title: Choices in kidney transplantation in type 1 diabetes: are there skeletal benefits of the endocrine pancreas?
abstract: Previously, 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.
authors: 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
authors: Julia J
authors: JJ
authors: Scialla
mesh_terms: D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D005260:Female; D050723:Fractures, Bone / Q000209:etiology*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D016035:Pancreas Transplantation