Evidence map›Paper›PMID 28937470›Full record

ArticleJournal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases2017

Patients Less Likely to Lose Weight Following a Knee Replacement: Results From the Osteoarthritis Initiative.

Christine A Pellegrini, Jing Song, Pamela A Semanik, Rowland W Chang, Jungwha Lee, Abigail L Gilbert, Daniel Pinto, Linda Ehrlich-Jones, Dorothy D Dunlop

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Observational
  5. 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 3 institutions in 1 country.

Christine A PellegriniFrom the *Department of Preventive Medicine, †Institute of Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL; ‡College of Nursing, Rush University, Chicago, IL; §Department of Medicine, ∥Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL; and ¶Center for Rehabilitation Outcome Research, Rehabilitation Institute of Chicago, Chicago, IL.
Jing Song
Pamela A Semanik
Rowland W Chang
Jungwha Lee
Abigail L Gilbert
Daniel Pinto
Linda Ehrlich-Jones
Dorothy D Dunlop
Northwestern University · USRush University · USShirley Ryan AbilityLab · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Resource CoreP30AR072579 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Leena Sharma · 2017 to 2026
$8.3M
Physical Activity Changes & Thersholds: Quality of Life and Outcomes in Knee OAP60AR064464 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SHARMA, LEENA · 2013 to 2017
$4.5M
POSTDOCTORAL RHEUMATOLOGY TRAININGT32AR007611 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PERLMAN, HARRIS R · 2001 to 2022
$4.4M
Northwestern University Patient-centered Intervention and Engagement TrainingK12HS023011 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CELLA, DAVID · 2014 to 2018
$3.7M
The Effect of Physical Activity on Disability Progression in Knee OAR01AR054155 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DUNLOP, DOROTHY D. · 2008 to 2016
$3.6M
Translating Accelerometer Readings into Physical Activity Measures in Knee OAR21AR059412 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DUNLOP, DOROTHY D., SEMANIK, PAMELA · 2010 to 2011
$381k
Sedentary Behavior Characteristics, Sedentary Profiles, and Subsequent Functional LossR21AR068500 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LEE, JUNGWHA JULIA · 2015 to 2016
$347k
AHRQ HHS K12 HS023011NCATS NIH HHS UL1 TR001422NIAMS NIH HHS P30 AR072579NIAMS NIH HHS P60 AR064464NIAMS NIH HHS R01 AR054155NIAMS NIH HHS R21 AR059412NIAMS NIH HHS R21 AR068500NIAMS NIH HHS T32 AR007611
6 · The paper itself

Abstract

backgroundKnee replacement typically results in reduced pain and improved function, but it is unclear if these improvements lead to weight loss.

objectiveThe purpose of this study was to examine weight change patterns preoperatively and postoperatively among overweight/obese knee replacement patients.

methodsThe study evaluated 210 overweight/obese patients from the Osteoarthritis Initiative who underwent a knee replacement during an 8-year longitudinal study. Average annual weight changes during 1- to 2-year intervals prior to, including, and subsequent to knee replacement were categorized as loss (≥-2.5%), maintain (>-2.5% to <2.5%), and gain (≥2.5%). Weight changes across time intervals were compared using logistic regression with generalized estimating equations, adjusting for demographic, health, and knee factors.

resultsOn average, patients lost -0.6 kg/y during the interval when the surgery was performed, but weight gain (0.9 kg/y) in the initial postoperative interval represented an overall net weight gain (0.3 kg/y) compared with presurgery. Continued weight gain (0.3 kg/y) was also seen among patients with additional follow-ups. Patients were significantly less likely to have a meaningful weight loss in the time interval immediately following the surgery compared with the interval in which the surgery took place (odds ratio, 0.37; 95% confidence interval, 0.18-0.79).

conclusionsOverweight and obese patients initially lost weight during the interval including knee replacement; however, they were less likely to lose more than 2.5% of their weight in the 1 to 2 years immediately after the surgery. Knee replacement patients may benefit from weight management interventions both preoperatively and postoperatively.

Indexed as

Arthroplasty, Replacement, KneeKnee JointObesityOsteoarthritis, KneeWeight LossAgedBody Mass IndexFemaleHumansIllinoisLongitudinal StudiesMaleMiddle AgedPostoperative PeriodRisk FactorsStatistics as Topic

Identifiers

PMID28937470
PMCPMC5683392
OpenAlexW2758699414

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.