Population-based Trends in Obesity and Kidney Transplantation Among Patients With End-stage Kidney Disease.

ABSTRACT: Obesity is a barrier to transplant, reducing access and leading to worse outcomes versus nonobese adults. Most transplant centers in the United States maintain body mass index (BMI) cutoffs to listing for kidney transplantation of 35 to 40 kg/m². There is little contemporary data on the prevalence of obesity among patients with end-stage kidney disease (ESKD) despite its impact on clinical outcomes and healthcare expenditures.

Methods

We utilized data from the US Renal Data System from 2008 to 2016 to identify a prevalent cohort of 1 079 410 patients with ESKD. Linear regression determined trends in the proportion of patients within each category of BMI. We also evaluated geographic variation in rates of obesity and transplantation across the United States.

Results

SUBMITTER: Wakam GK 

PROVIDER: S-EPMC8601267 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature