Are Body Mass Index Cutoffs Creating Racial, Ethnic, and Gender Disparities in Eligibility for Primary Total Hip and Knee Arthroplasty?

Unabated increases in the prevalence of obesity among American adults have disproportionately affected women, Black persons, and Hispanic persons. The purpose of this study was to evaluate for disparity in rates of patient eligibility for primary total hip arthroplasty (THA) and total knee arthropla...

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Bibliographic Details
Published in:The Journal of arthroplasty 2022-06, Vol.37 (6), p.1009-1016
Main Authors: Carender, Christopher N., DeMik, David E., Elkins, Jacob M., Brown, Timothy S., Bedard, Nicholas A.
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement, Hip
Arthroplasty, Replacement, Knee
BMI
Body Mass Index
cutoff
disparity
eligibility
Ethnicity
Female
Humans
Nutrition Surveys
obesity
Postoperative Complications - epidemiology
race
Retrospective Studies
United States - epidemiology
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Summary:Unabated increases in the prevalence of obesity among American adults have disproportionately affected women, Black persons, and Hispanic persons. The purpose of this study was to evaluate for disparity in rates of patient eligibility for primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) based on race and ethnicity and gender by applying commonly used body mass index (BMI) eligibility criteria to two large national databases. We retrospectively reviewed data from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database for the years 2015-2019 for primary THA and TKA and the National Health and Nutrition Examination Survey (NHANES) from 2011-2018. Designations of race and ethnicity were standardized between cohorts. BMI cutoffs of
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2022.02.013