Evidence map›Paper›PMID 35305229›Full record

ArticleObesity surgery2022

Body Mass Index Thresholds and the Use of Bariatric Surgery in the Field of Kidney Transplantation in Germany.

Tomasz Dziodzio, Karl Herbert Hillebrandt, Sebastian Knitter, Maximilian Nösser, Brigitta Globke, Paul Viktor Ritschl, Matthias Biebl, Christian Denecke, Jonas Raakow, Georg Lurje and 10 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Obesity surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 17% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 3 institutions in 2 countries.

Tomasz DziodzioDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany. tomasz.dziodzio@charite.de.ORCID http://orcid.org/0000-0002-3337-4573
Karl Herbert HillebrandtDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany.
Sebastian KnitterDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany.
Maximilian NösserDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany.
Brigitta GlobkeDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany.
Paul Viktor RitschlDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany.
Matthias BieblDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany.
Christian DeneckeDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany.
Jonas RaakowDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany.
Georg LurjeDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany.
Wenzel SchöningDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany.
Moritz SchmelzleDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany.
Andreas KahlDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin Berlin, Berlin, Germany.
Markus FüttererDepartment of Endocrinology and Metabolic Diseases, Charité Universitätsmedizin Berlin, Berlin, Germany.
Klemens BuddeDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin Berlin, Berlin, Germany.
Kai-Uwe EckardtDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin Berlin, Berlin, Germany.
Fabian HalleckDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin Berlin, Berlin, Germany.
Johann PratschkeDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany.
Robert ÖllingerDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13352, Berlin, Germany.
German Bariatric Surgery, Kidney Transplantation Group
Kidney Centre · PKCharité - Universitätsmedizin Berlin · DEBerlin Institute of Health at Charité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity in the recipient is linked to inferior transplant outcome. Consequently, access to kidney transplantation (KT) is often restricted by body mass index (BMI) thresholds. Bariatric surgery (BS) has been established as a superior treatment for obesity compared to conservative measures, but it is unclear whether it is beneficial for patients on the waiting list.

methodsA national survey consisting of 16 questions was sent to all heads of German KT centers. Current situation of KT candidates with obesity and the status of BS were queried.

resultsCenter response rate was 100%. Obesity in KT candidates was considered an important issue (96.1%; n = 49/51) and 68.6% (n = 35/51) of departments responded to use absolute BMI thresholds for KT waiting list access with ≥ 35 kg/m

conclusionsObesity is potentially limiting access for KT. Despite commonly used BMI limits, only few German centers consider BS for obesity treatment in KT candidates by default. A national multicenter study is desired by nearly all heads of German transplant centers to prospectively assess the potentials, risks, and safety of BS in KT waitlisted patients.

Indexed as

Bariatric SurgeryKidney TransplantationObesity, MorbidBody Mass IndexGermanyHumansObesityRetrospective StudiesTreatment OutcomeBariatric surgeryEnd-stage renal diseaseKidney transplantationObesity

Identifiers

PMID35305229
PMCPMC8986752
OpenAlexW4221106056

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Registered trials

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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.