Incidence and risk factors of post-transplant diabetes mellitus after kidney transplantation: a systematic review and meta-analysis - Scorecard - MDSpire
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Incidence and risk factors of post-transplant diabetes mellitus after kidney transplantation: a systematic review and meta-analysis
Clinical Scorecard: Prevalence and Contributing Factors of Post-Transplant Diabetes Mellitus Following Kidney Transplantation: A Systematic Review and Meta-Analysis
At a Glance
Category
Detail
Condition
Key Mechanisms
Immunosuppressive regimens, particularly calcineurin inhibitors and glucocorticoids, contribute to PTDM risk.
Target Population
Care Setting
Key Highlights
Overall incidence of PTDM is approximately 20%.
Significant risk factors include advanced age, high BMI, family history of diabetes, high fasting plasma glucose, hypertriglyceridemia, and HCV infection.
Guideline-Based Recommendations
Diagnosis
Utilize consistent diagnostic criteria for PTDM.
Management
Consider individual risk factors for PTDM in immunosuppressive therapy.
Monitoring & Follow-up
Regular monitoring of metabolic status post-transplant.
Risks
PTDM can impair allograft function and increase cardiovascular event risk.
Patient & Prescribing Data
Patients undergoing kidney transplantation.
Immunosuppressive regimens may have diabetogenic effects.