Evidence map›Paper›PMID 36732859›Full record

ArticleArthroplasty (London, England)2023

Risk of complications with prolonged operative time in morbidly obese patients undergoing elective total knee arthroplasty.

Raman Mundi, Nicholas Nucci, Jesse Wolfstadt, Daniel Pincus, Harman Chaudhry

Abstract read
In one paragraph

Article in Arthroplasty (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Short-Term Outcomes of Noncemented Total Knee Arthroplasty in Patients With Morbid Obesity.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
  5. Article
  6. Article
  7. 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

5 authors.

Raman MundiSunnybrook Holland Orthopaedic and Arthritic Centre, Division of Orthopaedic Surgery, University of Toronto, Toronto, ON, M4Y 1H1, Canada. raman.mundi@sunnybrook.ca.ORCID http://orcid.org/0000-0002-5115-5227
Nicholas NucciDivision of Orthopaedic Surgery, University of Ottawa, Ottawa, ON, K1H 8L6, Canada.
Jesse WolfstadtMount Sinai Hospital, Division of Orthopaedic Surgery, University of Toronto, Toronto, ON, M5G 1X5, Canada.
Daniel PincusSunnybrook Holland Orthopaedic and Arthritic Centre, Division of Orthopaedic Surgery, University of Toronto, Toronto, ON, M4Y 1H1, Canada.
Harman ChaudhrySunnybrook Holland Orthopaedic and Arthritic Centre, Division of Orthopaedic Surgery, University of Toronto, Toronto, ON, M4Y 1H1, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with a high body-mass index (BMI) are at increased risk for significant complications after total knee arthroplasty (TKA). We explored whether operative time is a modifiable risk factor for infectious and thromboembolic complications.

methodsA retrospective observational cohort study of the ACS-NSQIP registry, including all patients who underwent primary TKA (2015-2018), and were morbidly obese (BMI 40 kg/m

results34,190 patients were included (median age 63 [IQR 57-68], mean BMI of 44.6 kg/m

conclusionEarly infection and thromboembolic complications with prolonged operative time in morbidly obese patients remain low. We did not identify a significant association with increased operative time and superficial/deep SSI, or PE. There was a significantly increased risk for deep vein thrombosis with prolonged operative time.

Indexed as

ComplicationsObesityOperative timeTotal knee arthroplasty (TKA)

Identifiers

PMID36732859
PMCPMC9893542

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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.