Abstract
Dialysis is a costly and resource-heavy treatment for people with kidney disease ( Roberts et al, 2022 ). One longer term solution is a kidney transplant, but one third of people on dialysis have a body mass index (BMI) that is above the transplant threshold. However, they struggle to lose weight due to extensive dietary and fluid restrictions, co-morbidities, reduced activity levels and frequent low mood ( Oniscu et al, 2021 ). Existing local weight management services are often unable to support complex patients with kidney disease and existing renal services do not often have the resources to provide the intensive, specialist and tailored treatment required. Funding from the Nottingham University Hospitals Trust Charity supported a pilot multidisciplinary team (MDT) kidney weight management service. The successful outcome of this pilot has secured further funding to continue this vital service.
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