{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T19:36:32Z","timestamp":1786476992961,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100019252","name":"Virginia Lee Cook Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019252","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Malnutrition is common among patients with end\u2010organ disease. The impact of any criterion of malnutrition (weight loss, muscle depletion, fat depletion, inadequate oral intake, or reduced functionality) pretransplant among simultaneous pancreas\u2010kidney (SPK) or solitary pancreas transplant (SPT) recipients is understudied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this single\u2010center study, we included all SPK or SPT recipients who had pretransplant malnutrition assessed and were transplanted between 01\/2016 and 04\/2024. Recipients were categorized as at malnutrition risk (M+ve) if any one of the components of malnutrition was present and were compared with those without any component (M\u2010ve). Outcomes of interest were length of stay, kidney delayed graft function (DGF), early readmission, cardiovascular events, acute rejection, uncensored graft failure, death\u2010censored graft failure (DCGF), and death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 234 SPK and 136 SPT recipients fulfilled the selection criteria. 44 (19%) of SPK recipients and 13 (10%) of SPT were MR+ve, with reduced functionality being the most common positive malnutrition component in both groups. Among SPK recipients, after adjustment for multiple variables, MR+ve was associated with early readmission (aOR: 1.79; 95% CI: 1.08\u20132.97;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.02). Similarly, among SPT, MR+ve was associated with early readmission (aOR: 6.15; 95% CI: 2.43\u201315.5;\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001); pancreas uncensored graft failure (aOR: 3.3; 95% CI: 1.14\u20139.58;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.03) and pancreas DCGF (aOR: 4.45; 95% CI: 1.44\u201313.67;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.009).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The presence of any positive pretransplant malnutrition components is associated with worse posttransplant outcomes in pancreas transplant recipients. These findings help support informed decisions about transplant candidacy and nutrition optimization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70607","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T12:39:16Z","timestamp":1782995956000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pretransplant Malnutrition Risk Components are Associated With Adverse Outcomes After Simultaneous Pancreas and Kidney and Solitary Pancreas Transplantation"],"prefix":"10.1111","volume":"40","author":[{"given":"Katrina","family":"Kennedy","sequence":"first","affiliation":[{"name":"Division of Transplantation, Department of Clinical Nutrition UW Health Hospital and Clinics  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessa","family":"Engelken","sequence":"additional","affiliation":[{"name":"Division of Transplantation, Department of Clinical Nutrition UW Health Hospital and Clinics  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Rolfson","sequence":"additional","affiliation":[{"name":"Division of Transplantation, Department of Clinical Nutrition UW Health Hospital and Clinics  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Zhou","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine University of Wisconsin School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina L.","family":"Gibes","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine University of Wisconsin School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Najiyah","family":"Salwa","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine University of Wisconsin School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Didier","family":"Mandelbrot","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine University of Wisconsin School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dixon","family":"Kaufman","sequence":"additional","affiliation":[{"name":"Division of Transplantation, Department of Clinical Nutrition UW Health Hospital and Clinics  Madison Wisconsin USA"},{"name":"Division of Transplant Surgery, Department of Surgery University of Wisconsin School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Odorico","sequence":"additional","affiliation":[{"name":"Division of Transplantation, Department of Clinical Nutrition UW Health Hospital and Clinics  Madison Wisconsin USA"},{"name":"Division of Transplant Surgery, Department of Surgery University of Wisconsin School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandesh","family":"Parajuli","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine University of Wisconsin School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Malnutrition Advisory Group (MAG), Standing Committee of BAPEN","author":"Elia M.","year":"2000"},{"issue":"4","key":"e_1_2_12_3_1","first-page":"189","article-title":"Undernutrition","volume":"18","author":"Maleta K.","year":"2006","journal-title":"Malawi Medical Journal"},{"issue":"62","key":"e_1_2_12_4_1","first-page":"530","article-title":"Classification and Definition of Protein\u2010energy Malnutrition","author":"Waterlow J. 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