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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The prevalence of diabetes mellitus is higher in patients with cystic fibrosis than in the general population&#46; Solid organ transplantation is a significant risk factor for diabetes mellitus&#44; which has been linked to type of immunosuppression&#46; The aim of this study was to analyze whether lung transplantation represents a significant risk factor for the onset of abnormal carbohydrate metabolism in cystic fibrosis&#44; whether it affects severity of alterations&#44; and whether there is a relation to type of immunosuppression&#46;</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">The following data were extracted retrospectively for 54 patients with cystic fibrosis&#58; type of carbohydrate metabolism alteration and treatment received&#44; whether or not transplantation took place&#44; and type of immunosuppression used&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Twenty of the 54 patients &#40;37&#37;&#41; underwent lung transplantation&#59; 18 of them &#40;89&#37;&#41; developed diabetes mellitus&#46; Eight of the patients &#40;24&#37;&#41; who did not receive a lung developed diabetes and 10 &#40;29&#37;&#41; displayed carbohydrate intolerance &#40;P&#60;&#46;01&#44; &#967;<span class="elsevierStyleSup">2</span> test&#41;&#46; Insulin was administered to 36&#46;3&#37; of nontransplanted patients and 78&#46;6&#37; of transplanted patients&#46; The influence of immunosuppressant used was analyzed in 15 patients&#46; Nine out of 10 patients &#40;90&#37;&#41; treated with cyclosporine and 4 out of 5 &#40;80&#37;&#41; of those treated with tacrolimus developed diabetes mellitus&#46; All received the same regimen of corticosteroid therapy&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">For cystic fibrosis patients&#44; lung transplantation is a significant risk factor for developing abnormal carbohydrate metabolism and it influences severity and treatment&#46; No significant differences in the frequency of development of diabetes mellitus were found in relation to type of immunosuppression&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La prevalencia de diabetes mellitus &#40;DM&#41; en pacientes con fibrosis quistica &#40;FQ&#41; es mayor que en la poblacion general&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">El trasplante de organos solidos es un factor de riesgo importante para el desarrollo de DM y se ha relacionado con el tipo de inmunodepresion&#46; El objetivo del estudio ha sido analizar si el trasplante pulmonar &#40;TP&#41; es un factor de riesgo importante para desarrollar alteracion hidrocarbonada en la FQ&#44; si influye en su gravedad y tratamiento&#44; y si existe relacion con el tipo de inmunodepresion&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se estudio retrospectivamente a 54 pacientes adultos con FQ&#44; sobre los que se recogieron los siguientes datos&#58; tipo de alteracion hidrocarbonada y su tratamiento&#44; existencia o no de TP y tipo de inmunodepresion&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">De los 54 pacientes&#44; 20 recibieron TP &#40;37&#37;&#41;&#46; De estos&#44; el 89&#37; &#40;n &#61; 18&#41; presento DM&#46; Entre aquellos que no recibieron TP&#44; el 24&#37; &#40;n &#61; 8&#41; presento DM y el 29&#37; &#40;n &#61; 10&#41; intolerancia hidrocarbonada &#40;p &#60; 0&#44;01&#59; prueba de &#967;<span class="elsevierStyleSup">2</span>&#41;&#46; Se pauto insulina al 36&#44;3&#37; de los pacientes sin TP y al 78&#44;6&#37; de los trasplantados&#46; La influencia de la inmunodepresion se analizo en 15 pacientes&#46; Desarrollaron DM el 90&#37; &#40;9&#47;10&#41; de los tratados con ciclosporina y el 80&#37; &#40;4&#47;5&#41; de los tratados con tacrolimus&#46; Todos llevaban la misma pauta de corticoterapia&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El TP es un factor de riesgo importante para el desarrollo de alteracion hidrocarbonada en pacientes con FQ e influye en su gravedad y tratamiento&#46; No hemos encontrado diferencia significativa entre el tipo de inmunodepresion y la aparicion de DM&#46;</p>"
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Original Article
Lung Transplantation and the Development of Diabetes Mellitus in Adult Patients With Cystic Fibrosis
María Soledad Navas de Solís, Juan Francisco Merino Torres
Corresponding author
merino_jfr@gva.es

Correspondence: Dr. J.F. Merino Torres. Servicio de Endocrinología y Nutrición. Hospital Universitario La Fe. Avda. Campanar, 21. 46009 Valencia. España
, Isabel Mascarell Martínez, Francisco Piñón Sellés
