Type 1 diabetes

Follow-Up of Patients After Total Pancreatectomy and Islet Cell Autotransplantation at Off-Site Islet Isolation Facility

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

Our long-term follow-up data suggest that IAT can effectively reduce insulin requirements and improve postoperative glycemic control.

Study context

Population
Patients with chronic pancreatitis undergoing total pancreatectomy with islet autotransplantation (TPIAT) with an off-site islet isolation facility; median age 46.0 years (range 20–78)
Participants
44 patients
Exposure
Insulin independent vs Insulin dependent
  • Insulin independentn = 8
  • Insulin dependentn = 36
Outcome
Efficacy of TPIAT: insulin independence
Follow-up
Up to 12 years
Methodological detailssingle-group follow-up, off-site islet isolation facility
  • Single-group follow-up
  • Off-site islet isolation facility

Main finding

As reported in the abstract

Insulin independence · median follow-up 845.5 days (range 195-4470)

Insulin independent

8

events

Insulin dependent

36

events

Observational data: associations, not effects.

Further findings

HOMA-IR · most recent follow-up

HOMA-IR comparable between insulin independent and dependent cohorts

Original publication

Follow-Up of Patients After Total Pancreatectomy and Islet Cell Autotransplantation at Off-Site Islet Isolation Facility. J Clin Endocrinol Metab. Published 13 December 2022. doi:10.1210/clinem/dgac674

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