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Am J Surg. 2005 May;189(5):552-7; discussion 557.

Hepatitis C infection increases the risk of new-onset diabetes after transplantation in liver allograft recipients.

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  • 1Department of Surgery, Division of Liver/Pancreas Transplantation, Oregon Health and Science University, 8131 SW Sam Jackson Park Road, L590, Portland, OR 97239, USA.

Abstract

BACKGROUND:

Recent evidence suggests that new-onset diabetes after transplant (NODAT) adversely affects orthotopic liver transplant (OLTX) patient and graft survival. The objective of this study is to evaluate the effect of hepatitis C infection on the natural history of NODAT.

METHODS:

A retrospective review of 492 OLTX recipients at a single center was conducted from January 1993 to January 2003. Patients were followed for a minimum of 12 months (range 12 months-10 years). The study population consisted of 444 OLTX recipients who were either HCV positive (n = 206) or HCV negative (n = 238). NODAT was defined by the need for antidiabetic medication for at least 7 days starting anytime after OLTX. Statistical analysis was performed by using the Student t test, Kaplan-Meier survival, and chi-square tests.

RESULTS:

The overall incidence of NODAT was 33% (146/444). There was a significant difference in the development of NODAT between the HCV-positive group (82/206, 40%) and the HCV-negative group (64/238, 27%) (P < .001). Other independent risk factors for development of NODAT were male gender and age >50 years.

CONCLUSION:

Hepatitis C infection contributes to the development of diabetes mellitus in OLTX recipients. The mechanisms behind HCV infection and associated NODAT in HCV-positive OLTX recipients warrant further investigation.

PMID:
15862495
DOI:
10.1016/j.amjsurg.2005.01.033
[PubMed - indexed for MEDLINE]
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