Systematic review and meta-analysis of the relation between body mass index and short-term donor outcome of laparoscopic donor nephrectomy
In this era of organ donor shortage, live kidney donation has been proven to increase the donor pool; however, it is extremely important to make careful decisions in the selection of possible live donors. A body mass index (BMI) above 35 is generally considered as a relative contraindication for don...
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| Veröffentlicht in: | Kidney international 2013-05, Vol.83 (5), p.931-939 |
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| creator | Lafranca, Jeffrey A. Hagen, Sander M. Dols, Leonienke F.C. Arends, Lidia R. Weimar, Willem IJzermans, Jan N.M. Dor, Frank J.M.F |
| description | In this era of organ donor shortage, live kidney donation has been proven to increase the donor pool; however, it is extremely important to make careful decisions in the selection of possible live donors. A body mass index (BMI) above 35 is generally considered as a relative contraindication for donation. To determine whether this is justified, a systematic review and meta-analysis were carried out to compare perioperative outcome of live donor nephrectomy between donors with high and low BMI. A comprehensive literature search was performed in MEDLINE, Embase, and CENTRAL (the Cochrane Library). All aspects of the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement were followed. Of 14 studies reviewed, eight perioperative donor outcome measures were meta-analyzed, and, of these, five were not different between BMI categories. Three found significant differences in favor of low BMI (29.9 and less) donors with significant mean differences in operation duration (16.9min (confidence interval (CI) 9.1–24.8)), mean difference in rise in serum creatinine (0.05mg/dl (CI 0.01–0.09)), and risk ratio for conversion (1.69 (CI 1.12–2.56)). Thus, a high body mass index (BMI) alone is no contraindication for live kidney donation regarding short-term outcome. |
| doi_str_mv | 10.1038/ki.2012.485 |
| format | Article |
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A body mass index (BMI) above 35 is generally considered as a relative contraindication for donation. To determine whether this is justified, a systematic review and meta-analysis were carried out to compare perioperative outcome of live donor nephrectomy between donors with high and low BMI. A comprehensive literature search was performed in MEDLINE, Embase, and CENTRAL (the Cochrane Library). All aspects of the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement were followed. Of 14 studies reviewed, eight perioperative donor outcome measures were meta-analyzed, and, of these, five were not different between BMI categories. Three found significant differences in favor of low BMI (29.9 and less) donors with significant mean differences in operation duration (16.9min (confidence interval (CI) 9.1–24.8)), mean difference in rise in serum creatinine (0.05mg/dl (CI 0.01–0.09)), and risk ratio for conversion (1.69 (CI 1.12–2.56)). Thus, a high body mass index (BMI) alone is no contraindication for live kidney donation regarding short-term outcome.</description><identifier>ISSN: 0085-2538</identifier><identifier>EISSN: 1523-1755</identifier><identifier>DOI: 10.1038/ki.2012.485</identifier><identifier>PMID: 23344469</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Body Mass Index ; Chi-Square Distribution ; clinical practice guidelines ; Donor Selection ; end-stage renal disease ; epidemiology and outcomes ; guidelines ; Humans ; kidney transplantation ; Kidney Transplantation - adverse effects ; Kidney Transplantation - methods ; Laparoscopy - adverse effects ; Living Donors ; Nephrectomy - adverse effects ; Nephrectomy - methods ; Odds Ratio ; Postoperative Complications - etiology ; Risk Factors ; Time Factors ; Treatment Outcome</subject><ispartof>Kidney international, 2013-05, Vol.83 (5), p.931-939</ispartof><rights>2013 International Society of Nephrology</rights><rights>Copyright Nature Publishing Group May 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c433t-780e642745639aad66929f29012f323540d32522c6150b3dfa19102763150a8f3</citedby><cites>FETCH-LOGICAL-c433t-780e642745639aad66929f29012f323540d32522c6150b3dfa19102763150a8f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1346860659?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,64392,64394,64396,72476</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23344469$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lafranca, Jeffrey A.</creatorcontrib><creatorcontrib>Hagen, Sander M.</creatorcontrib><creatorcontrib>Dols, Leonienke F.C.</creatorcontrib><creatorcontrib>Arends, Lidia R.</creatorcontrib><creatorcontrib>Weimar, Willem</creatorcontrib><creatorcontrib>IJzermans, Jan N.M.