Nair et al. (20) |
1988–1996 |
Obese BMI <25 |
2,611 |
92 |
|
86 |
|
53 |
● 1-, 3-, 5-year mortality was high in severely obese (BMI >40) group compared to non-obese group |
Non obese BMI >30 |
8,382 |
94 |
|
84 |
|
56 |
● Intraoperative mortality was similar between groups |
Boin et al. (61) |
1991–2006 |
Obese BMI >30; mean BMI 34 |
38 |
|
|
61.3 |
|
51 |
● Postop creatinine was higher in obese group. Operative times, blood transfusion and ICU stay similar in both groups. Survival was similar in both groups |
Non obese BMI 18.5–29.9; mean BMI 24 |
206 |
|
|
68 |
|
47 |
Braunfeld et al. (62) |
1992–1996 |
Obese mean BMI 36.2 |
40 |
78 |
|
68 |
|
|
● Intraoperative and post-operative complications are same |
Non obese; mean BMI 23.4 |
61 |
86 |
|
75 |
|
|
● Length of surgery and transfusion requirement was same |
● Length of ICU stay and wound complications are similar |
Conzen et al. (63) |
2002–2012 |
Obese BMI >30 |
513 |
|
|
|
|
51.3 |
● Operative times, ICU stay, perioperative complications and survival at 1 and 3 years similar between both groups |
Non obese BMI 18–29.9 |
272 |
|
|
|
|
78.8 |
Fujikawa et al. (64) |
1990–2005 |
Obese BMI >30 |
167 |
|
|
86 |
|
71 |
● No differences in graft survival or patient’s survival, hospital stay, operative complications |
Non obese BMI <25 |
288 |
|
|
82 |
|
67 |
Hakeem et al. (65) |
1994–2009 |
Obese BMI >30 |
145 |
|
|
86 |
78 |
70 |
● No difference in patient and graft survival noticed |
Non obese BMI 18–25 |
643 |
|
|
80 |
76 |
70 |
● Morbidly obese patients had increased ICU stay |
● No change in blood transfusions needed, post op complications |
Hilling et al. (66) |
1990–2003 |
Obese BMI >30 |
20 |
80 |
60 |
50 |
|
|
● Operative time, transfusions needed, ICU stay was similar between both groups |
Non obese BMI 19.1c29.3 |
20 |
90 |
85 |
80 |
|
|
● Mortality higher in obese group |
Lamattina et al. (67) |
1997–2008 |
Obese BMI >30 (35-40) |
83 |
|
|
91 |
78 |
78 |
● Operative time, ICU stay, transfusions needed were higher in obese group |
Non obese BMI 18–25 |
216 |
|
|
94 |
86 |
83 |
Leonard et al. (68) |
1990–1994 and 1998–2006 |
Obese BMI >35 |
69 |
97 |
|
80 |
|
88 |
● No difference in patient and graft survival |
Non obese BMI 18.5–25 |
561 |
98 |
|
89 |
|
80 |
● ICU stay was similar in all groups except in class 3 obesity |
Mathur et al. (69) |
1996–2008 |
Obese BMI >30 |
58 |
|
4 |
|
|
|
● Primary graft dysfunction was similar in both groups |
Non obese BMI <25 |
47 |
|
3 |
|
|
|
|
N |
30-day |
90-day |
1 year |
3-year |
5-year |
Nair et al. (70) |
1994–1996 |
Obese BMI (>31.1 for men and 32.3 for women) |
21 |
|
|
90 |
66 |
|
● Length of hospital stay was higher in both obese and severely obese patients |
● Number of blood transfusions was similar in all groups |
Non obese BMI (BMI <27.3 for men and <27.8 for women) |
64 |
|
|
89 |
79 |
|
● Survival rate similar in all groups |
● Post-transplant complications highest in obesity group |
Perez-Protto et al. (71) |
2005–2011 |
Obese BMI >38 |
47 |
|
|
94 |
85 |
|
● ICU stay and blood transfusion needed were common between both groups |
Non obese BMI 20–26 |
183 |
|
|
78 |
76 |
|
● Patient and graft survival similar in both groups |
Sawyer et al. (72) |
1989–1996 |
Obese BMI >35 |
26 |
|
|
77 |
|
|
● Patient and graft survival similar between both groups |
Non obese BMI <30 |
202 |
|
|
81 |
|
|
● Wound infections were higher in obese groups after transplant but other long-term outcomes are similar |
Schalansky et al. (73) |
2005–2014 |
Obese BMI >35 |
8,356 |
|
|
92.5 |
84.1 |
78.5 |
● Patients with obesity are at increased risk of mortality compared to normal weight patients |
Non obese BMI <30 |
969 |
|
|
92.2 |
84.4 |
78.8 |
Singal et al. (74) |
1988–2011 |
Obese BMI>35 |
22 |
|
|
96 |
|
|
● Patient and graft survival at 1 year similar between 2 groups |
Non obese BMI 18.5–24.9 |
79 |
|
|
89 |
|
|
Werneck et al. (75) |
2007–2009 |
Obese BMI >30 |
32 |
|
|
75 |
|
|
● Patient survival and ICU stay similar between both groups |
Non obese BMI 18.5–24.99 |
46 |
|
|
91 |
|
|
Bhambha et al. (76) |
2002–2011 |
Obese BMI>35 |
4062 |
|
94 |
88 |
|
|
● Patient and graft survival were similar in both groups |
Non obese BMI 18.5-24.9 |
13,262 |
|
95 |
88 |
|
|
Beal et al. (77) |
2003–2013 |
Obese BMI >30 |
17,339 |
96 |
|
92 |
|
90 |
● Patient mortality more in obese group |
Non obese BMI <30 |
34,217 |
97 |
|
91 |
|
89 |