ArticleTransplantation2009
Bariatric surgery among kidney transplant candidates and recipients: analysis of the United States renal data system and literature review.
Article in Transplantation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
54 citing papers in PubMed, 4 syntheses or guidelines pooled it, 163 citations in OpenAlex.
- Safety and Effectiveness of Metabolic and Bariatric Surgery Before and After Kidney Transplantation: A Systematic Review and Meta-Analysis.Obesity surgery · 2026Pooled it
- Management of obesity in kidney transplant candidates and recipients: A clinical practice guideline by the DESCARTES Working Group of ERA.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021Guideline
- Bariatric surgery to achieve transplant in end-stage organ disease patients: A systematic review and meta-analysis.American journal of surgery · 2020Pooled it
- Body mass index and outcome in renal transplant recipients: a systematic review and meta-analysis.BMC medicine · 2015Pooled it
- Kidney transplantation in obese Black patients: Strategies to improve access and outcomes.World journal of nephrology · 2026Review
- Obesity and Its Clinical Implications in End-Stage Kidney Disease.Medicina (Kaunas, Lithuania) · 2026Review
- Evaluation of patients on immunosuppressants undergoing sleeve gastrectomy, Roux-en-Y gastric bypass, and duodenal switch: analysis of 19,414 patients.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025Article
- Association between bariatric surgery after kidney transplantation and graft and survival outcomes.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025Article
- Scientific Evidence for the Updated Guidelines on Indications for Metabolic and Bariatric Surgery (IFSO/ASMBS).Obesity surgery · 2024Article
- Analysis of Rejection, Infection and Surgical Outcomes in Type I Versus Type II Diabetic Recipients After Simultaneous Pancreas-Kidney Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2024Article
- Donor obesity and weight gain after transplantation: two still overlooked threats to long-term graft survival.Clinical kidney journal · 2023Review
- Bariatric Surgery in Kidney Transplant Candidates and Recipients: Experience at an Asian Center.Journal of obesity & metabolic syndrome · 2022Article
- Bariatric Surgery Outcomes in Patients with Kidney Transplantation.Journal of clinical medicine · 2022Article
- Weight Loss Challenges in Achieving Transplant Eligibility in Patients With Kidney Failure: A Qualitative Study.Kidney medicine · 2022Article
- Combined Donor-Recipient Obesity and the Risk of Graft Loss After Kidney Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2022Article
- Bariatric surgery prior to transplantation and risk of early hospital re-admission, graft failure, or death following kidney transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021Article
- The role of bariatric surgery on kidney transplantation: A systematic review and meta-analysis.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021Review
- Obesity and bariatric surgery in kidney transplantation: A clinical review.World journal of diabetes · 2021Review
- Effectiveness of Bariatric Surgery in Increasing Kidney Transplant Eligibility in Patients with Kidney Failure Requiring Dialysis.Obesity surgery · 2021Article
- Clinical outcome of kidney transplantation after bariatric surgery: A single-center, retrospective cohort study.Clinical transplantation · 2021Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundLimited data exist on the safety and efficacy of bariatric surgery (BS) in patients with kidney failure.
methodsWe examined Medicare billing claims within USRDS registry data (1991-2004) to identify BS cases among renal allograft candidates and recipients.
resultsOf 188 BS cases, 72 were performed pre-listing, 29 on the waitlist, and 87 post-transplant. Roux-en-Y gastric bypass was the most common procedure. Thirty-day mortality after BS performed on the waitlist and post-transplant was 3.5%, and one transplant recipient lost their graft within 30 days after BS. BMI data were available for a subset and suggested median excess body weight loss of 31%-61%. Comparison to published clinical trials of BS in populations without kidney disease indicates comparable weight loss but higher post-BS mortality in the USRDS sample.
conclusionsGiven the substantial contributions of obesity to excess morbidity and mortality, BS warrants prospective study as a strategy for improving outcomes before and after kidney transplantation.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.