</creatorcontrib><creatorcontrib>Dor, Frank J.M.F</creatorcontrib><title>Systematic review and meta-analysis of the relation between body mass index and short-term donor outcome of laparoscopic donor nephrectomy</title><title>Kidney international</title><addtitle>Kidney Int</addtitle><description>In this era of organ donor shortage, live kidney donation has been proven to increase the donor pool; however, it is extremely important to make careful decisions in the selection of possible live donors. A body mass index (BMI) above 35 is generally considered as a relative contraindication for donation. To determine whether this is justified, a systematic review and meta-analysis were carried out to compare perioperative outcome of live donor nephrectomy between donors with high and low BMI. A comprehensive literature search was performed in MEDLINE, Embase, and CENTRAL (the Cochrane Library). All aspects of the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement were followed. Of 14 studies reviewed, eight perioperative donor outcome measures were meta-analyzed, and, of these, five were not different between BMI categories. Three found significant differences in favor of low BMI (29.9 and less) donors with significant mean differences in operation duration (16.9min (confidence interval (CI) 9.1–24.8)), mean difference in rise in serum creatinine (0.05mg/dl (CI 0.01–0.09)), and risk ratio for conversion (1.69 (CI 1.12–2.56)). Thus, a high body mass index (BMI) alone is no contraindication for live kidney donation regarding short-term outcome.</description><subject>Body Mass Index</subject><subject>Chi-Square Distribution</subject><subject>clinical practice guidelines</subject><subject>Donor Selection</subject><subject>end-stage renal disease</subject><subject>epidemiology and outcomes</subject><subject>guidelines</subject><subject>Humans</subject><subject>kidney transplantation</subject><subject>Kidney Transplantation - adverse effects</subject><subject>Kidney Transplantation - methods</subject><subject>Laparoscopy - adverse effects</subject><subject>Living Donors</subject><subject>Nephrectomy - adverse effects</subject><subject>Nephrectomy - methods</subject><subject>Odds Ratio</subject><subject>Postoperative Complications - etiology</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0085-2538</issn><issn>1523-1755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkc2KFDEURoMoTtu6ci8BNwNSbX4qqdRSBkeFARfqOqSTW3RmKpUySc1Yr-BTm54eXYjgKlzuuV_gfAi9pGRHCVdvb_yOEcp2rRKP0IYKxhvaCfEYbQhRomGCqzP0LOdrUueek6fojHHetq3sN-jnlzUXCKZ4ixPcerjDZnI4QDGNmcy4Zp9xHHA5QN2PlYsT3kO5A6hvdCsOJmfsJwc_7i_zIabSFEgBuzjFhONSbAxwDBnNbFLMNs71t9N2gvmQwJYY1ufoyWDGDC8e3i36dvn-68XH5urzh08X764a23Jemk4RkC3rWiF5b4yTsmf9wPqqYOCMi5Y4zgRjVlJB9twNhvaUsE7yOhs18C06P-XOKX5fIBcdfLYwjmaCuGRNVd9xVa_l_1Hedp1SXXW8Ra__Qq_jkqrBe0oqSaToK_XmRNnqIScY9Jx8MGnVlOhjm_rG62OburZZ6VcPmcs-gPvD_q6vAuIEQPVVy0s6Ww-TBeePUrWL_p_BvwArEKwS</recordid><startdate>20130501</startdate><enddate>20130501</enddate><creator>Lafranca, Jeffrey A.</creator><creator>Hagen, Sander M.</creator><creator>Dols, Leonienke F.C.</creator><creator>Arends, Lidia R.</creator><creator>Weimar, Willem</creator><creator>IJzermans, Jan N.M.</creator><creator>Dor, Frank J.M.F</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7TS</scope></search><sort><creationdate>20130501</creationdate><title>Systematic review and meta-analysis of the relation between body mass index and short-term donor outcome of laparoscopic donor nephrectomy</title><author>Lafranca, Jeffrey A. ; 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however, it is extremely important to make careful decisions in the selection of possible live donors. A body mass index (BMI) above 35 is generally considered as a relative contraindication for donation. To determine whether this is justified, a systematic review and meta-analysis were carried out to compare perioperative outcome of live donor nephrectomy between donors with high and low BMI. A comprehensive literature search was performed in MEDLINE, Embase, and CENTRAL (the Cochrane Library). All aspects of the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement were followed. Of 14 studies reviewed, eight perioperative donor outcome measures were meta-analyzed, and, of these, five were not different between BMI categories. Three found significant differences in favor of low BMI (29.9 and less) donors with significant mean differences in operation duration (16.9min (confidence interval (CI) 9.1–24.8)), mean difference in rise in serum creatinine (0.05mg/dl (CI 0.01–0.09)), and risk ratio for conversion (1.69 (CI 1.12–2.56)). Thus, a high body mass index (BMI) alone is no contraindication for live kidney donation regarding short-term outcome.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23344469</pmid><doi>10.1038/ki.2012.485</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Body Mass Index Chi-Square Distribution clinical practice guidelines Donor Selection end-stage renal disease epidemiology and outcomes guidelines Humans kidney transplantation Kidney Transplantation - adverse effects Kidney Transplantation - methods Laparoscopy - adverse effects Living Donors Nephrectomy - adverse effects Nephrectomy - methods Odds Ratio Postoperative Complications - etiology Risk Factors Time Factors Treatment Outcome |
| title | Systematic review and meta-analysis of the relation between body mass index and short-term donor outcome of laparoscopic donor nephrectomy |
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