Evidence map›Paper›PMID 40669371›Full record

ArticleThe Journal of surgical research2025

Patient Perspectives on Weight Management and Wellness After Liver Transplantation: A Convergent Mixed Methods Study.

Natalia Rodriguez-Payan, Srilakshmi Atthota, Maria P Cote, Daniel Cloonan, Anne MacDonald, Richard Teo, Michelle E Monahan, Angela Fitch, Krista Jade Labelle, Anushi Shah and 5 more

Abstract read
In one paragraph

Article in The Journal of surgical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

1 citing paper in PubMed.

  1. Trial
4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Natalia Rodriguez-PayanDepartment of Transplant Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Srilakshmi AtthotaDepartment of Surgery, Maimonides Medical Center, Brooklyn, New York.
Maria P CoteDepartment of Transplant Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Daniel CloonanDepartment of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Anne MacDonaldDepartment of Transplant Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Richard TeoDepartment of Transplant Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Michelle E MonahanDepartment of Transplant Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Angela FitchKnownwell, Needham, Massachusetts.
Krista Jade LabelleEastern Virginia Medical School, Norfolk, Virginia.
Anushi ShahEastern Virginia Medical School, Norfolk, Virginia; Integris Health Nizih Zuhdi Transplant Institute, Oklahoma City, Oklahoma.
Ruby SinghDivision of Cardiac Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Flor FloresDepartment of Transplant Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Taylor CoeTransplant Surgery, University of Toronto, Toronto, Canada.
Nahel EliasDepartment of Transplant Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Leigh Anne DagefordeDepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee. Electronic address: la.dageforde@vumc.org.

Funding

Development and Testing of an Integrated Care Coordination Intervention for Alcohol Use Disorder Recovery after Liver TransplantationK23AA031068 · NIAAA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Leigh Anne Dageforde · 2023 to 2026
$749k
NIAAA NIH HHS K23 AA031068
6 · The paper itself

Abstract

introductionObesity and metabolic syndrome are common in liver transplant recipients and cause adverse health outcomes. We aimed to elicit patients' perceived barriers and needs for post-transplant weight loss.

methodsA convergent mixed methods approach was used to assess attitudes, needs, and barriers to using resources for weight loss. A cross-sectional survey was administered to liver transplant recipients with a body mass index > 25, and focus groups expanded information on topics of interest. Descriptive statistics, Student's t-test, and Wilcoxon rank-sum were used to analyze the survey results, and reflexive thematic analysis was performed for focus groups.

resultsFifty-three respondents (63.5% male; 88.4% Caucasian; median body mass index 30.7 [27.5, 33.7]) completed the survey (11.9% response rate). The majority (73.6%) believed obesity adversely affected liver grafts. Most patients tried weight loss lifestyle changes (diet modification [86.8%] and exercise [71.7%]). Factors negatively affecting weight management included immunosuppression (49.1%) and fatigue (54.7%). Of the respondents, 42.3% and 18% were likely to consider weight-loss medication and surgery, respectively. Potential liver damage from weight-loss medications (84.9%), medication side effects (60.4%), complications from bariatric surgery (47.1%), and surgery's impact on the transplanted liver (45.2%) were major concerns. Patients were motivated by the care of their transplanted organ when pursuing weight loss and were concerned about interventions that may damage their transplanted liver. Transplant-specific challenges (impact of emotions through the transplant process, physical limitations, and support from peers and health care personnel) were recurring themes.

conclusionsPost-transplant patients were largely motivated to lose weight to care for their new liver and concerned about liver damage and side effects when considering medical and surgical weight-loss interventions.

Indexed as

Liver TransplantationObesityTransplant RecipientsAdultAgedBody Mass IndexCross-Sectional StudiesFemaleFocus GroupsHumansMaleMiddle AgedWeight LossLiver diseaseLiver transplantMixed methodsPost-transplant recoveryWeight lossWeight management

Identifiers

PMID40669371
PMCPMC13249472

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