Date of Award
Fall 12-1-2023
Embargo Period
12-14-2023
Document Type
Dissertation - MUSC Only
Degree Name
Doctor of Health Administration
Department
Health Administration
College
College of Health Professions
First Advisor
Kit Simpson
Second Advisor
Elinor Borgert
Third Advisor
Prabhakar Baliga
Fourth Advisor
Prince Anand
Abstract
This project is a quality review project of the Medical University of South Carolina kidney transplant program that focuses on obese, high body mass index (BMI) patients who were referred to bariatrics. One hundred and eighteen pre-kidney transplant patients who were referred to bariatrics were identified through the EHR, though not all patients were required to see bariatrics for listing. Chart review demonstrated that 28% of the patients were below the departmental BMI cutoff, 43% could lose weight independently (enough to affect their listing), and only 15% underwent bariatric surgery. Body mass index appears to be an access to transplant issue affecting more African Americans and females than other groups. Bariatric surgery resulted in patients getting transplants quicker than their counterparts who lost weight on their own. These savings could offset the costs associated with surgery and improve long-term transplant outcomes.
Recommended Citation
Sutton, Zachary, "Obesity and Kidney Transplantation: a Review of High Bmi Pre-kidney Transplant Patients Referred to Bariatrics" (2023). MUSC Theses and Dissertations. 832.
https://medica-musc.researchcommons.org/theses/832
Rights
Copyright is held by the author. All rights reserved.