patients after successful pancreas-kidney transplantation. Diabetologia 34 (Suppl 1), S158–S159 (1991). https://doi.org/10.1007/BF00587645
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DOI: https://doi.org/10.1007/BF00587645