Evidence map›Paper›PMID 40230738›Full record

ArticleCureus2025

Impact of Obesity on Joint Replacement Surgery Outcomes: A Comparative Study.

Abdul Rahman, Hafiz Muhammad Abid Hasan, Rahman Ali, Hidayat Ullah, Saeed Ahmad, Muhammad Saqib

Abstract read
In one paragraph

Article in Cureus, 2025. 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
–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

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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.

  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

6 authors.

Abdul RahmanOrthopaedic Surgery Unit One, Jinnah Hospita Lahore, Allama Iqbal Medical College, Lahore, PAK.
Hafiz Muhammad Abid HasanDepartment of Orthopaedic Surgery, Tehsil Head Quarter (THQ) Zafarwal District, Narowal, PAK.
Rahman AliDepartment of Orthopaedics, Salman Medical and Teaching Hospital, Swat, PAK.
Hidayat UllahDepartment of Orthopaedics, Peshawar Medical College and Affiliated Hospitals, Peshawar, PAK.
Saeed AhmadDepartment of Trauma and Orthopaedics, Ghurki Trust Teaching Hospital, Lahore, PAK.
Muhammad SaqibDepartment of Orthopaedics, Gajju Khan Medical College, Swabi, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity negatively impacts joint health and poses challenges during joint replacement surgery, leading to less favorable postoperative outcomes.

objectiveThis study aims to assess the impact of obesity on postoperative outcomes following joint replacement surgery by comparing obese and non-obese patients. METHODOLOGY: This prospective observational study was conducted from January 2022 to December 2023, including 186 patients, of which 93 were classified as obese (BMI > 30 kg/m²) and 93 as non-obese (BMI < 30 kg/m²). Data on postoperative complications, mobility, pain scores, comorbidities, and demographics were collected and analyzed using IBM SPSS Statistics for Windows, Version 25.0 (Released 2017; IBM Corp., Armonk, New York, United States). Multivariate logistic regression was employed to identify independent predictors of adverse outcomes.

resultsThe mean BMI was significantly higher in obese patients (34.8 ± 3.2 kg/m²) compared to non-obese patients (24.6 ± 2.1 kg/m²). Obese patients had a higher prevalence of severe osteoarthritis (45.16% vs. 26.88%, p = 0.008), longer hospital stays (7.6 ± 2.1 vs. 5.4 ± 1.7 days, p < 0.001), and an increased incidence of postoperative complications, including surgical site infections (11.83% vs. 4.30%, p = 0.05). Multivariate analysis revealed that obesity was an independent predictor of poor postoperative outcomes (OR: 2.40, 95% CI: 1.30-4.50, p = 0.005).

conclusionObese patients experienced higher complication rates, greater postoperative discomfort, reduced mobility, and prolonged hospital stays compared to non-obese patients. These findings highlight the significant negative impact of obesity on joint replacement surgery outcomes and emphasize the need for tailored preoperative assessments, optimized perioperative care, and targeted rehabilitation strategies for obese patients.

Indexed as

complicationsjoint replacement surgerymobilityobesityosteoarthritispostoperative outcomes

Identifiers

PMID40230738
PMCPMC11996087

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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.