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Kidney international · Mar 2013
CommentChoices in kidney transplantation in type 1 diabetes: are there skeletal benefits of the endocrine pancreas?
- Julia J Scialla.
- Division of Nephrology and Hypertension, Department of Medicine, University of Miami Miller School of Medicine, 1120 NW 14th Street, Suite 815, Miami, Florida 33136, USA. jscialla@med.miami.edu
- Kidney Int. 2013 Mar 1;83(3):356-8.
AbstractPreviously, recipients of a simultaneous pancreas-kidney transplant versus a kidney transplant alone were thought to have higher fracture risk. Using a large US registry, Nikkel et al. observed lower rates of fracture hospitalization among patients with type 1 diabetes after simultaneous pancreas-kidney compared with kidney transplantation alone, particularly among men. It is not known whether the apparent benefit of simultaneous pancreas-kidney transplantation is due to improved bone strength or fewer falls, but these findings may influence transplant decision making.
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