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dc.contributor.authorMacLaughlin, Helen L
dc.contributor.authorCampbell, Katrina L
dc.date.accessioned2019-10-14T01:29:39Z
dc.date.available2019-10-14T01:29:39Z
dc.date.issued2019
dc.identifier.issn0894-0959en_US
dc.identifier.doi10.1111/sdi.12783en_US
dc.identifier.urihttp://hdl.handle.net/10072/388341
dc.description.abstractThere is clear evidence that survival rates following transplantation far exceed those for remaining on dialysis, regardless of body size measured by body mass index (BMI). Studies over the past 15 years also suggest little to no difference in long‐term outcomes, including graft survival and mortality, irrespective of BMI, in contrast to earlier evidence. However, weight bias still exists, as access to kidney transplantation remains inequitable in centers using arbitrary BMI limits. Clinicians faced with the decision regarding listing based on body size are not helped by conflicting recommendations in national and international guidelines. Therefore, in clinical practice, obesity, and recommendations for weight loss, remain a controversial issue when assessing suitability for kidney transplantation. Obesity management interventions in end‐stage kidney disease (ESKD), whether for weight loss for transplantation listing or for slowing kidney disease progression, are under‐explored in trial settings. Bariatric surgery is the most successful treatment for obesity, but carries increased risk in the ESKD population, and the desired outcome of kidney transplant listing is not guaranteed. Centers that limit transplants to those meeting arbitrary levels of body mass, rather than adopting an individualized assessment approach, may be unfairly depriving many ESKD patients of the survival and quality of life benefits derived from kidney transplantation. However, robotic kidney transplantation surgery holds promise for reducing perioperative risks related to obesity, and may therefore represent an opportunity to remove listing criteria based on size.en_US
dc.languageEnglishen_US
dc.publisherWileyen_US
dc.relation.ispartofpagefrom219en_US
dc.relation.ispartofpageto222en_US
dc.relation.ispartofissue3en_US
dc.relation.ispartofjournalSeminars in Dialysisen_US
dc.relation.ispartofvolume32en_US
dc.subject.fieldofresearchClinical Sciencesen_US
dc.subject.fieldofresearchcode1103en_US
dc.subject.keywordsScience & Technologyen_US
dc.subject.keywordsLife Sciences & Biomedicineen_US
dc.subject.keywordsUrology & Nephrologyen_US
dc.subject.keywordsLAPAROSCOPIC SLEEVE GASTRECTOMYen_US
dc.subject.keywordsRECIPIENT OBESITYen_US
dc.titleObesity as a barrier to kidney transplantation: Time to eliminate the body weight bias?en_US
dc.typeJournal articleen_US
dc.type.descriptionC3 - Articles (Letter/ Note)en_US
dcterms.bibliographicCitationMacLaughlin, HL; Campbell, KL, Obesity as a barrier to kidney transplantation: Time to eliminate the body weight bias?, Seminars in Dialysis, 2019, 32 (3), pp. 219-222en_US
dc.date.updated2019-10-14T01:26:04Z
gro.hasfulltextNo Full Text
gro.griffith.authorCampbell, Katrina


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