publication . Other literature type . Article . 2018

Long-term effects of bariatric surgery on acute kidney injury: a propensity-matched cohort in the UK Clinical Practice Research Datalink

Uwe Koppe; Dorothea Nitsch; Kathryn E Mansfield; Rohini Mathur; Krishnan Bhaskaran; Rachel L Batterham; Liam Smeeth; Ian J Douglas;
  • Published: 16 May 2018
  • Publisher: BMJ
Abstract
Objective: Bariatric surgery is an effective method of weight reduction and has been associated with acute kidney injury (AKI) as a perioperative event. However, the long-term effects of the weight reduction after surgery on AKI are unknown. The objective of this study is to quantify the association of bariatric surgery with later risk of AKI. Design: This study uses a propensity score-matched cohort of patients from the UK Clinical Practice Research Datalink database with and without bariatric surgery to compare rates of AKI episodes derived from linkage to the Hospital Episode Statistics. Setting: England, UK. Participants: We included 2643 patients with baria...
Subjects
Medical Subject Headings: urologic and male genital diseasesfemale genital diseases and pregnancy complications
free text keywords: 610 Medizin und Gesundheit, Epidemiology, Research, 1506, 1692, clinical practice research datalink, acute kidney injury, obesity, bariatric surgery, Acute kidney injury, bariatric surgery, clinical practice research datalink, obesity, ddc:610, General Medicine, Kidney disease, medicine.disease, medicine, Propensity score matching, Weight loss, medicine.symptom, Rate ratio, Cohort, Surgery, medicine.medical_specialty, Retrospective cohort study, Perioperative, business.industry, business
31 references, page 1 of 3

1. Public Health England. Obesity - UK and Ireland prevalence and trends. https://wwwnooorguk/NOO_about_obesity/adult_obesity/ UK_prevalence_and_trends (accessed 25th Aug 2016).

2. Burton JO, Gray LJ, Webb DR, et al. Association of anthropometric obesity measures with chronic kidney disease risk in a non-diabetic patient population. Nephrol Dial Transplant 2012;27:1860-6.

3. Nguyen S, Hsu CY. Excess weight as a risk factor for kidney failure. Curr Opin Nephrol Hypertens 2007;16:71-6.

4. World Health Organisation. Obesity and overweight - Fact sheet. http://wwwwhoint/mediacentre/factsheets/fs311/en/ (accessed 5th Aug 2016).

5. Colquitt JL, Pickett K, Loveman E, et al. Surgery for weight loss in adults. Cochrane Database Syst Rev 2014;8:CD003641. [OpenAIRE]

6. Gloy VL, Briel M, Bhatt DL, et al. Bariatric surgery versus nonsurgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. BMJ 2013;347:f5934. [OpenAIRE]

7. Douglas IJ, Bhaskaran K, Batterham RL, et al. Bariatric surgery in the united kingdom: a cohort study of weight loss and clinical outcomes in routine clinical care. PLoS Med 2015;12:e1001925.

8. Lewington AK S. Clinical Practice Guidelines - Acute Kidney Injury: UK Renal Association, 2011.

9. Shashaty MG, Meyer NJ, Localio AR, et al. African American race, obesity, and blood product transfusion are risk factors for acute kidney injury in critically ill trauma patients. J Crit Care 2012;27:496-504.

10. Suneja M, Kumar AB. Obesity and perioperative acute kidney injury: a focused review. J Crit Care 2014;29:694.e1-6.

11. Currie A, Chetwood A, Ahmed AR. Bariatric surgery and renal function. Obes Surg 2011;21:528-39.

12. Thakar CV, Kharat V, Blanck S, et al. Acute kidney injury after gastric bypass surgery. Clin J Am Soc Nephrol 2007;2:426-30. [OpenAIRE]

13. Weingarten TN, Gurrieri C, McCaffrey JM, et al. Acute kidney injury following bariatric surgery. Obes Surg 2013;23:64-70.

14. Chakravartty S, Sarma DR, Patel AG. Rhabdomyolysis in bariatric surgery: a systematic review. Obes Surg 2013;23:1333-40. [OpenAIRE]

15. Abdullah HR, Tan TP, Vaez M, et al. Predictors of perioperative acute kidney injury in obese patients undergoing laparoscopic bariatric surgery: a single-centre retrospective cohort study. Obes Surg 2016;26:1493-9.

