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2020 | 3 | 2 | 72-79
Article title

Obesity in work-up of kidney transplant candidates – review of clinical practice guidelines

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Abstracts
EN
Background: Incidence of morbid obesity is rising worldwide. Current clinical practice guidelines for the pre-transplant evaluation of end-stage kidney disease (ESKD) patients lack clear recommendations on morbid obesity. Material and methods:
The aim of this review was to summarize the current guidelines on the role and treatment of obesity in kidney transplant recipients. Eight current national and international clinical practice guidelines were identified in a comprehensive literature search. Results:
All guidelines underline early detection of obesity and obesity-related comorbidities in ESKD patients. Only two guidelines explored the role of weight-loss surgery, however due to the lack of sufficient evidence no formal recommendation of surgical procedure was given. Conclusions: Diagnosis and treatment of obesity remains underappreciated in the current guidelines, most of which do not include pharmacological and surgical interventions. High-quality evidence is warranted to assess the role of weight-loss including surgery in ESKD patients and to update the recommendations in future guidelines.
Year
Volume
3
Issue
2
Pages
72-79
Physical description
Dates
published
16 - 11 - 2020
Contributors
  • Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Poland
  • Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Poland
  • Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Poland
  • Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Poland
  • Department of Nephrology, Transplantology and Internal Diseases, Medical University of Gdańsk, Poland
  • Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Poland
  • Department of General Surgery, Medical University of Gdańsk, Poland
  • Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Poland
References
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Publication order reference
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YADDA identifier
bwmeta1.element.ojs-doi-10_31373_ejtcm_128771
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