Evidence map›Paper›PMID 35798996›Full record

ArticleIrish journal of medical science2023

Obesity trends over 10 years in primary hip and knee arthroplasty-a study of 12,000 patients.

Colum Downey, Katie St John, Jeet Chatterji, Adrian Cassar-Gheiti, John M O'Byrne, Paddy Kenny, James P Cashman

Open access · hybridAbstract read
In one paragraph

Article in Irish journal of medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

7 authors at 2 institutions in 1 country.

Colum DowneyNational Orthopaedic Hospital Cappagh, Finglas, Dublin 11, Dublin, Ireland. columdowney@gmail.com.ORCID http://orcid.org/0000-0001-6594-5732
Katie St JohnConnolly Hospital Blanchardstown, Dublin 15, Dublin, Ireland.
Jeet ChatterjiNational Orthopaedic Hospital Cappagh, Finglas, Dublin 11, Dublin, Ireland.
Adrian Cassar-GheitiNational Orthopaedic Hospital Cappagh, Finglas, Dublin 11, Dublin, Ireland.
John M O'ByrneNational Orthopaedic Hospital Cappagh, Finglas, Dublin 11, Dublin, Ireland.
Paddy KennyNational Orthopaedic Hospital Cappagh, Finglas, Dublin 11, Dublin, Ireland.
James P CashmanNational Orthopaedic Hospital Cappagh, Finglas, Dublin 11, Dublin, Ireland.
Cappagh National Orthopaedic Hospital · IEConnolly Hospital Blanchardstown · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

OBJECTIVES/

aimsObesity and its increasing prevalence are global public health concerns. Following joint replacement, there is evidence to support that obese patients are more likely to suffer complications. We examined 10-year trends in BMI of the primary total hip and total knee replacement cohorts in our institution to discern whether the BMI of these patients has changed over time.

methodsWe examined BMI data of patients who underwent primary hip and knee arthroplasty from our institutional database from January 1, 2010 to December 31, 2019 (n = 12,169). We analysed trends in BMI over this period with respect to (i) surgical procedure, (ii) gender, and (iii) age categories.

resultsThe overall number of surgical procedures increased over the study period which meant more obese patients underwent surgery over time. Average BMI did not change significantly over time; however, there was a statistically significant increase in BMI in females aged < 45 in both arthroplasty groups.

conclusionThe average BMI of patients undergoing primary hip and knee arthroplasty in our high-volume tertiary orthopaedic centre has remained relatively unchanged over the past 10 years; however, our local service is caring for a greater number of overweight/obese patients due to the increase in overall volume. This will have significant implications on health care expenditure and infrastructure going forward which further emphasises the importance of ongoing national obesity prevention strategies. The increase in BMI seen in females aged < 45 may mark an impending era of obese younger patients with end-stage osteoarthritis.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeOsteoarthritisBody Mass IndexFemaleHumansObesityRetrospective StudiesHip and knee arthroplastyObesitySurgery

Identifiers

PMID35798996
PMCPMC10250270
OpenAlexW4284896624

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.