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The impact and treatment of obesity in kidney transplant candidates and recipients

Overview of attention for article published in Canadian Journal of Kidney Health and Disease, August 2015
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  • Good Attention Score compared to outputs of the same age (67th percentile)
  • Good Attention Score compared to outputs of the same age and source (77th percentile)

Mentioned by

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6 X users

Citations

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28 Dimensions

Readers on

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73 Mendeley
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Title
The impact and treatment of obesity in kidney transplant candidates and recipients
Published in
Canadian Journal of Kidney Health and Disease, August 2015
DOI 10.1186/s40697-015-0059-4
Pubmed ID
Authors

Gabriel Chan, Pierre Garneau, Roy Hajjar

Abstract

The prevalence of obesity in patients with chronic kidney failure and renal transplant candidates has paralleled the epidemic in the general population. The associated risks of surgical complications and long-term cardiovascular death are significant: most transplant centers consider obesity a relative contra-indication for transplant. Few studies have focused on conservative weight loss strategies in transplant patients. Studies using administrative databases have found that only a minority of wait-listed patients lose weight and with no apparent benefit to transplant outcomes. The only clinical trial in this area found that an intensive weight-loss program had significantly better success (to listing) than self-directed weight loss. However, only a minority that succeeded with the help of a program (36 %), while the "diet and exercise" group had negligible results. Laparoscopy has radically shortened the recovery time and decreased the complications associated with bariatric surgery. Reports in transplant patients, who were previously deemed too medically complex, have demonstrated a dramatic and rapid weight loss. The only randomized clinical trial in patients with CKD, which compared sleeve gastrectomy to best medical care clearly favoured the surgical arm for weight loss, but was too small to assess other outcomes. The emerging experience is small but quite promising. Surgical complications and the effect on immunosuppression remain the chief concerns regarding the use of bariatric surgery in transplant patients. Rigorous prospective studies will be essential to properly evaluate the expected weight loss and the effect on pharmacokinetics of immunosuppressive medications. A routine role for bariatric surgery in transplantation would require evidence of improvements in patient-important outcomes and evidence of safety.

X Demographics

X Demographics

The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 73 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 73 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 19%
Researcher 12 16%
Student > Ph. D. Student 9 12%
Student > Bachelor 8 11%
Student > Doctoral Student 7 10%
Other 14 19%
Unknown 9 12%
Readers by discipline Count As %
Medicine and Dentistry 33 45%
Nursing and Health Professions 6 8%
Immunology and Microbiology 2 3%
Sports and Recreations 2 3%
Social Sciences 2 3%
Other 11 15%
Unknown 17 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 April 2016.
All research outputs
#8,186,806
of 25,374,917 outputs
Outputs from Canadian Journal of Kidney Health and Disease
#295
of 620 outputs
Outputs of similar age
#89,554
of 276,431 outputs
Outputs of similar age from Canadian Journal of Kidney Health and Disease
#2
of 9 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. This one has received more attention than most of these and is in the 67th percentile.
So far Altmetric has tracked 620 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.6. This one has gotten more attention than average, scoring higher than 51% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 276,431 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 67% of its contemporaries.
We're also able to compare this research output to 9 others from the same source and published within six weeks on either side of this one. This one has scored higher than 7 of them.