Management of obesity in kidney transplant candidates and recipients: A clinical practice guideline by the DESCARTES Working Group of ERA

Oniscu G. C., Abramowicz D., Bolignano D., Gandolfini I., Hellemans R., Maggiore U., ...Daha Fazla

NEPHROLOGY DIALYSIS TRANSPLANTATION, cilt.37, ss.1-15, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 37
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1093/ndt/gfab310
  • Dergi Adı: NEPHROLOGY DIALYSIS TRANSPLANTATION
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.1-15
  • Anahtar Kelimeler: body mass index, guideline, kidney transplantation, obesity, practice guideline, LAPAROSCOPIC SLEEVE GASTRECTOMY, BODY-MASS INDEX, STAGE RENAL-DISEASE, BARIATRIC SURGERY, WEIGHT-LOSS, MORBID-OBESITY, GASTRIC BYPASS, OXALATE NEPHROPATHY, DIALYSIS PATIENTS, ALL-CAUSE
  • İstanbul Üniversitesi Adresli: Hayır

Özet

The clinical practice guideline Management of Obesity in Kidney Transplant Candidates and Recipients was developed to guide decision-making in caring for people with end-stage kidney disease (ESKD) living with obesity. The document considers the challenges in defining obesity, weighs interventions for treating obesity in kidney transplant candidates as well as recipients and reflects on the impact of obesity on the likelihood of wait-listing as well as its effect on transplant outcomes. It was designed to inform management decisions related to this topic and provide the backdrop for shared decision-making. This guideline was developed by the European Renal Association's Developing Education Science and Care for Renal Transplantation in European States working group. The group was supplemented with selected methodologists to supervise the project and provide methodological expertise in guideline development throughout the process. The guideline targets any healthcare professional treating or caring for people with ESKD being considered for kidney transplantation or having received a donor kidney. This includes nephrologists, transplant physicians, transplant surgeons, general practitioners, dialysis and transplant nurses. Development of this guideline followed an explicit process of evidence review. Treatment approaches and guideline recommendations are based on systematic reviews of relevant studies and appraisal of the quality of the evidence and the strength of recommendations followed the Grading of Recommendations Assessment, Development and Evaluation approach. Limitations of the evidence are discussed and areas of future research are presented.