TransplantAFUF: Impact of BMI and the Iliocutaneous Distance on Renal Transplant Prognosis

You have accessJournal of UrologyTransplantation & Vascular Surgery I (PD06)1 May 2024PD06-03 TRANSPLANT AFUF: IMPACT OF BMI AND THE ILIOCUTANEOUS DISTANCE ON RENAL TRANSPLANT PROGNOSIS Charlotte Joncour, Emilien Sezilles de Mazancourt, Anna Goujon, Adrien Beretta, Papet Josephine, Hugo Dupuis, Arthur Peyrottes, Adrien Panis, Alexandre Lemaire, Maxime Pues, Kaulanjan Kevin, Gautier Stempfer, Clément Larose, and Fayek Taha Charlotte JoncourCharlotte Joncour , Emilien Sezilles de MazancourtEmilien Sezilles de Mazancourt , Anna GoujonAnna Goujon , Adrien BerettaAdrien Beretta , Papet JosephinePapet Josephine , Hugo DupuisHugo Dupuis , Arthur PeyrottesArthur Peyrottes , Adrien PanisAdrien Panis , Alexandre LemaireAlexandre Lemaire , Maxime PuesMaxime Pues , Kaulanjan KevinKaulanjan Kevin , Gautier StempferGautier Stempfer , Clément LaroseClément Larose , and Fayek TahaFayek Taha View All Author Informationhttps://doi.org/10.1097/01.JU.0001008592.06852.43.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The objective was to assess the impact of iliocutaneous distance (ICD) and Body Mass Index (BMI) on the prognosis of kidney transplant patients. The parameters studied included nephrological outcomes, early (<1 month postoperative) and late (> 1 month postoperative) complications, and survival outcomes. METHODS: Thirteen French centers retrospectively collected data on 2972 transplanted patients as part of the TransplantAFUF project. The anthropometric factors studied were ICD≥13 cm and BMI≥30 kg/m2. ICD is defined as the distance between the iliac bifurcation and the skin level at a 45° angle. DGF is defined as the need for dialysis within 7 days, and PGNF as the absence of renal function recovery at 1 month, while graft survival includes a return to dialysis, graftectomy, or death. RESULTS: An ICD≥13 cm was an independent risk factor for PGNF (5.9% vs. 2.2%, OR=2.13 [1.15-3.94]), DGF (26% vs. 16%, OR=1.52 [1.10-2.12]), and early graft loss (6.9% vs. 2.2%, OR=3.02 [1.55-5.9]). Regarding early complications, an ICD≥13 cm was associated with early lymphocele (10.8% vs. 7.3%, OR=1.70 [1.15-2.49]) and venous thrombosis (3.1% vs. 2%, OR=3.06 [1.44-6.50]). An ICD≥13 cm was also associated with overall Clavien≥3 late complications (18% vs. 12%, OR=1.44 [1.01-2.04]). Graft survival at 5 years was decreased in the ICD≥13 cm group (68.9% vs. 83%) but without significant differences in multivariate analysis (HR=1.31 [0.97-1.78]). Overall survival at 5 years was also decreased with ICD (74.9% vs. 87.8%) but without significant differences in multivariate analysis (HR=1.15 [0.80-1.66]). The impact of a BMI≥30 kg/m2 on nephrological, complications, and survival outcomes was not significant. All the results are presented in Table. CONCLUSIONS: A BMI ≥ 30 kg/m2 is not an independent prognostic factor. However, an ICD ≥ 13 cm should be considered before kidney transplantation. Source of Funding: No funding © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e161 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Charlotte Joncour More articles by this author Emilien Sezilles de Mazancourt More articles by this author Anna Goujon More articles by this author Adrien Beretta More articles by this author Papet Josephine More articles by this author Hugo Dupuis More articles by this author Arthur Peyrottes More articles by this author Adrien Panis More articles by this author Alexandre Lemaire More articles by this author Maxime Pues More articles by this author Kaulanjan Kevin More articles by this author Gautier Stempfer More articles by this author Clément Larose More articles by this author Fayek Taha More articles by this author Expand All Advertisement PDF downloadLoading ...