Evidence map›Paper›PMID 25683294›Full record

ArticleThe Journal of arthroplasty2015

The Effect of BMI on 30 Day Outcomes Following Total Joint Arthroplasty.

Hasham M Alvi, Rachel E Mednick, Varun Krishnan, Mary J Kwasny, Matthew D Beal, David W Manning

Abstract read
PubMed Publisher
In one paragraph

Article in The Journal of arthroplasty, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
14.8field-weighted citation impact, top 1% 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

40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 131 citations in OpenAlex.

  1. [2024 American Academy of Orthopaedic Surgeons (AAOS) Clinical Practice Guideline: Management of Osteoarthritis of the Hip (summary) interpretation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Guideline
  2. Obesity increases the risk of conversion to total knee arthroplasty after unicompartimental knee arthroplasty: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Hasham M AlviDepartment of Orthopaedic Surgery, Northwestern University, Chicago, Illinois.
Rachel E MednickDepartment of Orthopaedic Surgery, Northwestern University, Chicago, Illinois.
Varun KrishnanDepartment of Orthopaedic Surgery, Northwestern University, Chicago, Illinois.
Mary J KwasnyBiostatistics Collaboration Center, Department of Preventive Medicine, Northwestern University, Chicago, Illinois.
Matthew D BealDepartment of Orthopaedic Surgery, Northwestern University, Chicago, Illinois.
David W ManningDepartment of Orthopaedic Surgery, Northwestern University, Chicago, Illinois.
Northwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hip and knee arthroplasty (THA, TKA) are safe, effective procedures with reliable, reproducible outcomes. We aim to investigate obesity's effect on complications following arthroplasty surgery. Using the American College of Surgeons-National Surgical Quality Improvement Program database, 13,250 subjects were stratified into 5 groups based on BMI and matched for gender, age, surgery type and ASA class. Matched, multivariable generalized linear models adjusting for demographics and comorbidities demonstrated an association between elevated BMI and overall (P<0.001), medical (P=0.005), surgical complications (P<0.001), including superficial (P=0.019) and deep wound infection (P=0.040), return to OR (P=0.016) and time from OR to discharge (P=0.003). Elevated BMI increases risk for post-operative complications following total joint arthroplasty.

Indexed as

Body Mass IndexAgedArthroplasty, Replacement, HipArthroplasty, Replacement, KneeComorbidityFemaleHumansJoint DiseasesMaleMiddle AgedObesityPatient ReadmissionPostoperative ComplicationsRisk FactorsTreatment OutcomearthroplastyBMIcomplicationsreadmissionrisk stratification

Identifiers

PMID25683294
OpenAlexW2069642959

What OpenQuestion holds

Textmetadata
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.