Effects of body mass index on kidney transplant outcomes are significantly modified by patient characteristics

2020 ◽  
Author(s):  
Jesse D. Schold ◽  
Joshua J. Augustine ◽  
Anne M. Huml ◽  
Richard Fatica ◽  
Saul Nurko ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Kidney Transplant ◽  
Body Mass ◽  
Patient Characteristics ◽  
Transplant Outcomes

Absence of the Effect of Pretransplant Body Mass Index on Post Kidney Transplant Outcomes

2016 ◽  
Vol 26 (2) ◽  
pp. 183-190 ◽  
Author(s):  
Simon Tremblay ◽  
Tiffany E. Kaiser ◽  
Rita R. Alloway ◽  
E. Steve Woodle ◽  
Tayyab S. Diwan
Keyword(s):  
Body Mass Index ◽  
Kidney Transplant ◽  
Body Mass ◽  
Transplant Outcomes

Absence of Effect of Pre-Transplant Body Mass Index On Post Kidney Transplant Outcomes.

2014 ◽  
Vol 98 ◽  
pp. 611 ◽  
Author(s):  
S. Tremblay ◽  
A. Shields ◽  
T. Kaiser ◽  
J. Revollo ◽  
U. Dhir ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Kidney Transplant ◽  
Body Mass ◽  
Transplant Outcomes

DISCREPANCIES OF BODY MASS INDEX AT THE TIME OF KIDNEY TRANSPLANT ACROSS GENDER, RACE AND TRANPLANT TYPE AT UCLA

2008 ◽  
Vol 86 (Supplement) ◽  
pp. 375
Author(s):  
S Bunnapradist ◽  
B R. Madhira ◽  
J Gill ◽  
M Low ◽  
G M. Danovitch ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Kidney Transplant ◽  
Body Mass

scholarly journals Post-Kidney Transplant Visit-to-Visit Body Mass Index Variability as a Risk of Post-Transplant Systolic Hypertension

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1693-1693
Author(s):  
Ekamol Tantisattamo ◽  
Natnicha Leelaviwat ◽  
Natchaya Polpichai ◽  
Chawit Lopimpisuth ◽  
Sakditad Saowapa ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Kidney Transplant ◽  
Median Time ◽  
Body Mass ◽  
Overweight And Obesity ◽  
Absolute Difference ◽  
Renal Transplant Recipients ◽  
Time To Event ◽  
Post Transplant

Abstract Objectives Overweight and obesity are associated with hypertension (HTN) in renal transplant recipients (RTR). Body weight variability is known to be associated with HTN and poor cardiovascular (CV) outcomes in diabetic patients. After successful kidney transplantation (KT), weight change is very common due partly to perioperative and immunological factors. Association between body weight variability and HTN in RTR is unknown. We hypothesize that high body weight variability is associated with post-transplant HTN. Methods Body weight variability of RTR from a single transplant center was assessed as visit-to-visit body mass index variability (VVBMIV) by using average successive variability (ASV = the average absolute difference between successive values of BMI measured at 4, 12, 24, 36, and 48 weeks after KT). Multi-variable Cox proportional hazard regression analysis was used to examine association between post-transplant VVBMIV and systolic and diastolic HTN (SHTN and DHTN), which are defined as SBP and DBP ≥130 and 80 mmHg, respectively. Results Of 104 RTR, mean ± SD age was 54.29 ± 11.65 years and 62% were female. The majority (36%) were obese followed by normal weight (33%), and overweight (31%). Incidence of SBP was 0.041 person-weeks and median time to event was 12.86 weeks; while the incidence of DBP was 0.036 person-weeks with a slightly longer median time-to-event of 13 weeks. Mean ASV of BMI was 1.26 ± 0.82 kg/m2 (0.47 to 2.18). Risk of SHTN is increased 32% for every 1 kg/m2 increase in VVBMIV (HR 1.32, 95%CI 1.04 to 1.68, P 0.022). After adjusted for age, gender, and their interaction terms, very 1 kg/m2 increase in VVBMIV is associated with a 29% greater risk of developing SHTN (HR 1.29, 95% CI 1.01 to 1.65, P 0.043). However, increase in VVBMIV is not associated with an increased risk of DHTN for both univariable (HR 1.15, 95%CI 0.88 to 1.49, P 0.308) and multi-variable Cox regressions models (HR 1.13, 95%CI 0.86 to 1.49, P 0.391). Conclusions Post-kidney transplant VVBMIV is independently associated post-transplant SHTN, but not DHTN. Further studies is needed to examine mechanism of body weight variability and blood pressure outcomes in RTR. Funding Sources None.

