中山醫學大學機構典藏 CSMUIR:Item 310902500/24803
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    题名: Risk Factors in and Long-Term Survival of Patients with Post-Transplantation Diabetes Mellitus: A Retrospective Cohort Study
    作者: Cheng, CY;Chen, CH;Wu, MF;Wu, MJ;Chen, JP;Liu, YM;Hou, YC;Wang, HY
    关键词: immunosuppressant;post-transplant diabetes mellitus;risk factor;survival rate
    日期: 2020
    上传时间: 2022-08-09T08:08:15Z (UTC)
    出版者: MDPI
    摘要: Post-transplant diabetes mellitus (PTDM) is associated with infection, cardiovascular morbidity, and mortality. A retrospective cohort study involving patients who underwent renal transplantation in a transplantation center in Taiwan from January 2000 to December 2018 was conducted to investigate the incidence and risk factors of PTDM and long-term patient and graft survival rates. High age (45-65 vs. <45 years, adjusted odds ratio (aOR) = 2.90, 95% confidence interval (CI) = 1.64-5.13,p< 0.001), high body mass index (>27 vs. <24 kg/m(2), aOR = 5.35, 95% CI = 2.75-10.42,p< 0.001), and deceased organ donor (cadaveric vs. living, aOR = 2.01, 95% CI = 1.03-3.93,p= 0.04) were the three most important risk factors for the development of PTDM. The cumulative survival rate of patients and allografts was higher in patients without PTDM than in those with PTDM(p= 0.007 and 0.041, respectively). Concurrent use of calcineurin inhibitors and mammalian target of rapamycin inhibitors (mTORis) decreased the risk of PTDM (tacrolimus vs. tacrolimus with mTORi, aOR = 0.28, 95% CI = 0.14-0.55,p< 0.001). Investigating PTDM risk factors before and modifying immunosuppressant regimens after transplantation may effectively prevent PTDM development.
    URI: http://dx.doi.org/10.3390/ijerph17124581
    https://www.webofscience.com/wos/woscc/full-record/WOS:000554686100001
    https://ir.csmu.edu.tw:8080/handle/310902500/24803
    關聯: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH ,2020 ,v17 ,issue 12
    显示于类别:[中山醫學大學研究成果] 期刊論文

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