Research Summary
Analyzed using Evidence Intelligence™

Early insulin therapy does not affect quality of life after kidney transplant

Last updated September 9, 2026

Key finding

Standard-of-care or early basal insulin therapy after KT did not influence HRQOL.

This study evaluated the impact of early postoperative basal insulin therapy on health-related quality of life after kidney transplantation, finding no significant influence on HRQOL.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the impact of early postoperative basal insulin therapy on health-related quality of life after kidney transplantation, finding no significant influence on HRQOL.

Clinical relevance

Understanding the impact of postoperative insulin therapy on quality of life is crucial for optimizing care in kidney transplant patients. While the study showed no significant difference in HRQOL between the two interventions, it highlighted the overall benefits of kidney transplantation on patients' physical and mental health, which can guide future treatment protocols.

Keep in mind

The effectiveness of interventions was unclear due to lack of significant findings. The study may have limited generalizability due to specific population characteristics. Potential confounding factors were not fully addressed in the analysis.

Published in

Journal Reference

Publication details and source links for this paper.

Balazs O, Matthias H, Elisabeth S, et al. Health-related quality of life after kidney transplantation: A randomized controlled trial on early postoperative basal insulin therapy. Transplant International. 2023;36:11370. doi:10.3389/ti.2023.11370

Main Effects

Kidney transplantation improved Physical Component Summary (PCS) scores at 6 months, which remained stable during follow-up.

Kidney transplantation improved Mental Component Summary (MCS) scores at 6 months, which remained stable during follow-up.

Neither early postoperative basal insulin therapy nor standard-of-care influenced health-related quality of life (HRQOL).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Insulin therapy and Health-related quality of life, Mental Component Summary (MCS) score, Quality of life (physical component).

Primary intervention

Insulin therapy

Primary outcomes

  • Health-related quality of life
  • Mental Component Summary (MCS) score
  • Quality of life (physical component)

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

3
Evidence pairs
3
Relationships
2
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 64

2

Related topics

3

Evidence pairs

155

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 3 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

Insulin Therapies and Quality of Life Outcomes

Related evidence

Evidence topic

Quality of Life

Save evidence

Evidence topic

Insulin Therapies

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Health-related quality of life

Insulin therapy → Health-related quality of life

Insulin therapy → Health-related quality of life

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Mental Component Summary (MCS) score

Insulin therapy → Mental Component Summary (MCS) score

Insulin therapy → Mental Component Summary (MCS) score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Quality of life (physical component)

Insulin therapy → Quality of life (physical component)

Insulin therapy → Quality of life (physical component)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Kidney transplantation improved HRQOL, but insulin therapy did not significantly alter outcomes.
  • PCS and MCS scores were stable after initial improvement at 6 months.
  • Standard-of-care and early basal insulin therapy had no significant influence on HRQOL.
who this applies

Who this applies to

  • Adults undergoing kidney transplantation.
  • Patients receiving either early postoperative insulin therapy or standard care.
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study's demographic.
  • The study's findings are based on specific interventions that may not be generalizable.
  • Further research is needed to explore the long-term effects of insulin therapy on HRQOL.
between the lines

Between the Lines

  • The effectiveness of interventions was unclear due to lack of significant findings.
  • The study may have limited generalizability due to specific population characteristics.
  • Potential confounding factors were not fully addressed in the analysis.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Insulin Therapies and Quality of Life Outcomes, Insulin Therapies and Mental Component Summary (MCS) score.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Do Insulin Therapies improve quality of life outcomes?

Moderate Evidence

Insulin Therapies may worsen quality of life outcomes or be associated with harm.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Health-related quality of life

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only a small number of supporting studies are available.
2 supporting studies

Does Insulin therapy improve quality of life (physical component)?

Emerging Evidence

Insulin therapy appears to improve quality of life (physical component).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Quality of life (physical component)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Insulin therapy improve mental component summary (MCS) score?

Emerging Evidence

Current evidence does not show a clear benefit of Insulin therapy for mental component summary (MCS) score.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Mental Component Summary (MCS) score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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