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The Effect of Body Mass Index on Outcome in Total Hip Arthroplasty: Early Analysis From the New Zealand Joint Registry

Abstract This study assessed the early outcomes of total hip arthroplasty compared with body mass index (BMI). 5357 hip arthroplasties were evaluated. Oxford Scores, revision for any reason and other factors including American Society of Anaesthesiology scores, length of surgery and cementation of c...

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Published in:	The Journal of arthroplasty 2014-10, Vol.29 (10), p.1884-1888
Main Authors:	Murgatroyd, Sarah E., MBBS, Frampton, Chris M.A., BSc PhD, Wright, Mark S., FRACS
Format:	Article
Language:	English
Subjects:	Aged Aged, 80 and over Arthroplasty, Replacement, Hip Body Mass Index Female Hip Joint - surgery Humans Joint Diseases - complications Joint Diseases - surgery joint registry Male Middle Aged New Zealand obesity Obesity - complications Orthopedics outcomes Registries Reoperation total hip arthroplasty Treatment Outcome
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container_title	The Journal of arthroplasty
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creator	Murgatroyd, Sarah E., MBBS Frampton, Chris M.A., BSc PhD Wright, Mark S., FRACS
description	Abstract This study assessed the early outcomes of total hip arthroplasty compared with body mass index (BMI). 5357 hip arthroplasties were evaluated. Oxford Scores, revision for any reason and other factors including American Society of Anaesthesiology scores, length of surgery and cementation of components were analyzed. Both a high and a low BMI predicted for worse Oxford Hip Scores. Obese and morbidly obese patients had significantly lower six month Oxford Scores than healthy patients, the lowest survival, were younger than all other groups and had greater proportions with fully un-cemented prostheses. At this early stage, the results show that outcome and early revision are statistically and clinically poorer for obese patients.
doi_str_mv	10.1016/j.arth.2014.05.024
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Oxford Scores, revision for any reason and other factors including American Society of Anaesthesiology scores, length of surgery and cementation of components were analyzed. Both a high and a low BMI predicted for worse Oxford Hip Scores. Obese and morbidly obese patients had significantly lower six month Oxford Scores than healthy patients, the lowest survival, were younger than all other groups and had greater proportions with fully un-cemented prostheses. 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At this early stage, the results show that outcome and early revision are statistically and clinically poorer for obese patients.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip</subject><subject>Body Mass Index</subject><subject>Female</subject><subject>Hip Joint - surgery</subject><subject>Humans</subject><subject>Joint Diseases - complications</subject><subject>Joint Diseases - surgery</subject><subject>joint registry</subject><subject>Male</subject><subject>Middle Aged</subject><subject>New Zealand</subject><subject>obesity</subject><subject>Obesity - complications</subject><subject>Orthopedics</subject><subject>outcomes</subject><subject>Registries</subject><subject>Reoperation</subject><subject>total hip arthroplasty</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp9kU9v1DAQxSMEokvhC3BAPnJJGP_LJgghLdWWFhUqwXLhYjnxhHpJ4q3tFPLtcbSFAwc0h7m892bmN1n2nEJBgZav9oX28aZgQEUBsgAmHmQrKjnLKwHlw2wFVcVzKYCfZE9C2ANQKqV4nJ0wCYLJdb3K7nY3SLZdh20kriPvnJnJRx0CuRwN_iJuJNdTbN2AxI5k56LuyYU9kE0a7N2h1yHOr8lW-34mm1H3c7CBnHs3kJhyP-FP8g11r0dDPjg7RvIZv9sQ_fw0e9TpPuCz-36afT3f7s4u8qvr95dnm6u8FRWNeUVbo40UFLlZa15pzmpdNg1Hua5S1aKsuW44oCihqSSHqlwLA6YpKe1qzk-zl8fcg3e3E4aoBhta7NNK6KagaAk11FUtWZKyo7T1LgSPnTp4O2g_Kwpq4a32auGtFt4KpEq8k-nFff7UDGj-Wv4AToI3RwGmK-8sehVai2OLxvrEXBln_5__9h9729vRtrr_gTOGvZt8op7uUIEpUF-Wjy8PpwKA14zy37qJpOo</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Murgatroyd, Sarah E., MBBS</creator><creator>Frampton, Chris M.A., BSc PhD</creator><creator>Wright, Mark S., FRACS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141001</creationdate><title>The Effect of Body Mass Index on Outcome in Total Hip Arthroplasty: Early Analysis From the New Zealand Joint Registry</title><author>Murgatroyd, Sarah E., MBBS ; Frampton, Chris M.A., BSc PhD ; Wright, Mark S., FRACS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-81cdad541e3d7a38a329a6bb3e57878794693ab30e460b85308674d0db611f933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip</topic><topic>Body Mass Index</topic><topic>Female</topic><topic>Hip Joint - surgery</topic><topic>Humans</topic><topic>Joint Diseases - complications</topic><topic>Joint Diseases - surgery</topic><topic>joint registry</topic><topic>Male</topic><topic>Middle Aged</topic><topic>New Zealand</topic><topic>obesity</topic><topic>Obesity - complications</topic><topic>Orthopedics</topic><topic>outcomes</topic><topic>Registries</topic><topic>Reoperation</topic><topic>total hip arthroplasty</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Murgatroyd, Sarah E., MBBS</creatorcontrib><creatorcontrib>Frampton, Chris M.A., BSc PhD</creatorcontrib><creatorcontrib>Wright, Mark S., FRACS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Murgatroyd, Sarah E., MBBS</au><au>Frampton, Chris M.A., BSc PhD</au><au>Wright, Mark S., FRACS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Body Mass Index on Outcome in Total Hip Arthroplasty: Early Analysis From the New Zealand Joint Registry</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>29</volume><issue>10</issue><spage>1884</spage><epage>1888</epage><pages>1884-1888</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract This study assessed the early outcomes of total hip arthroplasty compared with body mass index (BMI). 5357 hip arthroplasties were evaluated. Oxford Scores, revision for any reason and other factors including American Society of Anaesthesiology scores, length of surgery and cementation of components were analyzed. Both a high and a low BMI predicted for worse Oxford Hip Scores. Obese and morbidly obese patients had significantly lower six month Oxford Scores than healthy patients, the lowest survival, were younger than all other groups and had greater proportions with fully un-cemented prostheses. At this early stage, the results show that outcome and early revision are statistically and clinically poorer for obese patients.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25042579</pmid><doi>10.1016/j.arth.2014.05.024</doi><tpages>5</tpages></addata></record>
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source	ScienceDirect Freedom Collection 2022-2024
subjects	Aged Aged, 80 and over Arthroplasty, Replacement, Hip Body Mass Index Female Hip Joint - surgery Humans Joint Diseases - complications Joint Diseases - surgery joint registry Male Middle Aged New Zealand obesity Obesity - complications Orthopedics outcomes Registries Reoperation total hip arthroplasty Treatment Outcome
title	The Effect of Body Mass Index on Outcome in Total Hip Arthroplasty: Early Analysis From the New Zealand Joint Registry
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