Clinical Impact of Surgical Complications in Kidney Transplant Recipients in a Reference Hospital in Salvador, Bahia, Brazil

2016 ◽  
Vol 48 (7) ◽  
pp. 2301-2305 ◽  
Author(s):  
J.C. Araújo ◽  
R.W.D.S. Barbosa ◽  
M.F. Machado ◽  
P.S. Furtado ◽  
C.M.D. Pugas ◽  
...  
2021 ◽  
Author(s):  
Yohann Foucher ◽  
Marine Lorent ◽  
Laetitia Albano ◽  
Solène Roux ◽  
Moglie Le Quintrec ◽  
...  

Abstract Background. Whilst there are a number of publications comparing the relationship between body mass index (BMI) of kidney transplant recipients and graft/patient survival, no study has assessed this for a French patient cohort. Methods. In this study, cause-specific Cox models were used to study patient and graft survival and several other time-to-event measures. Logistic regressions were performed to study surgical complications at 30 days post-transplantation as well as delayed graft function. Results. Among the 4691 included patients, 747 patients were considered obese with a BMI level greater than 30 kg/m². We observed a higher mortality for obese recipients (HR=1.37, p=0.0086) and higher risks of serious bacterial infections (HR=1.24, p=0.0006) and cardiac complications (HR=1.45, p<0.0001). We observed a trend towards death censored graft survival (HR=1.22, p=0.0666) and no significant increased risk of early surgical complications. Conclusions. We showed that obesity increased the risk of death and serious bacterial infections and cardiac complications in obese French kidney transplant recipients. Further epidemiologic studies aiming to compare obese recipients versus obese candidates remaining on dialysis are needed to improve the guidelines for obese patient transplant allocation.


2018 ◽  
Vol 102 ◽  
pp. S349
Author(s):  
Olusegun Famure ◽  
Michelle Minkovich ◽  
Michelle ` Liu ◽  
Nikita Gupta ◽  
Yanhong Li ◽  
...  

2015 ◽  
Vol 47 (3) ◽  
pp. 660-665 ◽  
Author(s):  
S.-H. Yoon ◽  
J.-H. Cho ◽  
H.-Y. Jung ◽  
J.-Y. Choi ◽  
S.-H. Park ◽  
...  

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Y. Foucher ◽  
◽  
M. Lorent ◽  
L. Albano ◽  
S. Roux ◽  
...  

Abstract Background Whilst there are a number of publications comparing the relationship between body mass index (BMI) of kidney transplant recipients and graft/patient survival, no study has assessed this for a French patient cohort. Methods In this study, cause-specific Cox models were used to study patient and graft survival and several other time-to-event measures. Logistic regressions were performed to study surgical complications at 30 days post-transplantation as well as delayed graft function. Results Among the 4691 included patients, 747 patients were considered obese with a BMI level greater than 30 kg/m2. We observed a higher mortality for obese recipients (HR = 1.37, p = 0.0086) and higher risks of serious bacterial infections (HR = 1.24, p = 0.0006) and cardiac complications (HR = 1.45, p < 0.0001). We observed a trend towards death censored graft survival (HR = 1.22, p = 0.0666) and no significant increased risk of early surgical complications. Conclusions We showed that obesity increased the risk of death and serious bacterial infections and cardiac complications in obese French kidney transplant recipients. Further epidemiologic studies aiming to compare obese recipients versus obese candidates remaining on dialysis are needed to improve the guidelines for obese patient transplant allocation.


PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0207434 ◽  
Author(s):  
Hyeyoung Lee ◽  
Eunhee Han ◽  
Ae-Ran Choi ◽  
Tae Hyun Ban ◽  
Byung Ha Chung ◽  
...  

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