scholarly journals Correlation of Prolonged Total Ischemic Time with Body Mass Index in Kidney Transplant: A Single Center Report

2021 ◽  
Vol 5 (11) ◽  
pp. 1009-1013
Author(s):  
Eriawan Agung Nugroho ◽  
Erwin Wibowo ◽  
Prathita Amanda Aryani
Keyword(s):  
Body Mass Index ◽  
Kidney Transplantation ◽  
Kidney Transplant ◽  
Body Mass ◽  
The Body ◽  
Health Concern ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Ischemic Time ◽  
Increased Risk

Background: Chronic kidney disease (CKD) is a rising health concern worldwide, especially in Indonesia. The treatment of choice for end-stage renal disease is Kidney Transplantation.1 Numerous studies showed that prolonged total ischemic ischemic time may cause hypoxia of the graft tissue and increased risk of ischemia and reperfusion injury (IRI) and delayed graft function (DGF).2 Body mass index of kidney transplant recipients may cause prolonged duration of the procedure, as well as prolonged total ischemic time. This study aimed to determine the correlation between prolonged total ischemic time with body mass index. Method: This was an observational and cross-sectional analysis at Kariadi General Hospital Semarang involving patients who underwent kidney transplantation from January 2016 to December 2019. The total ischemic time was recorded intraoperatively. The Body Mass Index data were provided by medical records. The program used to statistically analyze the data was SPSS 23.0, and Spearman was used for hypothesis testing. Result: This study included 25 kidney transplant recipients. The mean total ischemic time was 43,27 ± 6,63 minutes. There was a significant positive correlation between prolonged ischemic time and body mass index (r= 0,506 ; p= 0,010). Conclusion: Prolonged total ischemic time was positively correlated with increased body mass index and these results are statistically significant.

scholarly journals Evaluation and management of the patient with a failed midurethral synthetic sling

2012 ◽  
Vol 6 (5-S2) ◽  
pp. 123
Author(s):  
E. Ann Gormley
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Body Mass ◽  
Midurethral Sling ◽  
Patient Characteristics ◽  
Evidence Based ◽  
Careful Evaluation ◽  
Mixed Incontinence ◽  
Surgical Failure ◽  
Sphincter Deficiency

While most women will do well following placement of a midurethral sling (MUS), a substantial minority do experience surgical failure. There are several risk factors that can help identify a patient at higher risk for failure, including body mass index greater than 25 kg/m2, mixed incontinence, previous continence surgery, intrinsic sphincter deficiency, and diabetes. At the present time, there is no evidence-based guidance for which intervention to use following failure. Careful evaluation of patient characteristics will help guide subsequent management.

scholarly journals SP738Effects of age and body mass index on enlargement of the remaining kidney in living kidney transplant donors

2019 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Makoto Tsujita ◽  
Kazuharu Uchida ◽  
Norihiko Goto ◽  
kenta futamura ◽  
Takahisa Hiramitsu ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Kidney Transplant ◽  
Body Mass

Body mass index and postoperative complications in kidney transplant recipients

Nephrology ◽  
2012 ◽  
Vol 17 (6) ◽  
pp. 582-587 ◽  
Author(s):  
STEPHANIE ZRIM ◽  
TIM FURLONG ◽  
BLAIR S GRACE ◽  
ANTHONY MEADE
Keyword(s):  
Body Mass Index ◽  
Postoperative Complications ◽  
Kidney Transplant ◽  
Body Mass ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients
Sign in / Sign up

Export Citation Format

Share Document