Servicio de Endocrinología y Nutritión, Hospital Universitario La Fe, Valencia, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The prevalence of diabetes mellitus is higher in patients with cystic fibrosis than in the general population&#46; Solid organ transplantation is a significant risk factor for diabetes mellitus&#44; which has been linked to type of immunosuppression&#46; The aim of this study was to analyze whether lung transplantation represents a significant risk factor for the onset of abnormal carbohydrate metabolism in cystic fibrosis&#44; whether it affects severity of alterations&#44; and whether there is a relation to type of immunosuppression&#46;</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">The following data were extracted retrospectively for 54 patients with cystic fibrosis&#58; type of carbohydrate metabolism alteration and treatment received&#44; whether or not transplantation took place&#44; and type of immunosuppression used&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Twenty of the 54 patients &#40;37&#37;&#41; underwent lung transplantation&#59; 18 of them &#40;89&#37;&#41; developed diabetes mellitus&#46; Eight of the patients &#40;24&#37;&#41; who did not receive a lung developed diabetes and 10 &#40;29&#37;&#41; displayed carbohydrate intolerance &#40;P&#60;&#46;01&#44; &#967;<span class="elsevierStyleSup">2</span> test&#41;&#46; Insulin was administered to 36&#46;3&#37; of nontransplanted patients and 78&#46;6&#37; of transplanted patients&#46; The influence of immunosuppressant used was analyzed in 15 patients&#46; Nine out of 10 patients &#40;90&#37;&#41; treated with cyclosporine and 4 out of 5 &#40;80&#37;&#41; of those treated with tacrolimus developed diabetes mellitus&#46; All received the same regimen of corticosteroid therapy&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">For cystic fibrosis patients&#44; lung transplantation is a significant risk factor for developing abnormal carbohydrate metabolism and it influences severity and treatment&#46; No significant differences in the frequency of development of diabetes mellitus were found in relation to type of immunosuppression&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La prevalencia de diabetes mellitus &#40;DM&#41; en pacientes con fibrosis quistica &#40;FQ&#41; es mayor que en la poblacion general&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">El trasplante de organos solidos es un factor de riesgo importante para el desarrollo de DM y se ha relacionado con el tipo de inmunodepresion&#46; El objetivo del estudio ha sido analizar si el trasplante pulmonar &#40;TP&#41; es un factor de riesgo importante para desarrollar alteracion hidrocarbonada en la FQ&#44; si influye en su gravedad y tratamiento&#44; y si existe relacion con el tipo de inmunodepresion&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se estudio retrospectivamente a 54 pacientes adultos con FQ&#44; sobre los que se recogieron los siguientes datos&#58; tipo de alteracion hidrocarbonada y su tratamiento&#44; existencia o no de TP y tipo de inmunodepresion&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">De los 54 pacientes&#44; 20 recibieron TP &#40;37&#37;&#41;&#46; De estos&#44; el 89&#37; &#40;n &#61; 18&#41; presento DM&#46; Entre aquellos que no recibieron TP&#44; el 24&#37; &#40;n &#61; 8&#41; presento DM y el 29&#37; &#40;n &#61; 10&#41; intolerancia hidrocarbonada &#40;p &#60; 0&#44;01&#59; prueba de &#967;<span class="elsevierStyleSup">2</span>&#41;&#46; Se pauto insulina al 36&#44;3&#37; de los pacientes sin TP y al 78&#44;6&#37; de los trasplantados&#46; La influencia de la inmunodepresion se analizo en 15 pacientes&#46; Desarrollaron DM el 90&#37; &#40;9&#47;10&#41; de los tratados con ciclosporina y el 80&#37; &#40;4&#47;5&#41; de los tratados con tacrolimus&#46; Todos llevaban la misma pauta de corticoterapia&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El TP es un factor de riesgo importante para el desarrollo de alteracion hidrocarbonada en pacientes con FQ e influye en su gravedad y tratamiento&#46; No hemos encontrado diferencia significativa entre el tipo de inmunodepresion y la aparicion de DM&#46;</p>"
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Article information
ISSN: 15792129
Original language: English
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2017 February 3 6 9
2017 January 2 3 5
2016 December 9 3 12
2016 November 8 5 13
2016 October 7 5 12
2016 September 16 8 24
2016 August 12 2 14
2016 July 7 3 10
2016 March 1 0 1
2016 February 1 0 1
2015 December 4 0 4
2015 October 47 7 54
2015 September 27 5 32
2015 August 30 11 41
2015 July 43 12 55
2015 June 29 5 34
2015 May 39 5 44
2015 April 34 10 44
2015 March 29 9 38
2015 February 27 4 31
2015 January 22 8 30
2014 December 29 7 36
2014 November 31 7 38
2014 October 41 10 51
2014 September 32 7 39
2014 August 45 7 52
2014 July 35 8 43
2014 June 45 8 53
2014 May 51 8 59
2014 April 47 9 56
2014 March 57 7 64
2014 February 50 11 61
2014 January 28 6 34
2013 December 36 11 47
2013 November 34 3 37
2013 October 35 9 44
2013 September 41 11 52
2013 August 42 6 48
2013 July 59 11 70
2013 June 33 5 38
2013 May 33 7 40
2013 April 21 3 24
2013 March 6 3 9
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