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Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
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Obesity and kidney transplantation
Jae-Hyung Chang1, Vladimir Mushailov1, Sumit Mohan1,2,3
1Division of Nephrology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons.
Current Opinion in Organ Transplantation
|February 8, 2023
Summary
Obese patients with chronic kidney disease (CKD) face barriers to kidney transplant. However, kidney transplantation offers survival benefits over dialysis, with outcomes comparable to non-obese recipients.
Area of Science:
- Nephrology
- Transplantation Surgery
- Public Health
Background:
- Obesity is a significant public health concern, contributing to conditions like chronic kidney disease (CKD).
- Increasing obesity rates in the CKD population present challenges, as many are excluded from kidney transplant evaluations due to BMI.
- Kidney transplantation is a vital treatment for end-stage kidney disease (ESKD), but access for obese patients remains a concern.
Approach:
- This review synthesizes current evidence on kidney transplantation outcomes in obese patients.
- The analysis examines referral rates, waitlisting, surgical complications, and long-term survival.
- Comparative data between obese and non-obese transplant recipients are evaluated.
Key Points:
- Obese individuals experience lower referral and waitlisting rates for kidney transplantation.
- Despite potential for increased surgical risks like delayed graft function, transplantation provides a survival advantage over dialysis for most obese patients.
- Graft and patient survival rates in obese kidney transplant recipients are comparable to their non-obese counterparts.
Conclusions:
- Long-term outcomes for obese kidney transplant recipients are similar to non-obese recipients.
- Pre-transplant weight management and minimally invasive surgical approaches may enhance outcomes.
- Kidney transplantation should be considered for obese patients with CKD, offering significant survival benefits.
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