{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:25:04Z","timestamp":1787030704071,"version":"build-2736575974"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate whether an endocrinology\u2010integrated transplant clinic and differing healthcare delivery models are associated with metabolic outcomes during the first year after kidney transplantation in recipients with pre\u2010existing diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective longitudinal cohort study of adult kidney transplant recipients with diabetes at a US and a European academic centre. Participants were classified by post\u2010transplant diabetes care model: Cohort 1, endocrinology\u2010led Endocrine Transplant Clinic (ETC;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200999); Cohort 2, historical standard transplant care at the same US centre (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200981); and Cohort 3, standard endocrinology care at a Spanish academic centre (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200940). Pre\u2010specified outcomes included HbA1c, body mass index (BMI), blood pressure, and lipid levels measured at baseline and 3, 6, and 12\u2009months. Linear mixed\u2010effects models adjusted for demographic and clinical covariates were applied. Missing longitudinal data were addressed using multiple imputation with complete\u2010case sensitivity analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 220 recipients, adjusted metabolic trajectories were broadly similar across cohorts. HbA1c was unchanged at 3 and 6\u2009months but higher at 12\u2009months; &gt;50% had HbA1c &gt;7% at 1\u2009year. BMI remained stable, with \u226530% meeting obesity criteria throughout follow\u2010up. Blood pressure did not improve, and systolic hypertension (&gt;130\u2009mmHg) remained common (49%\u201377%). At 12\u2009months, LDL\u2010C \u226570\u2009mg\/dL was present in 20.8%, 63.3%, and 42.3% of Cohorts 1\u20133. Findings were consistent in sensitivity analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Metabolic control in the first post\u2010transplant year showed stabilisation rather than improvement, with many recipients above cardiometabolic targets. Prospective studies should test whether earlier, protocolised multidisciplinary management improves cardiovascular and graft outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70596","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T12:02:42Z","timestamp":1772971362000},"page":"4082-4090","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of specialised endocrinology care on metabolic control and healthcare utilisation outcomes after kidney transplantation in patients with diabetes: A 12\u2010month observational cohort study"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3970-9696","authenticated-orcid":false,"given":"Joaquin","family":"Lado\u2010Abeal","sequence":"first","affiliation":[{"name":"Division of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine University of California Davis Medical 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