Abstract

Blacks have a greater need for kidney transplants than other American ethnic groups. Overrepresented on kidney transplant waiting lists (13%), they account for 35% of those waiting. Recent studies show that Black live donors are at greater risk for kidney failure, (44%) after donation, compared to other ethnicities. Explanations for these live donation data are few. While diabetic, hypertensive or morbidly obese Blacks are excluded as live donors; those overweight or obese are not.

Highlights

  • A reliable method to predict postoperative risks may improve surgical risks and ensure preventive precautions to reduce complication risks

  • American Society of Anesthesiologists (ASA) is a common method to determine surgical risk, but at first glance it appears to be insufficient to determine the risk of morbid obesity surgery

  • Values remaining under the curve may be used to interpret obesity surgery mortality risk score (OS-MRS) points (p < 0.05)

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Summary

Introduction

A reliable method to predict postoperative risks may improve surgical risks and ensure preventive precautions to reduce complication risks. American Society of Anesthesiologists (ASA) is a common method to determine surgical risk, but at first glance it appears to be insufficient to determine the risk of morbid obesity surgery. The greatest advantage of Obesity Surgery Mortality Risk Score (OSMRS) is the use of five obtained clinical variables. Though ASA is a common method to determine surgical risk, at first glance it appears to be insufficient to determine the risk of morbid obesity surgery. ASA is not used as an effective assessment scale for surgical groups undergoing morbid obesity surgery. Due to this deficiency, mortality risk scores were developed for morbid obesity surgery. A possible disadvantage is that it may only show mortality [2]

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