{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:15:16Z","timestamp":1789172116486,"version":"build-2803163510"},"reference-count":56,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR303041"],"award-info":[{"award-number":["NIHR303041"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Access to kidney transplantation (KTx) for people living with obesity and kidney failure is often challenging, especially given the inconsistent availability of publicly funded obesity services across the United Kingdom. This study explored UK kidney healthcare providers' views on weight management support for patients with obesity on haemodialysis before KTx, criteria for transplant waitlisting and the potential presence of weight stigma in clinical settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>An online national UK cross\u2010sectional survey was conducted (July\u2013December 2024), using purposive and snowball sampling of kidney\/transplant centres. Weight bias was assessed using the Fat Phobia Scale (F\u2010Scale). Descriptive and multivariable regression analyses were conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 227 respondents took part, representing 78.6% of UK kidney centres. Most providers (93%) reported that access to transplantation was the main motivator for patient weight loss, while major challenges included poor access to obesity services (61.7%), long waiting times (59.9%) and limited funding (58.6%). Only 60.1% had access to any obesity service, and referrals to bariatric\/metabolic surgery (38.9%) and use of incretin\u2010based therapies (34.7%) were uncommon. KTx waitlisting criteria varied widely, the most common BMI cut\u2010off was \u2264\u200935\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . Weight stigma was prevalent, with a mean F\u2010Scale score of 3.42 and 99.5% showing negative attitudes towards obesity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study provides the first UK\u2010wide overview of practice demonstrating inconsistent access to obesity treatment services, BMI\u2010based listing criteria and presence of weight stigma. These data underscore the urgent need for improved obesity care and equitable access to transplantation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70900","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T01:36:51Z","timestamp":1780277811000},"page":"7116-7125","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Supporting Weight Management for Kidney Transplant Candidates in People With Obesity on Haemodialysis: The First National Survey of\n                    <scp>UK<\/scp>\n                    Kidney Healthcare Providers"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1818-6192","authenticated-orcid":false,"given":"Adrian","family":"Brown","sequence":"first","affiliation":[{"name":"Centre for Obesity Research University College London  London UK"},{"name":"Bariatric Centre for Weight Management and Metabolic Surgery University College London Hospital NHS Trust  London UK"},{"name":"National Institute of Health and Care Research University College London Hospitals Biomedical Research Centre  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen L.","family":"MacLaughlin","sequence":"additional","affiliation":[{"name":"School of Exercise and Nutrition Sciences Queensland University of Technology  Brisbane Australia"},{"name":"Nutrition Research Collaborative Royal Brisbane and Women's Hospital  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kieran","family":"McCafferty","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine Royal London Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Potthoff","sequence":"additional","affiliation":[{"name":"School of Communities and Education Northumbria University Newcastle  Newcastle Upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharlene","family":"Greenwood","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine King's College Hospital NHS Trust  London UK"},{"name":"Renal Sciences, Faculty of Life Sciences and Medicine King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Vickerstaff","sequence":"additional","affiliation":[{"name":"The Centre for Methodology and Evaluation Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel L.","family":"Batterham","sequence":"additional","affiliation":[{"name":"Centre for Obesity Research University College London  London UK"},{"name":"International Medical Affairs, Eli Lilly  Basingstoke UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Thomas","sequence":"additional","affiliation":[{"name":"Edinburgh Transplant Centre Royal Infirmary Edinburgh  Edinburgh Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Hobbs","sequence":"additional","affiliation":[{"name":"Centre for Obesity Research University College London  London UK"},{"name":"National Institute of Health and Care Research University College London Hospitals Biomedical Research Centre  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Motallebzadeh","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Transplantation Royal Free London NHS Foundation Trust  London UK"},{"name":"Research Department of Surgical Biotechnology, Division of Surgery &amp; 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