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Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
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Does obesity really affect renal transplantation outcomes?
L Caamiña1, A Pietropaolo2, G Basile3
1Nefrología, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain; Urología, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain; Servicio de Urología, Hospital Universitario de Southampton NHS Foundation Trust, Southampton, United Kingdom.
Actas Urologicas Espanolas
|August 21, 2023
Summary
Overweight and obese kidney transplant recipients experienced more complications like delayed graft function and surgical issues. However, patient and graft survival rates were not reduced, though longer follow-up is necessary.
Area of Science:
- Nephrology
- Transplant Surgery
- Obesity Medicine
Background:
- Kidney transplantation is the preferred treatment for end-stage renal disease.
- Overweight and obesity are prevalent in kidney transplant candidates and recipients.
- Obesity is linked to adverse outcomes including delayed graft function, rejection, and cardiovascular mortality.
Purpose of the Study:
- To evaluate the clinical outcomes of kidney transplant patients with overweight and obesity.
- To identify short- and long-term complications associated with higher body mass index (BMI) post-transplant.
Main Methods:
- A descriptive, observational, cross-sectional study.
- 104 kidney or pancreas-kidney transplant recipients were analyzed.
- Patients were grouped by BMI for comparative analysis with follow-up until April 2021.
Main Results:
- Overweight patients had longer surgeries, more wound dehiscence, delayed graft function, hernias, and proteinuria.
- Obese patients showed increased delayed graft function, proteinuria, diabetes mellitus, atrial fibrillation, and longer hospital stays.
- Both groups required more renal biopsies.
Conclusions:
- Despite increased comorbidities, overweight and obesity did not reduce patient or graft survival in this cohort.
- Further long-term follow-up is required to fully understand the impact of BMI on transplant outcomes.
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