TABLE 3.
Posttransplant mortality and causes of death among obese liver transplant recipients (including patients transplanted from 2000 to present)
| Study, year | Study period | Total (N) | BMI categories (kg/m2), n | Mortality rates | P |
|---|---|---|---|---|---|
| Hillingso et al, 200534 | 1990–2002 | 40 | BMI, < 30: n = 20 | 65% (13/20) | 0.01 |
| BMI, > 30: n = 20 | 30% (6/20) | ||||
| Fujikawa et al, 200636 | 1990–2005 | 700 | 1 y patient survival | ||
| BMI, < 25: n = 288 | 82% | NS | |||
| BMI, 25–30: n = 245 | 87% | NS | |||
| BMI, ≥ 30: n = 167 | 86% | NS | |||
| BMI, ≥ 35: n = 37 | n/a) | NS | |||
| 5 y patient survival | |||||
| BMI, < 25: n = 288 | 67% | NS | |||
| BMI, 25–30: n = 245 | 73% | NS | |||
| BMI, ≥ 30: n = 167 | 71% | NS | |||
| BMI, ≥ 35: n = 37 | n/a | NS | |||
| Pelletier et al, 200728 | 2001–2004 | 4488 | HR | ||
| BMI, <20: n = 181 | 1.28 | 0.15 | |||
| BMI, 20 to <25: n = 1161 | 1.00 (reference) | Ref | |||
| BMI, 25 to <30: n = 1648 | 0.92 | 0.35 | |||
| BMI, 30 to <35: n = 944 | 0.84 | 0.10 | |||
| BMI, 35 to <40: n = 402 | 1.04 | 0.78 | |||
| BMI, ≥ 40: n = 152 | 1.16 | 0.43 | |||
| Leonard et al, 20085 | 1998–2006 | 1313 | Corrected for ascites | 1 y Mortality—11% | 0.79 |
| NIDDK - 704 | BMI, <18: n = 67 | 11% | |||
| Mayo - 609 | BMI, 18.5–25: n = 561 | 11% | |||
| BMI, 25.1–30: n = 405 | 11% | ||||
| BMI, 30.1–35: n = 178 | 8% | ||||
| BMI, 35.1–40: n = 69 | 10% | ||||
| BMI, >40: n = 33 | 3% | ||||
| 5 y Mortality—31% | 0.79 | ||||
| BMI, <18: n = 67 | 31% | ||||
| BMI, 18.5–25: n = 561 | 20% | ||||
| BMI, 25.1–30: n = 405 | 23% | ||||
| BMI, 30.1–35: n = 178 | 12% | ||||
| BMI, 35.1–40: n = 69 | 18% | ||||
| BMI, >40: n = 33 | 20 | ||||
| Dick et al, 200958 | 1987–2007 | 71 446 | BMI, 18.5 to <40: n = 68 172 | 36% | 0.02 |
| BMI, ≥40: n = 1447 | 39% | ||||
| Bambha et al, 20154 | 2002–2011 | 45 551: | Mortality 1 y post-LT | NS | |
| BMI, 18.5 to 24.9: n = 13262 | 12% | ||||
| BMI, 25–29.9: n = 16329 | 11% | ||||
| BMI, 30 to 34.9: n = 9639 | 11% | ||||
| BMI, 35–39.9: n = 4062 | 12% | ||||
| BMI, ≥40: n = 1396 | 12% | ||||
| Saab et al, 201459 | 1990–2013 | 74 487 | BMI, <30: n = 72 212 | 0.66 | |
| BMI, >30: n = 2275 | |||||
| Schlansky et al, 201630 | 2005–2014 | 80 221 | 5 y Mortality | ||
| BMI,< 30: n = 49 969 | 21.2% | 0.45 | |||
| BMI, 30–35: n = 18 793 | 20.5% | ||||
| BMI, 35.1–40: n = 8.356 | 21.5% | ||||
| BMI, ≥40: n = 3103 | 21% |