Previously, recipients of a simultaneous pancreas–kidney transplant versus a kidney transplant alone 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 simultaneous pancreas–kidney compared with kidney transplantation alone, particularly among men. It is not known whether the apparent benefit of simultaneous pancreas–kidney transplantation is due to improved bone strength or fewer falls, but these findings may influence transplant decision making.
