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• W2967005057 abstract "Background: Obesity has been associated with a greater burden of symptomatic knee osteoarthritis. There is some evidence that patients with a very high body mass index (BMI) may have a higher risk of complications and poor outcomes following total knee replacement compared with non-obese patients or obese patients with a lower BMI. We hypothesized that increasing degrees of obesity would be associated with deteriorating outcomes for patients following total knee replacement. Methods: We performed a comprehensive systematic review of 4 medical databases (MEDLINE, AMED, Ovid Healthstar, and Embase) from inception to August 2016. We extracted data to determine revision risk (all-cause, septic, and aseptic) and functional outcome scores (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC], Knee Society Score, Oxford Knee Score, EuroQol-5D, and Short Form [SF]-12 Physical Component Summary) in patients with severe obesity (BMI ≥35 kg/m 2 ), morbid obesity (BMI ≥40 kg/m 2 ), and super-obesity (BMI ≥50 kg/m 2 ) in comparison with patients with a normal BMI (<25 kg/m 2 ). Meta-analysis was performed using a random effects model. Results: We screened 3,142 titles and abstracts and 454 full-text articles to identify 40 eligible studies, of which 37 were included in the meta-analysis. Compared with patients with a normal BMI, the risk ratio for an all-cause revision surgical procedure was 1.19 (95% confidence interval [CI], 1.03 to 1.37; p = 0.02) in patients with severe obesity, 1.93 (95% CI, 1.27 to 2.95; p < 0.001) in patients with morbid obesity, and 4.75 (95% CI, 2.12 to 10.66; p < 0.001) in patients with super-obesity. The risk ratio for septic revision was 1.49 (95% CI, 1.28 to 1.72; p < 0.001) in patients with severe obesity, 3.69 (95% CI, 1.90 to 7.17; p < 0.001) in patients with morbid obesity, and 4.58 (95% CI, 1.11 to 18.91; p = 0.04) in patients with super-obesity. There were no significant differences (p > 0.05) in risk of aseptic revision. Based on the Knee Society Scores reported in a single study, patients with super-obesity had outcome scores, expressed as the standardized mean difference, that were 0.52 lower (95% CI, 0.80 lower to 0.24 lower; p < 0.001) than non-obese controls; however, no difference was observed for severe or morbidly obese patients. Conclusions: The risk of septic revision is greater in patients with severe obesity, morbid obesity, and super-obesity, with progressively higher BMI categories associated with a higher risk. However, the risk of aseptic revision was similar between all obese and non-obese patients. Functional outcome improvements are also similar, except for super-obese patients, in whom data from a single study suggested slightly lower scores. These findings may serve to better inform evidence-based clinical, research, and policy decision-making. Level of Evidence: Prognostic Level III . See Instructions for Authors for a complete description of levels of evidence." @default.
• W2967005057 created "2019-08-22" @default.
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• W2967005057 date "2019-07-01" @default.
• W2967005057 modified "2023-10-17" @default.
• W2967005057 title "Revision Rates and Functional Outcomes Among Severely, Morbidly, and Super-Obese Patients Following Primary Total Knee Arthroplasty" @default.
• W2967005057 cites W160743010 @default.
• W2967005057 cites W1756803004 @default.
• W2967005057 cites W1921909968 @default.
• W2967005057 cites W1970021530 @default.
• W2967005057 cites W1973366725 @default.
• W2967005057 cites W1993643997 @default.
• W2967005057 cites W1996423694 @default.
• W2967005057 cites W2000848241 @default.
• W2967005057 cites W2001790018 @default.
• W2967005057 cites W2003194916 @default.
• W2967005057 cites W2004954356 @default.
• W2967005057 cites W2011689913 @default.
• W2967005057 cites W2011799523 @default.
• W2967005057 cites W2013245793 @default.
• W2967005057 cites W2023825450 @default.
• W2967005057 cites W2027784269 @default.
• W2967005057 cites W2027831776 @default.
• W2967005057 cites W2033526990 @default.
• W2967005057 cites W2044650986 @default.
• W2967005057 cites W2056030472 @default.
• W2967005057 cites W2064159124 @default.
• W2967005057 cites W2067572704 @default.
• W2967005057 cites W2068838457 @default.
• W2967005057 cites W2084489362 @default.
• W2967005057 cites W2085443036 @default.
• W2967005057 cites W2088409443 @default.
• W2967005057 cites W2098448140 @default.
• W2967005057 cites W2108043272 @default.
• W2967005057 cites W2109919417 @default.
• W2967005057 cites W2115655573 @default.
• W2967005057 cites W2121520846 @default.
• W2967005057 cites W2125710575 @default.
• W2967005057 cites W2128593375 @default.
• W2967005057 cites W2133509997 @default.
• W2967005057 cites W2133916726 @default.
• W2967005057 cites W2142251176 @default.
• W2967005057 cites W2144190792 @default.
• W2967005057 cites W2148893055 @default.
• W2967005057 cites W2158793276 @default.
• W2967005057 cites W2233181578 @default.
• W2967005057 cites W2247861898 @default.
• W2967005057 cites W2249200798 @default.
• W2967005057 cites W2258478916 @default.
• W2967005057 cites W2263870577 @default.
• W2967005057 cites W2287797128 @default.
• W2967005057 cites W2302309603 @default.
• W2967005057 cites W2315008489 @default.
• W2967005057 cites W2339344457 @default.
• W2967005057 cites W2343519297 @default.
• W2967005057 cites W2396355590 @default.
• W2967005057 cites W2402494815 @default.
• W2967005057 cites W2403360407 @default.
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• W2967005057 cites W2531269403 @default.
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• W2967005057 doi "https://doi.org/10.2106/jbjs.rvw.18.00184" @default.
• W2967005057 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31365448" @default.
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