ArticleObesity surgery2026
30-Day Outcomes of Simultaneous Sleeve Gastrectomy and Kidney Transplantation: An Analysis from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Database.
Article in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity limits access to kidney transplantation (KT) and worsens outcomes in patients with end-stage renal disease (ESRD). Sleeve gastrectomy (SG) is increasingly used to facilitate transplant eligibility; however, the safety of simultaneous SG and KT (SG + KT) remains poorly defined at a multi-institutional level. This study evaluates 30-day perioperative outcomes of SG + KT using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database.
methodsA retrospective analysis of the MBSAQIP database (2020-2023) was performed. Adult patients undergoing SG were identified with simultaneous KT and captured using CPT codes. Demographics, comorbidities, operative characteristics, and 30-day outcomes were compared between SG-only and SG + KT cohorts. Multivariable logistic regression was used to identify independent predictors of serious complications and 30-day mortality.
resultsAmong 582,860 patients undergoing SG, 22 (0.004%) underwent simultaneous KT. SG + KT patients were older, predominantly male, and had significantly higher rates of diabetes, hypertension, renal insufficiency, and dialysis dependence (all p < 0.001), with similar body mass index compared to SG alone. SG + KT was associated with longer operative time, increased length of stay, and higher rates of bleeding, readmission within 30-days and serious complications (all p ≤ 0.001). Thirty-day mortality was significantly higher following SG + KT (9.1% vs. 0.1%, p < 0.001). On multivariable analysis, simultaneous KT was the strongest independent predictor of serious complications (OR 7.97; 95% CI 2.27-27.93; p = 0.001) and mortality (OR 33.99; 95% CI 3.99-289.03; p = 0.001).
conclusionSimultaneous sleeve gastrectomy and kidney transplantation is exceedingly rare and associated with markedly increased 30-day morbidity and mortality compared with sleeve gastrectomy alone, highlighting the need for careful patient selection and multidisciplinary risk assessment.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.