Session Time: 4:30pm-6:00pm
Presentation Time: 4:42pm-4:54pm
Location: Room 4C-3
BACKGROUND: Per current SPK allocation policy, Type 2 Diabetic (T2D) candidate waiting time is contingent on a body mass index (BMI, kg/m2) less than or equal to an arbitrary maximum allowable BMI. The aim of this study is to evaluate the impact of obesity on outcomes in T2D and Type 1 Diabetic (T1D) SPK recipients.
METHODS: Using United Network of Organ Sharing data from 2006-2017, pancreas and kidney graft survival were compared for diabetes type by BMI category.
RESULTS: Of the 6637 SPKs, 83 SPKs were in obese T2D and 734 in obese T1D.
|T1D (n=6015)||T2D (n=622)||p-value|
|Age at transplant||41.0||47.0||<0.001|
|African American||1098 (18.3%)||188 (30.2%)|
|Asian/Other||158 (2.63%)||57 (9.16%)|
|Caucasian||4153 (69.0%)||241 (38.7%)|
|Hispanic||606 (10.1%)||136 (21.9%)|
|Female||2312 (38.4%)||167 (26.8%)|
|Male||3703 (61.6%)||455 (73.2%)|
|BMI 18.5-25||3092 (51.4%)||226 (36.3%)|
|BMI 25-30||2189 (36.4%)||313 (50.3%)|
|BMI > 30||734 (12.2%)||83 (13.3%)|
There were no significant differences for kidney graft survival between groups. There was worse pancreas graft survival for the T1D BMI>30 group when compared to the other T1D groups; all other comparisons were not significant.
CONCLUSION: T2D SPK recipients with BMI>30 have similar outcomes to all other types of SPK recipients. The maximum allowable BMI may be an unwarranted limitation in access for obese T2D SPK recipients.
CITATION INFORMATION: Forbes R., Niederhaus S., Fox A., Fridell J., Abrams P., Olaitan O., Kandeel F., Urban R., Curry M., Odorico J. Obesity is Not Associated with Worse Outcomes for Type 2 Diabetic Simultaneous Pancreas-Kidney (SPK) Transplant Recipients Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:Forbes R, Niederhaus S, Fox A, Fridell J, Abrams P, Olaitan O, Kandeel F, Urban R, Curry M, Odorico J. Obesity is Not Associated with Worse Outcomes for Type 2 Diabetic Simultaneous Pancreas-Kidney (SPK) Transplant Recipients [abstract]. https://atcmeetingabstracts.com/abstract/obesity-is-not-associated-with-worse-outcomes-for-type-2-diabetic-simultaneous-pancreas-kidney-spk-transplant-recipients/. Accessed April 6, 2020.
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