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Bariatric surgery improves access to renal transplantation and is safe in renal failure as well as after transplantation : a systematic review and meta-analysis

Fernando, Sherwin
Varma, Jonny
Dengu, Fungai
Menon, Vinod
Malik, Shafi
O'Callaghan, John
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2023-07-08
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A total of 28 articles were selected following the literature search. Fourteen studies on patients awaiting listing (n = 1903), nine on patients on the KT waiting list (n = 196), a single study on simultaneous BMS and KT and ten studies on patients undergoing BMS following KT (n = 198). Mean change in BMI for patients awaiting listing was -11.3 kg/m2 (95%CI: -15.3 to -7.3, p < 0.001), mean change in BMI for patients listed for KT was -11.2 kg/m 2(95%CI: -12.9 to -9.5, p 0.001) and mean change for patients with prior KT was -11.0 kg/m2 (95%CI: -7.09 to -14.9, p < 0.001). The combined mortality rate for patients who had undergone both BMS and KT was 4% (n = 15).
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Fernando S, Varma J, Dengu F, Menon V, Malik S, O'Callaghan J. Bariatric surgery improves access to renal transplantation and is safe in renal failure as well as after transplantation: A systematic review and meta-analysis. Transplant Rev (Orlando). 2023 Jul;37(3):100777. doi: 10.1016/j.trre.2023.100777. Epub 2023 Jul 8. PMID: 37459746.
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