Evidence map›Paper›PMID 40441878›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

The effects of obesity on functional outcomes after total knee arthroplasty: a prospective cohort study.

Mohammad Athar, Raghav Saini, Simrun Chahal, Rabail Siddiqui, Shalyn Littlefield, Lahama Naeem, Sacha Dubois, Kurt Droll, Travis E Marion, David Puskas and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. 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

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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Mohammad AtharFrom the Northern Ontario School of Medicine University, Thunder Bay, Ont. (Athar, Saini, Dubois, Droll, Marion, Puskas, Cullinan); the Clinical Research Services Department, Thunder Bay Regional Health Research Institute, Thunder Bay, Ont. (Chahal, Siddiqui, Littlefield, Naeem); the Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ont. (Droll, Marion, Puskas, Cullinan).
Raghav SainiFrom the Northern Ontario School of Medicine University, Thunder Bay, Ont. (Athar, Saini, Dubois, Droll, Marion, Puskas, Cullinan); the Clinical Research Services Department, Thunder Bay Regional Health Research Institute, Thunder Bay, Ont. (Chahal, Siddiqui, Littlefield, Naeem); the Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ont. (Droll, Marion, Puskas, Cullinan).
Simrun ChahalFrom the Northern Ontario School of Medicine University, Thunder Bay, Ont. (Athar, Saini, Dubois, Droll, Marion, Puskas, Cullinan); the Clinical Research Services Department, Thunder Bay Regional Health Research Institute, Thunder Bay, Ont. (Chahal, Siddiqui, Littlefield, Naeem); the Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ont. (Droll, Marion, Puskas, Cullinan).
Rabail SiddiquiFrom the Northern Ontario School of Medicine University, Thunder Bay, Ont. (Athar, Saini, Dubois, Droll, Marion, Puskas, Cullinan); the Clinical Research Services Department, Thunder Bay Regional Health Research Institute, Thunder Bay, Ont. (Chahal, Siddiqui, Littlefield, Naeem); the Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ont. (Droll, Marion, Puskas, Cullinan). rabail.siddiqui@tbh.net.
Shalyn LittlefieldFrom the Northern Ontario School of Medicine University, Thunder Bay, Ont. (Athar, Saini, Dubois, Droll, Marion, Puskas, Cullinan); the Clinical Research Services Department, Thunder Bay Regional Health Research Institute, Thunder Bay, Ont. (Chahal, Siddiqui, Littlefield, Naeem); the Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ont. (Droll, Marion, Puskas, Cullinan).
Lahama NaeemFrom the Northern Ontario School of Medicine University, Thunder Bay, Ont. (Athar, Saini, Dubois, Droll, Marion, Puskas, Cullinan); the Clinical Research Services Department, Thunder Bay Regional Health Research Institute, Thunder Bay, Ont. (Chahal, Siddiqui, Littlefield, Naeem); the Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ont. (Droll, Marion, Puskas, Cullinan).
Sacha DuboisFrom the Northern Ontario School of Medicine University, Thunder Bay, Ont. (Athar, Saini, Dubois, Droll, Marion, Puskas, Cullinan); the Clinical Research Services Department, Thunder Bay Regional Health Research Institute, Thunder Bay, Ont. (Chahal, Siddiqui, Littlefield, Naeem); the Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ont. (Droll, Marion, Puskas, Cullinan).
Kurt DrollFrom the Northern Ontario School of Medicine University, Thunder Bay, Ont. (Athar, Saini, Dubois, Droll, Marion, Puskas, Cullinan); the Clinical Research Services Department, Thunder Bay Regional Health Research Institute, Thunder Bay, Ont. (Chahal, Siddiqui, Littlefield, Naeem); the Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ont. (Droll, Marion, Puskas, Cullinan).
Travis E MarionFrom the Northern Ontario School of Medicine University, Thunder Bay, Ont. (Athar, Saini, Dubois, Droll, Marion, Puskas, Cullinan); the Clinical Research Services Department, Thunder Bay Regional Health Research Institute, Thunder Bay, Ont. (Chahal, Siddiqui, Littlefield, Naeem); the Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ont. (Droll, Marion, Puskas, Cullinan).
David PuskasFrom the Northern Ontario School of Medicine University, Thunder Bay, Ont. (Athar, Saini, Dubois, Droll, Marion, Puskas, Cullinan); the Clinical Research Services Department, Thunder Bay Regional Health Research Institute, Thunder Bay, Ont. (Chahal, Siddiqui, Littlefield, Naeem); the Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ont. (Droll, Marion, Puskas, Cullinan).
Claude CullinanFrom the Northern Ontario School of Medicine University, Thunder Bay, Ont. (Athar, Saini, Dubois, Droll, Marion, Puskas, Cullinan); the Clinical Research Services Department, Thunder Bay Regional Health Research Institute, Thunder Bay, Ont. (Chahal, Siddiqui, Littlefield, Naeem); the Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ont. (Droll, Marion, Puskas, Cullinan).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn increasing number of total knee arthroplasties (TKAs) are performed in people with obesity, but TKAs in this population may come with increased risk of perioperative complications and decreased prosthetic survivorship. Given the lack of conclusive evidence on differences in functional outcomes, we aimed to use the Forgotten Joint Score-12 (FJS-12) to see how body mass index (BMI) affected functional outcomes after TKA.

methodsWe recruited patients who underwent primary unilateral TKA because of osteoarthritic changes from January 2018 to November 2021. We collected the Forgotten Joint Score-12 (FJS-12) measure of functional outcomes and the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) preoperatively and 6- and 12-months postoperatively. We also measured length of stay (LOS), readmission, and emergency department (ED) visits. We compared outcomes by BMI category using linear effects models.

resultsWe recruited 351 patients. No differences were found in LOS, readmissions, and ED visits by BMI category. Compared with the preoperative score, we observed significant differences by BMI category for the 6-month FJS-12 (β = -0.66,

conclusionDespite a slower return to function, patients with elevated BMI were able to return to similar levels of function as those with a lower BMI by 12 months, with no significant differences in readmission, ED visits, or LOS. This similar return to function justifies candidacy for surgery.

Indexed as

Arthroplasty, Replacement, KneeObesityOsteoarthritis, KneePostoperative ComplicationsAgedBody Mass IndexFemaleHumansLength of StayMaleMiddle AgedPatient ReadmissionProspective StudiesRecovery of FunctionTreatment Outcome

Identifiers

PMID40441878
PMCPMC12133294

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.