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

• Authors: Małgorzata Dobrzycka , Piotr Spychalski , Monika Łącka , Monika Proczko-Stepaniak , Alicja Dębska-Ślizień , Łukasz Kaska , Jarosław Kobiela

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.

Keywords

EN

obesity; end-stage kidney disease; bariatric surgery

• Publisher: Gdański Uniwersytet Medyczny
• Journal: European Journal of Translational and Clinical Medicine
• Year: 2020
• Volume: 3
• Issue: 2
• Pages: 72-79

Dates

published

16 - 11 - 2020

Contributors

author

Małgorzata Dobrzycka

• Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Poland

• https://orcid.org/0000000260050443

author

Piotr Spychalski

• Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Poland

• https://orcid.org/0000000171114660

author

Monika Łącka

• Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Poland

author

Monika Proczko-Stepaniak

• Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Poland

• https://orcid.org/000000015527586X

author

Alicja Dębska-Ślizień

• Department of Nephrology, Transplantology and Internal Diseases, Medical University of Gdańsk, Poland

• https://orcid.org/0000000182108063

author

Łukasz Kaska

• Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Poland
• Department of General Surgery, Medical University of Gdańsk, Poland

• https://orcid.org/0000000324889943

author

Jarosław Kobiela

• Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Poland

• https://orcid.org/0000000167066547

Identifiers

DOI

10.31373/ejtcm/128771

Biblioteka Nauki

1196784