ArticleJournal of orthopaedics
Trends in obesity prevalence among total hip arthroplasty patients and the effect on surgical outcomes, 2008-2016.
Article in Journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers, 2 of them syntheses that pooled it.
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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.
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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.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Comparative analysis of surgical approaches in total hip arthroplasty: a systematic review of comparative outcomes including primary and revision cases.Journal of orthopaedic surgery and research · 2026Pooled it
- Did the dislocation risk after primary total hip arthroplasty decrease over time? A meta-analysis across six decades.Archives of orthopaedic and trauma surgery · 2023Pooled it
- [Are early dislocations still a relevant quality indicator in primary total hip arthroplasty? : An analysis from two maximum-care endoprosthetic centers].Orthopadie (Heidelberg, Germany) · 2026Review
- Temporal Analysis of Patients Eligible for Randomized Controlled Trials in Total Hip Arthroplasty.Arthroplasty today · 2026Article
- Correlation of Sex With Adverse Outcomes Following Total Hip Arthroplasty: A Matched Cohort Analysis.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Body Mass Index Above 35 Has Increased Risk of Complications but Still Achieves Clinically Meaningful Improvement in Patient-Reported Outcomes After Anterior-Based Total Hip Arthroplasty.Arthroplasty today · 2025Article
- Article
- A survey of Scottish Committee for Orthopaedics and Trauma members on lower limb joint replacement practices in morbidly obese patients.Journal of clinical orthopaedics and trauma · 2025Article
- Patient satisfaction and patient-reported outcomes do not vary by BMI class in total hip arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Observational
- A quasi-experimental study of group counselling effectiveness for patient functional ability and quality of counselling among patients with hip arthroplasty.Nursing open · 2023Article
- Recurrent Failures After 2-Stage Exchanges are Secondary to New Organisms Not Previously Covered by Antibiotics.Arthroplasty today · 2022Article
- Trends of obesity rates between primary total hip arthroplasty patients and the general population from 2013 to 2020.Arthroplasty (London, England) · 2022Article
- Prevalence of Sarcopenia and Sarcopenic Obesity in an Academic Total Joint Arthroplasty Practice.Arthroplasty today · 2022Article
- Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement.Journal of bone and joint infection · 2021Article
- Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe prevalence of obesity continues to rise in parallel with demand for total hip arthroplasty (THA). This study aims to report obesity trends in primary THA and its effects on procedure outcomes in the United States, stratifying based on Body Mass Index (BMI).
methodsPrimary THA procedures were identified in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database (2008-2016). Patient demographic (including BMI), primary outcomes (death; serious morbidity), and secondary outcome variables were analyzed. Using BMI comparison groups (Obese: BMI > 30 [O]; Morbidly Obese: BMI > 40 [MO]) for case populations, univariate, propensity score-matched, and multivariate logistic regression analyses were performed.
resultsThe prevalence of obesity increased among primary THA (2008: 546/1200 [45.5%], 2016: 16,078/34,137 [47.1%]) cases. Data on 135,013 primary THA cases were analyzed. Propensity score-matched analyses demonstrated that both serious morbidity (O: OR = 0.73, p < 0.001; MO: OR = 0.84, p = 0.001) and frequency of discharges home (O: OR = 0.90, p < 0.001; MO: OR = 0.71, p < 0.001) were significantly reduced. Instead, long operative times (O: OR = 1.30, p < 0.001; MO: OR = 1.53, p < 0.001), readmission (O: OR = 1.27, p < 0.001; MO: OR = 1.49, p < 0.001), and reoperation (O: OR = 1.44, p < 0.001, MO: OR = 1.96, p < 0.001) were all significantly increased in both obese and morbidly obese cases. Death (OR = 0.29; p = 0.016) was decreased in the MO cohort, while length of stay (OR = 1.19, p = 0.004) was increased in the MO cohort.
conclusionBoth obese and morbidly obese primary THA patient populations were associated with variably increased complication risks; morbidly obese patients had higher complication rates relative to obese patients. Orthopaedic surgeons should continue to consider obesity as a risk factor for THA complications. However, given similar functional outcomes and satisfaction levels as non-obese patients, denying patients THA surgery based on BMI alone may merit reconsideration.
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