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Li, Congran; Jin, Hailong; Li, Xiao; Li, Zhouli; Cai, Ming; Shi, Bingyi

doi:10.6002/ect.2016.0079

Cited by 2 publications

(1 citation statement)

References 19 publications

(44 reference statements)

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“…A seventh systematic review evaluated post-transplant outcomes in overweight recipients with a BMI of 25–30 kg/m 2 versus normal-weight recipients [ 29 ]. Overall, there was no clear evidence for an association between being overweight at the time of transplantation and acute rejection, death, graft loss or delayed graft function.…”

Section: Chapter 2 What Degree Of Obesity (By Level Of Bmi) Influences the Outcomes In Kidney Transplant Recipients?mentioning

confidence: 99%

Management of obesity in kidney transplant candidates and recipients: A clinical practice guideline by the DESCARTES Working Group of ERA

Oniscu

Abramowicz

Bolignano

et al. 2021

Nephrology Dialysis Transplantation

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The clinical practice guideline ‘Management of obesity in kidney transplant candidates and recipients’ was developed to guide decision making in caring for people with end-stage kidney disease living with obesity. The document considers the challenges in defining obesity, weighs interventions for treating obesity in kidney transplant candidates as well as recipients and reflects on the impact of obesity on the likelihood of waitlisting as well as its effect on transplant outcomes. It was designed to inform management decisions related to this topic and provide the backdrop for shared decision making. This guideline was developed by ERA's Descartes working group on Transplantation. The group was supplemented with selected methodologists to supervise the project and provide methodological expertise in guideline development throughout the process. The guideline targets any health care professional treating or caring for people with end-stage kidney disease being considered for kidney transplantation or having received a donor kidney. This includes nephrologists, transplant physicians, transplant surgeons, general practitioners, dialysis and transplant nurses. Development of this guideline followed an explicit process of evidence review. Treatment approaches and guideline recommendations are based on systematic reviews of relevant studies, and appraisal of the quality of the evidence and the strength of recommendations followed the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Limitations of the evidence are discussed, and areas of future research are presented.

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Section: Chapter 2 What Degree Of Obesity (By Level Of Bmi) Influences the Outcomes In Kidney Transplant Recipients?mentioning

confidence: 99%

Management of obesity in kidney transplant candidates and recipients: A clinical practice guideline by the DESCARTES Working Group of ERA

Oniscu

Abramowicz

Bolignano

et al. 2021

Nephrology Dialysis Transplantation

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Abdominal Panniculectomy Can Simplify Kidney Transplantation in Obese Patients

et al. 2021

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Background: Obesity is frequently present in patients suffering from end-stage renal disease (ESRD). However, overweight kidney transplant candidates are a challenge for the transplant surgeon. Obese patients tend to develop a large abdominal panniculus after weight loss creating an area predisposed to wound-healing disorders. Due to concerns about graft survival and postoperative complications after kidney transplantation, obese patients are often refused in this selective patient cohort. The study aimed to analyze the effect of panniculectomies on postoperative complications and transplant candidacy in an interdisciplinary setting. Methods: A retrospective database review of 10 cases of abdominal panniculectomies performed in patients with ESRD prior to kidney transplantation was conducted. Results: The median body mass index was 35.2 kg/m2 (range 28.5–53.0 kg/m2) at first transplant-assessment versus 31.0 kg/m2 (range 28.0–34.4 kg/m2) at panniculectomy, and 31.6 kg/m2 (range 30.3–32.4 kg/m2) at kidney transplantation. We observed no major postoperative complications following panniculectomy and minor wound-healing complications in 2 patients. All aside from 1 patient became active transplant candidates 6 weeks after panniculectomy. No posttransplant wound complications occurred in the transplanted patients. Conclusion: Abdominal panniculectomy is feasible in patients suffering ESRD with no major postoperative complications, thus converting previously ineligible patients into kidney transplant candidates. An interdisciplinary approach is advisable in this selective patient cohort.

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Cited by 2 publications

References 19 publications

Management of obesity in kidney transplant candidates and recipients: A clinical practice guideline by the DESCARTES Working Group of ERA

Management of obesity in kidney transplant candidates and recipients: A clinical practice guideline by the DESCARTES Working Group of ERA

Abdominal Panniculectomy Can Simplify Kidney Transplantation in Obese Patients

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