Is there a BMI cutoff for which you no longer recommend kidney transplantation in a patient with end stage kidney disease and obesity?  

BMI cutoff for transplantation varies widely across institutions so it is important to know your local transplant center guidelines. In general, a BMI > 40 kg/m2 is considered to be a contraindication with many centers. Some centers will recommend bariatric surgery (often not a bypass or duodenal...

Our center uses a BMI cutoff of 40. However, we make exceptions based on patient habitus and if a living donor is available. The evidence is robust that obese patients with ESKD benefit from kidney transplant vs remaining on dialysis. That said, obesity confers risk of poorer outcomes such as death,...

We use a cut-off of 40 mg/m2 for listing. Patients with a BMI of 40-50 undergo evaluation by Nephrology and are referred to our in-house weight loss clinic for GLPs, GIPs, or surgery. This clinic is run by one of our transplant surgeons and has facilitated weight loss and improved transplant candida...