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02 September 2025 : Original article  

New-Onset Diabetes After Liver Transplantation: An SRTR Database Study of Incidence and Risk Factors

Saxiao Tang AEF 1,2, Shengmin Mei BCD 1, Shichao Shen ORCID logo BCF 2, Li Wang BCF 2, Yue Wu CDF 2, Jie Xiang ACF 1,2, Zhiwei Li ORCID logo ACDG 1,2*

DOI: 10.12659/AOT.949062

Ann Transplant 2025; 30:e949062

Table 4 Univariable and multivariable Cox regression analyses of risk factors for graft failure.

Univariable modelMultivariable model
HR95% CIpHR95% CIP
NODAT1.151.04–1.260.0051.281.10–1.48<0.001
Recipient age (≤50 years)0.920.87–0.980.0061.030.94–1.140.533
Male recipient1.121.05–1.18<0.0011.131.02–1.240.014
Recipient BMI (≤25 kg/m)1.131.06–1.19<0.0011.070.98–1.170.149
MELD0.990.98–0.990.0030.990.98–0.990.012
Pre-transplant medical condition (in hospital)1.000.95–1.060.9911.000.89–1.140.948
Previous abdominal surgery1.111.05–1.17<0.0011.060.97–1.150.223
HLA mismatch ≥31.030.97–1.090.2990.970.88–1.060.459
CMV infection0.970.92–1.030.2941.040.95–1.130.422
EBV infection1.030.94–1.140.5181.100.96–1.260.167
Acute rejection episodes1.321.18–1.49<0.0011.190.98–1.450.077
Hospital stay1.011.01–1.02<0.0011.011.01–1.02<0.001
Immuno-induction therapy1.061.00–1.120.0471.090.99–1.200.086
Steroids used at discharge0.990.93–1.060.8621.090.97–1.220.165
TAC used at discharge0.500.46–0.55<0.0010.610.52–0.71<0.001
Donor age (≤60 years)0.740.69–0.79<0.0010.910.80–1.040.175
Male donor0.990.94–1.050.8381.101.01–1.200.032
Donor BMI (≤25 kg/m)0.980.93–1.040.5461.020.93–1.110.754
CIT1.010.99–1.020.1021.000.98–1.020.902
WIT1.000.99–1.010.2591.000.99–1.010.973
Donor with diabetes1.261.17–1.36<0.0011.080.95–1.230.299
Donor with hypertension1.251.18–1.32<0.0011.020.92–1.120.763
DRI1.661.54–1.78<0.0011.661.45–1.90<0.001
HR – hazard ratio; CI – confidence interval; NODAT – new-onset diabetes after transplantation.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358