ArticleJSES international2025
High and low body mass index increases the risk of short-term postoperative complications following total shoulder arthroplasty.
Article in JSES international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Pre-operative narcotic use is associated with worse outcomes following primary anatomic and reverse shoulder arthroplasty.Journal of shoulder and elbow arthroplasty · 2026Article
- From Hip and Knee to Shoulder: Is the Obesity Paradox Becoming a Surgical Reality?The Journal of bone and joint surgery. American volume · 2026Article
- Body mass index does not affect clinical outcomes following arthroscopically assisted posterior latissimus dorsi tendon transfer for irreparable posterosuperior rotator cuff tears: a minimum 5-year follow-up study.JSES reviews, reports, and techniques · 2026Article
- Body mass index does not increase risk of complications after reverse total shoulder arthroplasty.Journal of orthopaedics · 2025Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Several studies have investigated the impact of body mass index (BMI) on total shoulder arthroplasty (TSA) outcomes and reported contrasting results. Therefore, this study aims to better understand the impact of BMI on 30-day post-TSA outcomes by performing a comprehensive risk stratification based on BMI using a large national database. Methods: All patients undergoing TSA, both anatomic and reverse, between 2015 and 2019 were queried from the American College of Surgeons National Surgical Quality Improvement Program database. The study population was stratified into 6 cohorts: BMI < 18.5 kg/m Results: A total of 22,542 patients undergoing TSA between 2015 and 2019 were reported in the database. Of these, 410 patients did not have reported BMIs, leaving 22,132 patients for the analysis (1.8% attrition bias). The underweight cohort had a greater likelihood of mortality (OR, 6.184; Conclusion: Patients with BMI less than 18 and more than 40 were associated with an increased incidence of 30-day postoperative TSA complications such as wound infection, nonhome discharge, and mortality. Based on these findings, preoperative risk stratification based on BMI remains an important part of elective surgery.
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