31 references, page 1 of 3
Abstract
Objective: Bariatric surgery is an effective method of weight reduction and has been associated with acute kidney injury (AKI) as a perioperative event. However, the long-term effects of the weight reduction after surgery on AKI are unknown. The objective of this study is to quantify the association of bariatric surgery with later risk of AKI. Design: This study uses a propensity score-matched cohort of patients from the UK Clinical Practice Research Datalink database with and without bariatric surgery to compare rates of AKI episodes derived from linkage to the Hospital Episode Statistics. Setting: England, UK. Participants: We included 2643 patients with baria...
Subjects
Medical Subject Headings: urologic and male genital diseasesfemale genital diseases and pregnancy complications
free text keywords: 610 Medizin und Gesundheit, Epidemiology, Research, 1506, 1692, clinical practice research datalink, acute kidney injury, obesity, bariatric surgery, Acute kidney injury, bariatric surgery, clinical practice research datalink, obesity, ddc:610, General Medicine, Kidney disease, medicine.disease, medicine, Propensity score matching, Weight loss, medicine.symptom, Rate ratio, Cohort, Surgery, medicine.medical_specialty, Retrospective cohort study, Perioperative, business.industry, business
31 references, page 1 of 3

1. Public Health England. Obesity - UK and Ireland prevalence and trends. https://wwwnooorguk/NOO_about_obesity/adult_obesity/ UK_prevalence_and_trends (accessed 25th Aug 2016).

2. Burton JO, Gray LJ, Webb DR, et al. Association of anthropometric obesity measures with chronic kidney disease risk in a non-diabetic patient population. Nephrol Dial Transplant 2012;27:1860-6.

3. Nguyen S, Hsu CY. Excess weight as a risk factor for kidney failure. Curr Opin Nephrol Hypertens 2007;16:71-6.

4. World Health Organisation. Obesity and overweight - Fact sheet. http://wwwwhoint/mediacentre/factsheets/fs311/en/ (accessed 5th Aug 2016).

5. Colquitt JL, Pickett K, Loveman E, et al. Surgery for weight loss in adults. Cochrane Database Syst Rev 2014;8:CD003641. [OpenAIRE]

6. Gloy VL, Briel M, Bhatt DL, et al. Bariatric surgery versus nonsurgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. BMJ 2013;347:f5934. [OpenAIRE]

7. Douglas IJ, Bhaskaran K, Batterham RL, et al. Bariatric surgery in the united kingdom: a cohort study of weight loss and clinical outcomes in routine clinical care. PLoS Med 2015;12:e1001925.

8. Lewington AK S. Clinical Practice Guidelines - Acute Kidney Injury: UK Renal Association, 2011.

9. Shashaty MG, Meyer NJ, Localio AR, et al. African American race, obesity, and blood product transfusion are risk factors for acute kidney injury in critically ill trauma patients. J Crit Care 2012;27:496-504.

10. Suneja M, Kumar AB. Obesity and perioperative acute kidney injury: a focused review. J Crit Care 2014;29:694.e1-6.

11. Currie A, Chetwood A, Ahmed AR. Bariatric surgery and renal function. Obes Surg 2011;21:528-39.

12. Thakar CV, Kharat V, Blanck S, et al. Acute kidney injury after gastric bypass surgery. Clin J Am Soc Nephrol 2007;2:426-30. [OpenAIRE]

13. Weingarten TN, Gurrieri C, McCaffrey JM, et al. Acute kidney injury following bariatric surgery. Obes Surg 2013;23:64-70.

14. Chakravartty S, Sarma DR, Patel AG. Rhabdomyolysis in bariatric surgery: a systematic review. Obes Surg 2013;23:1333-40. [OpenAIRE]

15. Abdullah HR, Tan TP, Vaez M, et al. Predictors of perioperative acute kidney injury in obese patients undergoing laparoscopic bariatric surgery: a single-centre retrospective cohort study. Obes Surg 2016;26:1493-9.

31 references, page 1 of 3
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publication . Other literature type . Article . 2018

Long-term effects of bariatric surgery on acute kidney injury: a propensity-matched cohort in the UK Clinical Practice Research Datalink

Uwe Koppe; Dorothea Nitsch; Kathryn E Mansfield; Rohini Mathur; Krishnan Bhaskaran; Rachel L Batterham; Liam Smeeth; Ian J Douglas;