{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:09:12Z","timestamp":1789517352524,"version":"build-2803163510"},"reference-count":41,"publisher":"American Diabetes Association","issue":"9","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"DOI":"10.13039\/100000062","name":"NIDDK","doi-asserted-by":"crossref","award":["R01-DK109124"],"award-info":[{"award-number":["R01-DK109124"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000062","name":"NIDDK","doi-asserted-by":"crossref","award":["R01-DK138809"],"award-info":[{"award-number":["R01-DK138809"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Total pancreatectomy with islet autotransplantation (TPIAT) may relieve pain for patients with intractable recurrent acute or chronic pancreatitis. In this first multicenter cohort study of TPIAT, we aimed to identify predictors of favorable diabetes outcomes following TPIAT to aid in surgical counseling and decision making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                    <jats:p>We included 384 patients (mean [SD] age 29.6 [17.1] years; 61.7% female) who underwent TPIAT and were enrolled in the National Institutes of Health\u2013sponsored multicenter Prospective Observational Study of TPIAT (POST). Outcomes were reported for insulin use, HbA1c, and islet graft function. Univariable and multivariable modeling was performed to evaluate predictors of diabetes outcomes after TPIAT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>At 1 year post-TPIAT, 83% of patients retained islet function (C-peptide &amp;gt;0.3 ng\/mL), 20% were off insulin, and 60% had HbA1c &amp;lt;7%. Outcomes were most favorable in those with normoglycemia pre-TPIAT and in children. In multivariable analysis, insulin independence at 1 year was associated with pediatric age (odds ratio [OR] 2.3 [95% CI 1.3\u20134.3] vs. adults) and pretransplant HbA1c (OR 4.0 [1.7\u20139.1] per 1% decrease HbA1c). The odds of achieving a goal HbA1c &amp;lt;7% was associated with White race (OR 4.3 [1.7\u201311]) and pre-TPIAT HbA1c (OR 2.2 [1.1\u20134.3] per 1% decrease). Islet graft function was associated with pre-TPIAT fasting C-peptide (OR 2.18 [1.42\u20133.35] per 1 ng\/mL increase) and baseline HbA1c (OR 1.89 [1.18\u20133] per 1% decrease).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Patients with normoglycemia and children more often were off insulin. In multivariable models, pre-TPIAT HbA1c was strongly predictive of insulin independence, islet function, and HbA1c &amp;lt;7% at 1 year.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2337\/dc25-0620","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T19:51:02Z","timestamp":1752090662000},"page":"1493-1501","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":6,"title":["Predictors of Diabetes Outcomes at 1 Year After Islet Autotransplantation: Data From a Multicenter Cohort Study"],"prefix":"10.2337","volume":"48","author":[{"given":"Piotr","family":"Witkowski","sequence":"first","affiliation":[{"name":"University of Chicago 1 , Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Eaton","sequence":"additional","affiliation":[{"name":"University of Minnesota School of Public Health 2 , Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sydney","family":"Porter","sequence":"additional","affiliation":[{"name":"University of Minnesota School of Public Health 2 , Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maisam","family":"Abu-El-Haija","sequence":"additional","affiliation":[{"name":"Cincinnati Children\u2019s Hospital Medical Center 3 , Cincinnati, OH"},{"name":"University of Cincinnati 4 , Cincinnati, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed A.","family":"Ahmad","sequence":"additional","affiliation":[{"name":"University of Cincinnati 4 , Cincinnati, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sri Prakash","family":"Mokshagundam","sequence":"additional","affiliation":[{"name":"University of Louisville 5 , Louisville, KY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Wijkstrom","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center 6 , Pittsburgh, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bashoo","family":"Naziruddin","sequence":"additional","affiliation":[{"name":"Baylor Health 7 , Dallas, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guru","family":"Trikudanathan","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School 8 , Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikesh K.","family":"Singh","sequence":"additional","affiliation":[{"name":"Johns Hopkins Medical Institutions 9 , Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah J.","family":"Schwarzenberg","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School 8 , Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy L.","family":"Pruett","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School 8 , Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Posselt","sequence":"additional","affiliation":[{"name":"University of California, San Francisco 10 , San Francisco, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaimie D.","family":"Nathan","sequence":"additional","affiliation":[{"name":"Nationwide Children\u2019s Hospital 11 , Columbus, OH"},{"name":"The Ohio State University Wexner Medical Center 12 , Columbus, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Morgan","sequence":"additional","affiliation":[{"name":"The Medical University of South Carolina 13 , Charleston, SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis F.","family":"Lara","sequence":"additional","affiliation":[{"name":"The Ohio State University Wexner Medical Center 12 , Columbus, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy B.","family":"Gardner","sequence":"additional","affiliation":[{"name":"Dartmouth-Hitchcock Medical Center 14 , Lebanon, NH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Freeman","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School 8 , Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayha","family":"Faghih","sequence":"additional","affiliation":[{"name":"Johns Hopkins Medical Institutions 9 , Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elissa M.","family":"Downs","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School 8 , Minneapolis, 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diabetic and pre-diabetic patients with intractable chronic pancreatitis","volume":"3","author":"Bachul","year":"2020","journal-title":"J Pancreatol"},{"key":"2026061714342134700_B17","doi-asserted-by":"crossref","first-page":"3411","DOI":"10.1111\/ajt.16573","article-title":"Metabolic measures before surgery and long-term diabetes outcomes in recipients of total pancreatectomy and islet autotransplantation","volume":"21","author":"Nanno","year":"2021","journal-title":"Am J Transplant"},{"key":"2026061714342134700_B18","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/j.pan.2018.02.001","article-title":"A multicenter study of total pancreatectomy with islet autotransplantation (TPIAT): POST (Prospective Observational Study of TPIAT)","volume":"18","author":"Bellin","year":"2018","journal-title":"Pancreatology"},{"key":"2026061714342134700_B19","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/SLA.0000000000001059","article-title":"Total pancreatectomy with islet autotransplantation: summary of an NIDDK workshop","volume":"261","author":"Bellin","year":"2015","journal-title":"Ann Surg"},{"key":"2026061714342134700_B20","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1007\/s00125-022-05804-4","article-title":"Factors associated with favourable 5 year outcomes in islet transplant alone recipients with type 1 diabetes complicated by severe hypoglycaemia in the Collaborative Islet Transplant Registry","volume":"66","author":"Hering","year":"2023","journal-title":"Diabetologia"},{"key":"2026061714342134700_B21","article-title":"Total pancreatectomy and islet auto transplant for chronic pancreatitis. Gastroenterology","author":"Trikudanathan"},{"key":"2026061714342134700_B22","doi-asserted-by":"crossref","first-page":"3714","DOI":"10.1111\/ajt.16695","article-title":"Targeting CXCR1\/2 in the first multicenter, double-blinded, randomized trial in autologous islet transplant recipients","volume":"21","author":"Witkowski","year":"2021","journal-title":"Am J Transplant"},{"key":"2026061714342134700_B23","doi-asserted-by":"crossref","first-page":"2322","DOI":"10.1111\/ajt.14961","article-title":"Improved outcomes of islet autotransplant after total pancreatectomy by combined blockade of IL-1\u03b2 and TNF\u03b1","volume":"18","author":"Naziruddin","year":"2018","journal-title":"Am J Transplant"},{"key":"2026061714342134700_B24","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1097\/MPA.0000000000000236","article-title":"Total pancreatectomy with islet autotransplantation: summary of a National Institute of Diabetes and Digestive and Kidney Diseases 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