PMID- 21800224
OWN - NLM
STAT- MEDLINE
DCOM- 20120605
LR  - 20211020
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Print)
IS  - 0960-8923 (Linking)
VI  - 22
IP  - 4
DP  - 2012 Apr
TI  - The influence of overweight/obesity on patient-perceived physical functioning and 
      health-related quality of life after primary total hip arthroplasty.
PG  - 523-9
LID - 10.1007/s11695-011-0483-1 [doi]
AB  - BACKGROUND: Overweight/obesity in patients after total hip arthroplasty (THA) is 
      a growing problem and is associated with postoperative complications and a 
      negative effect on functional outcome. The objective of this study is to 
      determine to what extent overweight/obesity is associated with physical 
      functioning and health-related quality of life 1 year after primary THA. METHODS: 
      A retrospective analysis of prospectively collected data from 653 patients who 
      had undergone a primary THA was conducted. Physical functioning, health-related 
      quality of life, body mass index (BMI), comorbidity, and postoperative 
      complications were assessed by means of a questionnaire and from medical records. 
      To determine to what extent overweight/obesity is associated with physical 
      functioning and health-related quality of life after THA, a structural equation 
      model (SEM) analysis was conducted. RESULTS: The association of BMI corrected for 
      age, gender, complications, and comorbidity with physical functioning is -0.63. 
      This means that an increase in 1 kg/m2 BMI leads to a reduction of 0.63 points in 
      the physical functioning score as measured with the Western Ontario and McMaster 
      Universities Osteoarthritis Index (100-point scale). The prevalence of 
      complications or comorbidity leads to a reduction of, respectively, 5.63 and 7.25 
      (one or two comorbidities) and 14.50 points in the case of more than two 
      comorbidities on the physical functioning score. The same pattern is observed for 
      health-related quality of life. CONCLUSIONS: The influence of overweight/obesity 
      on physical functioning and health-related quality of life is low. The impact of 
      complications and comorbidity is considerable. Refusing a patient a THA solely on 
      the basis of overweight or obesity does not seem justified.
FAU - Stevens, Martin
AU  - Stevens M
AD  - Department of Orthopedics, University Medical Center Groningen, University of 
      Groningen, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands. 
      m.stevens@umcg.nl
FAU - Paans, Nienke
AU  - Paans N
FAU - Wagenmakers, Robert
AU  - Wagenmakers R
FAU - van Beveren, Jan
AU  - van Beveren J
FAU - van Raay, Jos J A M
AU  - van Raay JJ
FAU - van der Meer, Klaas
AU  - van der Meer K
FAU - Stewart, Roy
AU  - Stewart R
FAU - Bulstra, Sjoerd K
AU  - Bulstra SK
FAU - Reininga, Inge H F
AU  - Reininga IH
FAU - van den Akker-Scheek, Inge
AU  - van den Akker-Scheek I
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
MH  - Aged
MH  - *Arthroplasty, Replacement, Hip/methods/statistics & numerical data
MH  - Body Mass Index
MH  - Comorbidity
MH  - Female
MH  - Humans
MH  - Joint Dislocations/*epidemiology
MH  - Male
MH  - Obesity/*complications/epidemiology/physiopathology
MH  - Osteoarthritis, Hip/epidemiology/physiopathology/*surgery
MH  - Postoperative Complications/epidemiology
MH  - *Quality of Life
MH  - Refusal to Treat/statistics & numerical data
MH  - Reoperation
MH  - Retrospective Studies
MH  - Surgical Wound Infection/*epidemiology/etiology
MH  - United States/epidemiology
PMC - PMC3297740
EDAT- 2011/07/30 06:00
MHDA- 2012/06/06 06:00
PMCR- 2011/07/29
CRDT- 2011/07/30 06:00
PHST- 2011/07/30 06:00 [entrez]
PHST- 2011/07/30 06:00 [pubmed]
PHST- 2012/06/06 06:00 [medline]
PHST- 2011/07/29 00:00 [pmc-release]
AID - 483 [pii]
AID - 10.1007/s11695-011-0483-1 [doi]
PST - ppublish
SO  - Obes Surg. 2012 Apr;22(4):523-9. doi: 10.1007/s11695-011-0483-1.