{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:50:43Z","timestamp":1777589443868,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the effect of obesity and overweight on surgical, functional, and survival outcomes in patients with large kidney masses after minimally invasive surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Within a multicenter multinational dataset, patients found to have\n                      <jats:sc>\u2265<\/jats:sc>\n                      cT\n                      <jats:sub>2<\/jats:sub>\n                      renal mass and treated with minimally invasive (laparoscopic or robotic) kidney surgery (radical or partial nephrectomy) during the period 2003 to 2017 were abstracted. They were stratified according to the body mass index classes as normal weight (18.5\u201324.9\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), overweight (25.0\u201329.9\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), and obese (\n                      <jats:sc>\u2265<\/jats:sc>\n                      30.0\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ). Mixed models and Cox proportional hazard regression tested differences in complication rates, estimated glomerular filtration rate (eGFR) change over time, overall mortality (OM), and disease recurrence (DR) rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 812 patients, 30.6% were normal weight, 42.7% were overweight, and 26.7% obese. Overweight (odds ratio 0.82, 95% confidence interval [CI]: 0.51\u20131.31,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.406) and obese patients (OR: 0.81, 95% CI: 0.44\u20131.47,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.490) experienced similar complication rates than normal weight. Moreover, no statistically significant differences in eGFR were found for overweight (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.129) or obese (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.166) patients compared to normal weight. However, higher OM rates were recorded in overweight (hazard ratio [HR] 3.59, 95% CI: 1.03\u201312.51,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.044), as well as in obese, patients (HR 7.83, 95% CI: 2.20\u201327.83,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002). Similarly, higher DR rates were recorded in obese (HR 2.76, 95% CI: 1.40\u20135.44,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.003) patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Obese and overweight patients do not experience higher complication rates or worse eGFR after minimally invasive kidney surgery, which therefore can be deemed feasible and safe also in this subset of patients. Nevertheless, obese and overweight patients seem to carry a higher risk of OM, and therefore, they should undergo a strict follow-up after surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2019.0604","type":"journal-article","created":{"date-parts":[[2020,1,17]],"date-time":"2020-01-17T06:06:25Z","timestamp":1579241185000},"page":"289-297","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Effect of Obesity and Overweight Status on Complications and Survival After Minimally Invasive Kidney Surgery in Patients with Clinical T\n                    <sub>2-4<\/sub>\n                    Renal Masses"],"prefix":"10.1177","volume":"34","author":[{"given":"Michele","family":"Marchioni","sequence":"first","affiliation":[{"name":"Department of Medical, Oral and Biotechnological Sciences, Urology Unit, SS Annunziata Hospital, \u201cG.D'Annunzio\u201d University of Chieti, Chieti, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Berardinelli","sequence":"additional","affiliation":[{"name":"Department of Urology, ASL 02 Lanciano Vasto Chieti, Chieti, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology, Changhai Hospital, Shanghai, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Simone","sequence":"additional","affiliation":[{"name":"Department of Urology, Regina Elena National Cancer Institute, Rome, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert G.","family":"Uzzo","sequence":"additional","affiliation":[{"name":"Division of Urology, Fox Chase Cancer Center, Philadelphia, Pennsylvania."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umberto","family":"Capitanio","sequence":"additional","affiliation":[{"name":"Unit of Urology, Division of Oncology, Urological Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Minervini","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Florence, Careggi Hospital, Florence, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clayton","family":"Lau","sequence":"additional","affiliation":[{"name":"Division of Urology, City of Hope Medical Center, Duarte, California."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihad","family":"Kaouk","sequence":"additional","affiliation":[{"name":"Glickman Urology and Kidney Institute, Cleveland Clinic, Cleveland, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Langenstroer","sequence":"additional","affiliation":[{"name":"Department of Urology, Medical College of Wisconsin, Milwaukee, Wisconsin."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniele","family":"Amparore","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Turin-San Luigi Gonzaga Hospital, Turin, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolo","family":"de Luyk","sequence":"additional","affiliation":[{"name":"Urology Centre, Guy's Hospital, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Porter","sequence":"additional","affiliation":[{"name":"Swedish Urology Group, Seattle, Washington."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Gallucci","sequence":"additional","affiliation":[{"name":"Department of Urology, Regina Elena National Cancer Institute, Rome, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Kutikov","sequence":"additional","affiliation":[{"name":"Division of Urology, Fox Chase Cancer Center, Philadelphia, Pennsylvania."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Larcher","sequence":"additional","affiliation":[{"name":"Unit of Urology, Division of Oncology, Urological Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Mari","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Florence, Careggi Hospital, Florence, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Kilday","sequence":"additional","affiliation":[{"name":"Division of Urology, City of Hope Medical Center, Duarte, California."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koon Ho","family":"Rha","sequence":"additional","affiliation":[{"name":"Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, South Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Quarto","sequence":"additional","affiliation":[{"name":"Uro-Gynecological Department, Fondazione \u201cG. Pascale\u201d IRCCS, Naples, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sisto","family":"Perdon\u00e0","sequence":"additional","affiliation":[{"name":"Uro-Gynecological Department, Fondazione \u201cG. Pascale\u201d IRCCS, Naples, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wesley","family":"White","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Tennessee Medical Center, Knoxville, Tennessee."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel D.","family":"Eun","sequence":"additional","affiliation":[{"name":"Department of Urology, Temple University School of Medicine, Philadelphia, Pennsylvania."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ithaar","family":"Derweesh","sequence":"additional","affiliation":[{"name":"Department of Urology, UC San Diego Health System, La Jolla, California."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Mottrie","sequence":"additional","affiliation":[{"name":"ORSI Academy, Melle, Belgium."},{"name":"Department of Urology, OLV Hospital, Aalst, Belgium."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uzoma A.","family":"Anele","sequence":"additional","affiliation":[{"name":"Division of Urology, VCU Health, Richmond, Virginia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Jacobsohn","sequence":"additional","affiliation":[{"name":"Department of Urology, Medical College of Wisconsin, Milwaukee, Wisconsin."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Porpiglia","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Turin-San Luigi Gonzaga Hospital, Turin, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Challacombe","sequence":"additional","affiliation":[{"name":"Urology Centre, Guy's Hospital, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chandru 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