Observational studyEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024
Patient satisfaction and patient-reported outcomes do not vary by BMI class in total hip arthroplasty.
Observational study in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03737149 (A Prospective Multicenter Longitudinal Cohort Study of the Mymobility Platform), which is not on this map. Cited by 5 papers.
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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.
The trial behind it
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A Prospective Multicenter Longitudinal Cohort Study of the Mymobility Platform
Who cites it
5 citing papers in PubMed.
- Patient Acceptable Symptom State (PASS) Threshold in the Oxford Hip Score 12 Months Following Primary Total Hip Arthroplasty: Factors Associated with Failure to Achieve the Threshold and the Impact on Hip-Specific Outcomes, Quality of Life, and Satisfaction.Journal of clinical medicine · 2026Article
- The Growing Impact of Severe Obesity on 90-Day Outcomes After Elective Primary Total Hip Arthroplasty: A National Propensity-Matched Study.Arthroplasty today · 2026Article
- Impact of functional evaluation 3D software on impingement and clinical outcomes in robotic-arm assisted total hip arthroplasty.Arthroplasty (London, England) · 2025Article
- Practice Patterns of Adult Reconstruction Fellowship-Trained Surgeons: Current Trends and Evolution of Training From 1986 to 2022.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- The impact of obesity on functional outcomes in navigation-assisted total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeObesity has been identified as a risk factor for postoperative complications in patients undergoing total hip arthroplasty (THA). This study aimed to investigate patient-reported outcomes, pain, and satisfaction as a function of body mass index (BMI) class in patients undergoing THA.
methods1736 patients within a prospective observational study were categorized into BMI classes. Pre- and postoperative Hip disability and Osteoarthritis Outcome Score for Joint Replacement (HOOS JR), satisfaction, and pain scores were compared by BMI class using one-way ANOVA.
resultsHealthy weight patients reported the highest preoperative HOOS JR (56.66 ± 13.35) compared to 45.51 ± 14.45 in Class III subjects. Healthy weight and Class III patients reported the lowest (5.65 ± 2.01) and highest (7.06 ± 1.98, p < 0.0001) preoperative pain, respectively. Changes in HOOS JR scores from baseline suggest larger improvements with increasing BMI class, where Class III patients reported an increase of 33.7 ± 15.6 points at 90 days compared to 26.1 ± 17.1 in healthy weight individuals (p = 0.002). Fewer healthy weight patients achieved the minimal clinically important difference (87.4%) for HOOS JR compared to Class II (96.5%) and III (94.7%) obesity groups at 90 days postoperatively. Changes in satisfaction and pain scores were largest in the Class III patients. Overall, no functional outcomes varied by BMI class postoperatively.
conclusionPatients of higher BMI class reported greater improvements following THA. While risk/benefit shared decision-making remains a personalized requirement of THA, this study highlights that utilization of BMI cutoff may not be warranted based on pain and functional improvement.
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