Abstract
Traditionally, recipients of a simultaneous pancreas-kidney (SPK) versus kidney transplant alone (KTA) were thought to have higher fracture risk. Using a large US registry, Nikkel et al observed lower rates of fracture hospitalization among patients with type 1 diabetes after SPK compared to KTA, particularly among men. It is not known whether the apparent benefit of SPK is due to improved bone strength or fewer falls, but these findings may influence transplant decision making.
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