Kidney Transplantation and Obesity: Are There Any Differences in Outcomes?

Autor: Mahmoudreza Moein, Melanie Tacher Otero, Gavrielle J. Rood, Matthew Hanlon, Reza Saidi
Rok vydání: 2022
Předmět:
Zdroj: World Journal of Surgery. 47:510-518
ISSN: 1432-2323
0364-2313
DOI: 10.1007/s00268-022-06806-4
Popis: Kidney transplantation (KT) is the gold standard treatment for end-stage renal disease (ESRD) patients. Obesity is a strong risk factor for developing cardiovascular disease, chronic kidney disease, and ESRD. This study aimed to investigate the outcomes of kidney transplantation in obese recipients.We retrospectively reviewed the medical records of recipients from January 2016 to December 2021 in a single center. Outcomes in recipients of a kidney allograft with BMI ≥ 30 were compared with the outcomes in recipients with 30 BMI.A total of 467 consecutive kidney transplantation recipients' files were studied. 213 (45.6%) allograft recipients had a BMI ≥ 30, and 254 (54.4%) allograft recipients had a BMI 30. DGF rate was 29.1% in the BMI ≥ 30 and 30.7% in the BMI 30 group (P = 0.41). On the other hand, 30 days readmission rate also did not show a significant difference between the BMI ≥ 30 and BMI 30 allograft recipients (37 vs. 33.8%, P = 0.46). The mean overall costs of transplantation in the BMI ≥ 30 group was $254,395, and it was $256,029 in the BMI 30 group (P = 0.84).Our study shows that the outcomes of renal allograft transplant were comparable between recipients with BMI ≥ 30 and BMI 30 in terms of DGF, LOS, 30 days readmission, acute rejection rate, and survival rates, and BMI should not be a single independent criterion for decision making to select an optimal recipient.
Databáze: OpenAIRE
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