Evidence map›Paper›PMID 25621218›Full record

ArticleWorld journal of orthopedics2015

Overweight and obesity in hip and knee arthroplasty: Evaluation of 6078 cases.

Daniel Guenther, Stefan Schmidl, Till O Klatte, Harald K Widhalm, Mohamed Omar, Christian Krettek, Thorsten Gehrke, Daniel Kendoff, Carl Haasper

Open access · hybridAbstract read
In one paragraph

Article in World journal of orthopedics, 2015. 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
5.6field-weighted citation impact, top 4% of its field
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, 43 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Mind Health Before and After Total Knee Arthroplasty.Revista brasileira de ortopedia · 2020
    Article
  5. Body mass index and knee arthroplasty.Journal of clinical orthopaedics and trauma · 2020
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Daniel GuentherDaniel Guenther, Stefan Schmidl, Till O Klatte, Thorsten Gehrke, Daniel Kendoff, Carl Haasper, Orthopaedic Department, Helios-Endo Klinik Hamburg, Hamburg 22767, Germany.
Stefan SchmidlDaniel Guenther, Stefan Schmidl, Till O Klatte, Thorsten Gehrke, Daniel Kendoff, Carl Haasper, Orthopaedic Department, Helios-Endo Klinik Hamburg, Hamburg 22767, Germany.
Till O KlatteDaniel Guenther, Stefan Schmidl, Till O Klatte, Thorsten Gehrke, Daniel Kendoff, Carl Haasper, Orthopaedic Department, Helios-Endo Klinik Hamburg, Hamburg 22767, Germany.
Harald K WidhalmDaniel Guenther, Stefan Schmidl, Till O Klatte, Thorsten Gehrke, Daniel Kendoff, Carl Haasper, Orthopaedic Department, Helios-Endo Klinik Hamburg, Hamburg 22767, Germany.
Mohamed OmarDaniel Guenther, Stefan Schmidl, Till O Klatte, Thorsten Gehrke, Daniel Kendoff, Carl Haasper, Orthopaedic Department, Helios-Endo Klinik Hamburg, Hamburg 22767, Germany.
Christian KrettekDaniel Guenther, Stefan Schmidl, Till O Klatte, Thorsten Gehrke, Daniel Kendoff, Carl Haasper, Orthopaedic Department, Helios-Endo Klinik Hamburg, Hamburg 22767, Germany.
Thorsten GehrkeDaniel Guenther, Stefan Schmidl, Till O Klatte, Thorsten Gehrke, Daniel Kendoff, Carl Haasper, Orthopaedic Department, Helios-Endo Klinik Hamburg, Hamburg 22767, Germany.
Daniel KendoffDaniel Guenther, Stefan Schmidl, Till O Klatte, Thorsten Gehrke, Daniel Kendoff, Carl Haasper, Orthopaedic Department, Helios-Endo Klinik Hamburg, Hamburg 22767, Germany.
Carl HaasperDaniel Guenther, Stefan Schmidl, Till O Klatte, Thorsten Gehrke, Daniel Kendoff, Carl Haasper, Orthopaedic Department, Helios-Endo Klinik Hamburg, Hamburg 22767, Germany.
Helios Endo-Klinik Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate a possible association between the various levels of obesity and peri-operative charac-teristics of the procedure in patients who underwent endoprosthetic joint replacement in hip and knee joints.

methodsWe hypothesized that obese patients were treated for later stage of osteoarthritis, that more conservative implants were used, and the intra-and perioperative complications increased for such patients. We evaluated all patients with body mass index (BMI) ≥ 25 who were treated in our institution from January 2011 to September 2013 for a primary total hip arthroplasty (THA) or total knee arthroplasty (TKA). Patients were split up by the levels of obesity according to the classification of the World Health Organization. Average age at the time of primary arthroplasty, preoperative Harris Hip Score (HHS), Hospital for Special Surgery score (HSS), gender, type of implanted prosthesis, and intra-and postoperative complications were evaluated.

resultsSix thousand and seventy-eight patients with a BMI ≥ 25 were treated with a primary THA or TKA. Age decreased significantly (P < 0.001) by increasing obesity in both the THA and TKA. HHS and HSS were at significantly lower levels at the time of treatment in the super-obese population (P < 0.001). Distribution patterns of the type of endoprostheses used changed with an increasing BMI. Peri- and postoperative complications were similar in form and quantity to those of the normal population.

conclusionHigher BMI leads to endoprosthetic treat-ment in younger age, which is carried out at significantly lower levels of preoperative joint function.

Indexed as

AdiposityObesityOverweightProsthesisTotal hip arthroplastyTotal knee arthroplasty

Identifiers

PMID25621218
PMCPMC4303782
OpenAlexW2035328692

What OpenQuestion holds

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Read underepoch 390

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.