{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:04:33Z","timestamp":1790618673593,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Kidneys from deceased donors with diabetes mellitus are refused because diabetes is considered a marker of lower organ quality. We evaluated 5\u2010year outcomes according to donor\u2010recipient diabetes status and, secondarily, the prognostic value of pre\u2010implantation histopathological findings among accepted diabetic donor kidneys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective single\u2010center cohort study included adult recipients of deceased\u2010donor kidney transplants performed between 2013 and 2017. Five\u2010year kidney function and death\u2010censored graft survival were compared according to donor diabetes status before and after 1:2 propensity score matching. A secondary exploratory analysis evaluated Banff chronicity parameters in pre\u2010implantation pathology reports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 3058 recipients, 244 received kidneys from diabetic donors. These donors were older, more frequently hypertensive, and had higher KDPI than non\u2010diabetic donors. In unadjusted analyses, recipients of diabetic donor kidneys had lower eGFR and death\u2010censored graft survival. After matching, eGFR from years 1 to 5, eGFR slope, and death\u2010censored graft survival no longer differed between groups. Recipient diabetes did not significantly modify the association of donor diabetes with graft survival or longitudinal eGFR, although the D+\/R+ subgroup was small (\n                      <jats:italic>n<\/jats:italic>\n                      = 39). Among 164 available pre\u2010implantation biopsy reports, diabetes\u2010related glomerular lesions were uncommon, chronic lesions were predominantly vascular and mild to moderate, and no Banff histological parameter independently predicted eGFR &lt;30\u00a0mL\/min\/1.73 m\n                      <jats:sup>2<\/jats:sup>\n                      or death\u2010censored graft loss at 5 years.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>After balancing baseline donor and recipient characteristics, donor diabetes was not associated with significantly lower 5\u2010year kidney function or death\u2010censored graft survival. In the secondary clinicopathological analysis, no individual Banff chronicity parameter independently predicted 5\u2010year outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70698","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:51:05Z","timestamp":1790617865000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Five\u2010Year Outcomes and Clinicopathological Correlations of Kidney Transplants From Deceased Donors With Diabetes"],"prefix":"10.1111","volume":"40","author":[{"given":"Marina","family":"Colella\u2010Santos","sequence":"first","affiliation":[{"name":"Nephrology Division Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7678-9616","authenticated-orcid":false,"given":"Pedro Henrique","family":"Pepato","sequence":"additional","affiliation":[{"name":"Nephrology Division Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrique Machado de Sousa","family":"Proen\u00e7a","sequence":"additional","affiliation":[{"name":"Hospital Do Rim Funda\u00e7\u00e3o Oswaldo Ramos  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4070-7505","authenticated-orcid":false,"given":"Luiz Antonio Ribeiro de","family":"Moura","sequence":"additional","affiliation":[{"name":"Nephrology Division Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"},{"name":"Hospital Do Rim Funda\u00e7\u00e3o Oswaldo Ramos  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Medina\u2010Pestana","sequence":"additional","affiliation":[{"name":"Nephrology Division Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"},{"name":"Hospital Do Rim Funda\u00e7\u00e3o Oswaldo Ramos  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renato Demarchi","family":"Foresto","sequence":"additional","affiliation":[{"name":"Nephrology Division Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"},{"name":"Hospital Do Rim Funda\u00e7\u00e3o Oswaldo Ramos  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00facio","family":"Requi\u00e3o\u2010Moura","sequence":"additional","affiliation":[{"name":"Nephrology Division Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"},{"name":"Hospital Do Rim Funda\u00e7\u00e3o Oswaldo Ramos  S\u00e3o Paulo 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