Evidence map›Paper›PMID 42219274›Full record

ArticleDiabetes, obesity & metabolism2026

Supporting Weight Management for Kidney Transplant Candidates in People With Obesity on Haemodialysis: The First National Survey of UK Kidney Healthcare Providers.

Adrian Brown, Helen L MacLaughlin, Kieran McCafferty, Sebastian Potthoff, Sharlene Greenwood, Victoria Vickerstaff, Rachel L Batterham, Rachel Thomas, Claudia Hobbs, Reza Motallebzadeh

Abstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2026. 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

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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Adrian BrownCentre for Obesity Research, University College London, London, UK.ORCID 0000-0003-1818-6192
Helen L MacLaughlinSchool of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Australia.
Kieran McCaffertyDepartment of Renal Medicine, Royal London Hospital, London, UK.
Sebastian PotthoffSchool of Communities and Education, Northumbria University Newcastle, Newcastle Upon Tyne, UK.
Sharlene GreenwoodDepartment of Renal Medicine, King's College Hospital NHS Trust, London, UK.
Victoria VickerstaffThe Centre for Methodology and Evaluation, Queen Mary University of London, London, UK.
Rachel L BatterhamCentre for Obesity Research, University College London, London, UK.
Rachel ThomasEdinburgh Transplant Centre, Royal Infirmary Edinburgh, Edinburgh, Scotland.
Claudia HobbsCentre for Obesity Research, University College London, London, UK.
Reza MotallebzadehDepartment of Nephrology and Transplantation, Royal Free London NHS Foundation Trust, London, UK.

Funding

National Institute for Health and Care Research NIHR303041NIHR Applied Research Collaboration Northeast and North Cumbria NIHR200173
6 · The paper itself

Abstract

aimsAccess to kidney transplantation (KTx) for people living with obesity and kidney failure is often challenging, especially given the inconsistent availability of publicly funded obesity services across the United Kingdom. This study explored UK kidney healthcare providers' views on weight management support for patients with obesity on haemodialysis before KTx, criteria for transplant waitlisting and the potential presence of weight stigma in clinical settings. MATERIALS AND

methodsAn online national UK cross-sectional survey was conducted (July-December 2024), using purposive and snowball sampling of kidney/transplant centres. Weight bias was assessed using the Fat Phobia Scale (F-Scale). Descriptive and multivariable regression analyses were conducted.

resultsIn total, 227 respondents took part, representing 78.6% of UK kidney centres. Most providers (93%) reported that access to transplantation was the main motivator for patient weight loss, while major challenges included poor access to obesity services (61.7%), long waiting times (59.9%) and limited funding (58.6%). Only 60.1% had access to any obesity service, and referrals to bariatric/metabolic surgery (38.9%) and use of incretin-based therapies (34.7%) were uncommon. KTx waitlisting criteria varied widely, the most common BMI cut-off was ≤ 35 kg/m

conclusionsThis study provides the first UK-wide overview of practice demonstrating inconsistent access to obesity treatment services, BMI-based listing criteria and presence of weight stigma. These data underscore the urgent need for improved obesity care and equitable access to transplantation.

Indexed as

Health PersonnelKidney Failure, ChronicKidney TransplantationObesityRenal DialysisAdultAttitude of Health PersonnelCross-Sectional StudiesFemaleHealth Services AccessibilityHumansMaleMiddle AgedSocial StigmaSurveys and QuestionnairesUnited Kingdombarriersincretin therapyobesity careperceptionsreal‐world evidenceweight management

Identifiers

PMID42219274
PMCPMC13341359

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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.