Impact of weight change on kidney transplantation outcomes: A systematic review and meta‐analysis

Diabetes Obes MetabPublished Systematic review and meta-analysis

Authors' conclusion

Substantial and clinically relevant weight gain after kidney transplant was associated with a higher risk of graft failure. Within the timeframes of study observation, risks of all-cause mortality, cardiovascular events or acute rejection were not increased by weight gain in kidney transplant recipients.

Study context

Population
Adult kidney transplant recipients (≥18 years); studies published up to 8 August 2024 (PubMed, Scopus)11 studies
Comparison
Post-transplant weight gain vs no such weight change
Outcome
All-cause mortality, graft failure, CV events, acute rejection

Pooled result

As reported in the abstract

Weight gain vs ControlHazard ratio (95% CI)P value
All-cause mortality; I2 = 28%
1.21(0.69–2.10)
P = 0.51
CV events; I2 = 32%
0.93(0.43–2.01)
P = 0.85
Acute rejection; I2 = 9%
1.13(0.76–1.68)
P = 0.55
Graft failure; I2 = 0%
1.58(1.22–2.05)
P < 0.001

Original publication

Impact of weight change on kidney transplantation outcomes: A systematic review and meta‐analysis. Diabetes Obes Metab. Published 18 December 2024. doi:10.1111/dom.16135

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