Outcomes After Bariatric Surgery in Older Adults With Obesity and End-Stage Kidney Disease.

ABSTRACT:

Objective

Given frailty and comorbidities that occur with both aging and end-stage kidney disease (ESKD), it is unclear if older patients with ESKD derive the improved survival and kidney transplant (KT) access associated with Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG).

Methods

Using 2006-2021 USRDS data, we identified 876 patients with RYGB and 1508 patients with SG and compared 5-year mortality by age-group (18-29/30-39/40-49/50-59/60-69/≥ 70 years) to nonsurgical matched controls using 1:3 Mahalanobis distance matching, Kaplan-Meier, and Cox regression. We also compared age-stratified KT incidence between waitlisted patients and controls.

Results

Among patients with RYGB versus controls, 5-year mortality was 11.4% versus 17.3% (aHR = _0.23

SUBMITTER: Ishaque T 

PROVIDER: S-EPMC12643172 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature