Aligning Priorities of Surgeons and Patients Regarding Obesity and Joint Replacement: Recommendations of the Advisory Committee Codesigning Solutions Regarding Obesity and Arthroplasty Consensus Working Group.

K Godziuk, L Rubinett, C Van't Haaff, E Bohm, H Chaudhry, A Cohen-Rosenblum, B Ricciardi, N J Giori

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In one paragraph

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

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5 · Who and what money

Authors and funding

8 authors.

K GodziukDepartment of Physical Therapy and Rehabilitation Science, School of Medicine, University of California, San Francisco, CA, USA.

L RubinettPatient-Partner and Co-Lead, Austin, TX, USA.

C Van't HaaffPatient-Partner and Co-Lead, Vancouver, BC, Canada.

E BohmDepartment of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.

H ChaudhryDivision of Orthopaedic Surgery, Sunnybrook Holland Orthopaedic and Arthritic Centre, University of Toronto, Toronto, ON, Canada.

A Cohen-RosenblumDepartment of Orthopedic Surgery, NYU Grossman School of Medicine, New York, NY, USA.

B RicciardiDepartment of Orthopaedic Surgery, University of Rochester, Rochester, NY, USA.

N J GioriDepartment of Orthopaedic Surgery, School of Medicine, Stanford University, Stanford, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elective total joint arthroplasty (TJA) in patients with a high body mass index (BMI) or obesity is a complex and nuanced topic. Patients' and surgeons' perspectives on how to address the challenges related to TJA in high BMI patients may differ, highlighting an imperative to include perspectives from both groups in strategizing approaches to improve care. Hip and knee arthroplasty surgeons and patients with high BMI and osteoarthritis were included in a consensus working group (Advisory Committee Co-dEsigning SolutionS regarding Obesity and Arthroplasty [ACCESS-OA]) to identify areas of agreement and disagreement on priorities to improve TJA care for patients with a high BMI. In this white paper, we report on the results of this working group. Based on consensus scoring, the working group prioritized addressing uncertainties in (1) presurgical patient optimization, (2) surgeon education and training, and (3) shared decision-making. Advancing research and practice in these priority areas could have important clinical impact.

Indexed as

Body mass indexClinical practice guidelinesObesityOptimizationTotal joint arthroplasty

Identifiers

PMID42699140

DOI10.1016/j.artd.2026.102127

PMCPMC13543976

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