The Association between Body Composition Measurements and Surgical Complications after Living Kidney Donation

Westenberg, Lisa B. and van Londen, Marco and Sotomayor, Camilo G. and Moers, Cyril and Minnee, Robert C. and Bakker, Stephan J. L. and Pol, Robert A. (2021) The Association between Body Composition Measurements and Surgical Complications after Living Kidney Donation. Journal of Clinical Medicine, 10 (1). p. 155. ISSN 2077-0383

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Abstract

Obesity is considered a risk factor for peri- and postoperative complications. Little is known about this risk in overweight living kidney donors. The aim of this study was to assess if anthropometric body measures and/or surgical determinants are associated with an increased incidence of peri- and postoperative complications after nephrectomy. We included 776 living kidney donors who donated between 2008 and 2018 at the University Medical Center Groningen. Prenephrectomy measures of body composition were body mass index (BMI), body surface area (BSA), waist circumference, weight, and waist–hip ratio. Incidence and severity of peri- and postoperative complications were assessed using the Comprehensive Complication Index. Mean donor age was 53 ± 11 years; 382 (49%) were male, and mean BMI at donor screening was 26.2 ± 3.41 kg/m2. In total, 77 donors (10%) experienced peri- and postoperative complications following donor nephrectomy. Male sex was significantly associated with fewer surgical complications (OR 0.59, 0.37–0.96 95%CI, p = 0.03) in binomial logistic regression analyses. Older age (OR: 1.03, 1.01–1.05 95%CI, p = 0.02) and a longer duration of surgery (OR: 1.01, 1.00–1.01 95%CI, p = 0.02) were significantly associated with more surgical complications in binomial logistic regression analyses. Multinomial logistic regression analyses did not identify any prenephrectomy measure of body composition associated with a higher risk of surgical complications. This study shows that higher prenephrectomy BMI and other anthropometric measures of body composition are not significantly associated with peri- and postoperative complications following living donor nephrectomy.

Item Type: Article
Uncontrolled Keywords: Keywords: living donation; nephrectomy; hand-assisted laparoscopic nephrectomy; body composition; complications
Subjects: STM Repository > Medical Science
Depositing User: Managing Editor
Date Deposited: 21 Apr 2023 05:09
Last Modified: 19 Sep 2023 07:31
URI: http://classical.goforpromo.com/id/eprint/412

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