Evidence map›Paper›PMID 41502394›Full record

ArticleBone & joint open2026

BMI and its association with patient-reported outcome measures following revision hip surgery.

Rachel Baumber, Ahmed Mehmood, Robert McCulloch, Snehal M Pinto Pereira, Eleanor Warwick, Alister Hart, S Ramani Moonesinghe, PQIP delivery team, PQIP collaborative, PQIP delivery team and collaborative and 68 more

Abstract read
In one paragraph

Article in Bone & joint open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

78 authors.

Rachel BaumberRoyal National Orthopaedic Hospital NHS Trust, Stanmore, UK.
Ahmed MehmoodRoyal National Orthopaedic Hospital NHS Trust, Stanmore, UK.
Robert McCullochNuffield Orthopaedic Hospital, Oxford, UK.
Snehal M Pinto PereiraInstitute of Orthopaedics and Musculoskeletal Science, University College London, London, UK.
Eleanor WarwickAnaesthesia and Perioperative Medicine, Kings College Hospital NHS Foundation Trust, London, UK.
Alister HartRoyal National Orthopaedic Hospital NHS Trust, Stanmore, UK.
S Ramani MoonesingheResearch Department of Targeted Intervention, Division of Surgery and Interventional Science, University College London, London, UK.
PQIP delivery team
PQIP collaborative
PQIP delivery team and collaborative
PQIP Delivery Team
S Ramani Moonesinghe
Duncan Wagstaff
James Bedford
Arun Sahni
Dermot McGuckin
David Gilhooly
Cristel Santos
Jonathan Wilson
Peter Martin
Georgina Singleton
Kylie Edwards
Cecilia Vindrola-Padros
Samantha Warnakulasuriya
Jenny Dorey
Irene Leemans
Dorian Martinez
Jose Lourtie
Rachel Baumber
Jenny Dorey
Andrew Swift
Alexander Jackson
Martha Belete
Eleanor Warwick
Michael Argent
Rachael Brooks
Naomi Fulop
Alexandra Brent
Karen Williams
Mike Grocott
Monty Mythen
Dominic Olive
Christine Taylor
Sharon Drake
Mike Swart
Anne-Marie Bougeard
Matthew Bedford
Abigail Vallance
Pritam Singh
Ravi Vohra
Aleksandra Ignacka
Olga Tucker
Giuseppe Aresu
Martin Cripps
Helen Ellicott
Katie Samuel
Maria Chazapis
Adam Firth Hunt
Eimhear Lusby
James Durrand
Scott Weerasuriya
PQIP Collaborative
Anna Batchelor
Chris Snowden
Dave Murray
Elspeth Evans
Emma Vaux
John Abercrombie
Jonathan McGhie
Jugdeep Dhesi
Tom Clark
Anna Crossley
John McGrath
Marie Digner
Mark Hamilton
Robert Hill
Samantha Shinde
Stephen Brett

Funding

Royal College of Anaesthetists
6 · The paper itself

Abstract

Aims: Obesity is associated with increased surgical complexity and poorer postoperative outcomes after primary total hip arthroplasty (THA), yet its impact on revision THA remains unclear. This study evaluates the relationship between BMI and outcomes following revision THA. Methods: We analyzed prospectively collected data from patients who consented to participation in the Perioperative Quality Improvement Programme (PQIP) research study. All patients undergoing revision THA from May 2018 to December 2022 were included. Patients were stratified into BMI categories, and outcomes were assessed using the EuroQol five-dimension five-level questionnaire (EQ-5D-5L) at baseline, six, and 12 months postoperatively. Statistical comparisons were performed to evaluate differences in health-related quality of life (HRQoL) between BMI groups. Results: Higher BMI was associated with lower preoperative EQ-5D scores. However, all BMI groups demonstrated significant postoperative improvement, with the greatest gains observed in patients with a BMI > 40 kg/m Conclusion: Despite potentially increased intraoperative risks, high BMI patients experience meaningful functional improvement following revision THA. These findings challenge the rationale for BMI-based surgical restrictions, suggesting that high BMI alone should not be a contraindication for revision THA.

Identifiers

PMID41502394
PMCPMC12780918

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Registered trials

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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.