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More than
one adult kidney transplant recipient in every five winds up being
diagnosed with new onset diabetes mellitus (NODM) in the first
two years after transplant, according to a report in the American
Journal of Transplantation.
University
of New Hampshire researchers reported that the incidence of new
onset diabetes mellitus diagnosed within the first two years after
transplant was 30 percent among kidney recipients taking the anti-rejection
drug Prograf, and 18 percent among those on cyclosporine immunosuppression.
Researchers
have long known that some anti-rejection medications appear to
induce post-transplant diabetes mellitus in kidney transplant
recipients, but the new study is believed the first to attempt
to quantify the phenomenon on a nationwide basis.
The researchers
derived the numbers from a study of the United States Renal Data
System's records for adult, first, single-organ, renal transplantations
that took place in 1996 or 1997. In addition to quantifying the
incidence of new diabetes, they also sought to estimate its cost.
"By two
years post-transplant, Medicare paid [on average] an extra $21,
500 per newly diabetic patient," the researchers concluded.
Other
Sources:
American Journal of Transplantation
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