Evidence map›Paper›PMID 25210656›Full record

ArticlePeerJ2014

Obesity increases operating room times in patients undergoing primary hip arthroplasty: a retrospective cohort analysis.

Bassam Kadry, Christopher D Press, Hassan Alosh, Isaac M Opper, Joe Orsini, Igor A Popov, Jay B Brodsky, Alex Macario

Abstract read
In one paragraph

Article in PeerJ, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Elevated BMI increases concurrent pathology and operative time in adolescent ACL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Bassam KadryDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University Medical Center , Stanford, CA , USA.
Christopher D PressDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University Medical Center , Stanford, CA , USA.
Hassan AloshDepartment of Orthopaedic Surgery, Hospital of the University of Pennsylvania , Silverstein, Philadelphia, PA , USA.
Isaac M OpperStanford University Economics Department , Stanford, CA , USA.
Joe OrsiniStanford University Economics Department , Stanford, CA , USA.
Igor A PopovStanford University Economics Department , Stanford, CA , USA.
Jay B BrodskyDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University Medical Center , Stanford, CA , USA.
Alex MacarioDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University Medical Center , Stanford, CA , USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background. Obesity impacts utilization of healthcare resources. The goal of this study was to measure the relationship between increasing body mass index (BMI) in patients undergoing total hip arthroplasty (THA) with different components of operating room (OR) time. Methods. The Stanford Translational Research Integrated Database Environment (STRIDE) was utilized to identify all ASA PS 2 or 3 patients who underwent primary THA at Stanford Medical Center from February 1, 2008 through January 1, 2013. Patients were divided into five groups based on the BMI weight classification. Regression analysis was used to quantify relationships between BMI and the different components of total OR time. Results. 1,332 patients were included in the study. There were no statistically significant differences in age, gender, height, and ASA PS classification between the BMI groups. Normal-weight patients had a total OR time of 138.9 min compared 167.9 min (P < 0.001) for morbidly obese patients. At a BMI > 35 kg/m(2) each incremental BMI unit increase was associated with greater incremental total OR time increases. Conclusion. Morbidly obese patients required significantly more total OR time than normal-weight patients undergoing a THA procedure. This increase in time is relevant when scheduling obese patients for surgery and has an important impact on health resource utilization.

Indexed as

ArthroplastyBody mass indexHealthcareHip replacementObesity

Identifiers

PMID25210656
PMCPMC4157296

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.