Association of British Clinical Diabetologists and Renal Association guidelines on the detection and management of diabetes post solid organ transplantation.


Journal

Diabetic medicine : a journal of the British Diabetic Association
ISSN: 1464-5491
Titre abrégé: Diabet Med
Pays: England
ID NLM: 8500858

Informations de publication

Date de publication:
06 2021
Historique:
revised: 24 11 2020
received: 14 08 2020
accepted: 09 01 2021
pubmed: 13 1 2021
medline: 24 3 2022
entrez: 12 1 2021
Statut: ppublish

Résumé

Post-transplant diabetes mellitus (PTDM) is common after solid organ transplantation (SOT) and associated with increased morbidity and mortality for allograft recipients. Despite the significant burden of disease, there is a paucity of literature with regards to detection, prevention and management. Evidence from the general population with diabetes may not be translatable to the unique context of SOT. In light of emerging clinical evidence and novel anti-diabetic agents, there is an urgent need for updated guidance and recommendations in this high-risk cohort. The Association of British Clinical Diabetologists (ABCD) and Renal Association (RA) Diabetic Kidney Disease Clinical Speciality Group has undertaken a systematic review and critical appraisal of the available evidence. Areas of focus are; (1) epidemiology, (2) pathogenesis, (3) detection, (4) management, (5) modification of immunosuppression, (6) prevention, and (7) PTDM in the non-renal setting. Evidence-graded recommendations are provided for the detection, management and prevention of PTDM, with suggested areas for future research and potential audit standards. The guidelines are endorsed by Diabetes UK, the British Transplantation Society and the Royal College of Physicians of London. The full guidelines are available freely online for the diabetes, renal and transplantation community using the link below. The aim of this review article is to introduce an abridged version of this new clinical guideline ( https://abcd.care/sites/abcd.care/files/site_uploads/Resources/Position-Papers/ABCD-RA%20PTDM%20v14.pdf).

Identifiants

pubmed: 33434362
doi: 10.1111/dme.14523
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e14523

Informations de copyright

© 2021 Diabetes UK.

Références

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Auteurs

Tahseen A Chowdhury (TA)

Royal London Hospital, London, UK.

Mona Wahba (M)

St Helier Hospital, London, UK.

Ritwika Mallik (R)

Royal London Hospital, London, UK.

Javeria Peracha (J)

University Hospitals Birmingham NHS Trust, Birmingham, UK.

Dipesh Patel (D)

Diabetes & Endocrinology, Royal Free NHS foundation Trust, UCL, London, UK.

Parijat De (P)

City Hospital, Birmingham, UK.

Damian Fogarty (D)

Belfast Health and Social Care Trust, Belfast, UK.

Andrew Frankel (A)

Imperial College Healthcare NHS Trust, London, UK.

Janaka Karalliedde (J)

Guy's and St Thomas NHS Foundation Trust and King's College London, London, UK.

Patrick B Mark (PB)

University of Glasgow, Glasgow, UK.

Rosa M Montero (RM)

King's College London, London, UK.

Ana Pokrajac (A)

West Hertfordshire Hospitals NHS Trust, Watford, UK.

Sagen Zac-Varghese (S)

ENHIDE, Lister Hospital, Stevenage, UK.

Stephen C Bain (SC)

University of Swansea, Swansea, UK.

Indranil Dasgupta (I)

Heartlands Hospital, Birmingham, UK.
Warwick Medical School, Warwick, UK.

Debasish Banerjee (D)

Renal and Transplant Unit, St George's University Hospitals NHS Foundation Trust and MCSRI, St George's University of London, London, UK.

Peter Winocour (P)

ENHIDE, QE2 Hospital, Welwyn Garden City, UK.

Adnan Sharif (A)

University Hospitals Birmingham, Birmingham, UK.

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