ArticleArthroplasty (London, England)2022
Obesity and total joint arthroplasty: Does weight loss in the preoperative period improve perioperative outcomes?
Article in Arthroplasty (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of Bariatric Surgery on Long Term Outcomes of Patients Undergoing Joint Arthroplasty: A Meta-Analysis.Obesity surgery · 2025Pooled it
- [Perioperative management of obese patients undergoing elective hip and knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2025Pooled it
- Aligning Priorities of Surgeons and Patients Regarding Obesity and Joint Replacement: Recommendations of the Advisory Committee Codesigning Solutions Regarding Obesity and Arthroplasty Consensus Working Group.Arthroplasty today · 2026Article
- The Impact of Preoperative Weight Loss on 90-Day Complications Following Primary Total Knee Arthroplasty.Arthroplasty today · 2026Article
- Protocol for Novel Perioperative Optimization of Obese Osteoarthritic Patients pending Total Knee Replacement with glucagon-like peptide-1 receptor agonist (NPO-OOPS-TKR) : a pilot randomized controlled trial.Bone & joint open · 2026Article
- Comparison of Fat-to-Muscle Ratio and Body Mass Index in Predicting Perioperative Complications and Functional Recovery After Total Knee Arthroplasty: A Prospective Cohort Study.Orthopaedic surgery · 2026Article
- Outcomes of total hip arthroplasty in obese patients with and without preoperative weight loss: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2026Review
- Waist-To-Hip Ratio Is More Predictive of Patients-Reported Outcomes After Total Joint Arthroplasty Than Body Mass Index: A Prospective Cohort Study.Orthopaedic surgery · 2025Article
- GLP-1 Receptor Agonists in Orthopaedic Surgery: Implications for Perioperative Care and Outcomes: An Orthopaedic Surgeon's Perspective.The Journal of bone and joint surgery. American volume · 2025Review
- The risk analysis index as a predictor of 30-day mortality for elderly obese patients undergoing elective total joint arthroplasty.Journal of orthopaedics · 2025Article
- [The weight-loss injection : An orthopaedic overview].Orthopadie (Heidelberg, Germany) · 2025Review
- The effect of body mass index and preoperative weight loss in people with obesity on postoperative outcomes to 6 months following total hip or knee arthroplasty: a retrospective study.Arthroplasty (London, England) · 2023Article
- Is There a Difference in PROMs Between Morbidly Obese Patients and Nonobese Patients Following Primary Total Knee Arthroplasty?Arthroplasty today · 2023Article
- Functional outcomes after Medial Patellofemoral Ligament Reconstruction show inverted J-shaped relation with Body Mass Index.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe obese population is more likely to develop degenerative joint disease requiring total joint arthroplasty (TJA) and also experience increased rates of adverse post-surgical outcomes. This study assessed whether a quantifiable weight loss prior to TJA had any impact on perioperative and 30-day outcomes in obese patients.
methodUsing the American College of Surgeons-National Surgical Quality Improvement Program database, obese patients who underwent total hip or total knee arthroplasty and lost at least 10% of their total body weight prior to surgery were identified and matched to other obese individuals undergoing the same procedures without weight loss. Perioperative outcomes, including operative time, length of stay, discharge destination, or 30-day adverse events, including complications, re-admissions, re-operations, and mortality, were then compared using conditional Logistic regression analysis.
resultsAnalysis showed no difference between the two groups in terms of operative time, length of stay, discharge destination, or 30-day adverse events, including complications, re-admissions, re-operations, and mortality.
conclusionThe results of this study suggest that weight loss alone in the preoperative period may not be sufficient to mitigate the effects of obesity on immediate post-TJA outcomes.
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Registered trials
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.