{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T03:50:40Z","timestamp":1791345040345,"version":"4.3.1"},"reference-count":40,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The impact of recipient obesity on kidney transplant outcomes remains controversial. This study aimed to assess the effect of recipient obesity on short\u2010 and long\u2010term outcomes following kidney transplantation (KT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This single\u2010center retrospective cohort study included all consecutive adult patients who underwent KT between January 1999 and December 2023 at the Transplantation Center of Lausanne University Hospital (CHUV), Lausanne, Switzerland. Surgical complications, delayed graft function (DGF), and graft survival were compared between obese (BMI \u2265 30\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) and non\u2010obese recipients (BMI &lt; 30\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 953 patients were included, of whom 150 (16%) were obese. Obesity was associated with higher rates of surgical site infections (11%\u00a0vs. 3%,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), overall infections (29%\u00a0vs. 5%,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), lymphoceles (18%\u00a0vs. 10%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.007), and incisional hernias (10%\u00a0vs. 5%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.032). Length of hospital stay (19\u00a0vs. 17 days,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.038) and DGF rates (21%\u00a0vs. 14%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.024) were also higher in obese recipients. Patient survival (HR 1.09, 95% CI 0.59\u20131.99;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.766) and death\u2010censored graft survival (HR 0.92, 95% CI 0.29\u20132.92;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.886) were comparable between groups at a median follow\u2010up of 7.3 years (IQR, 3.3\u201312.4).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Recipient obesity was associated with an increased risk of surgical complications and DGF, resulting in longer hospital stays. However, it did not adversely affect long\u2010term patient or graft survival. Therefore, despite higher early complications, obesity should not be considered a contraindication to KT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70709","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T03:11:01Z","timestamp":1791342661000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical and Clinical Outcomes of Kidney Transplantation in Obese Recipients: A Single\u2010Center Retrospective Study from Switzerland"],"prefix":"10.1111","volume":"40","author":[{"given":"Eliot","family":"Melera","sequence":"first","affiliation":[{"name":"Department of Visceral Surgery Lausanne University Hospital CHUV University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery Lausanne University Hospital CHUV University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9line","family":"Deslarzes\u2010Dubuis","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Lausanne University Hospital CHUV University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9bastien","family":"D\u00e9glise","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Lausanne University Hospital CHUV University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alban","family":"Longchamp","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Harvard Medical School Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthieu","family":"Halfon","sequence":"additional","affiliation":[{"name":"Transplantation Center Lausanne University Hospital CHUV University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Pierre","family":"Venetz","sequence":"additional","affiliation":[{"name":"Transplantation Center Lausanne University Hospital CHUV University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dela","family":"Golshayan","sequence":"additional","affiliation":[{"name":"Transplantation Center Lausanne University Hospital CHUV University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Pascual","sequence":"additional","affiliation":[{"name":"Transplantation Center Lausanne University Hospital CHUV University of Lausanne (UNIL)  Lausanne 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