PMID- 36459889
OWN - NLM
STAT- MEDLINE
DCOM- 20230227
LR  - 20230227
IS  - 1877-0665 (Electronic)
IS  - 1877-0657 (Linking)
VI  - 66
IP  - 1
DP  - 2023 Feb
TI  - Functional recovery after total hip/knee replacement in obese people: A 
      systematic review.
PG  - 101710
LID - S1877-0657(22)00082-3 [pii]
LID - 10.1016/j.rehab.2022.101710 [doi]
AB  - OBJECTIVE: Several studies have investigated the influence of body mass index 
      (BMI) on functional gain after total hip replacement (THR) or total knee 
      replacement (TKR) in osteoarthritis, with contradictory results. This systematic 
      literature review was conducted to ascertain whether obesity affects functional 
      recovery after THR or TKR in the short (<1 year), medium (<3 years) and long term 
      (>3 years). METHODS: The study was registered with PROSPERO and conducted 
      according to the PRISMA guidelines. A systematic literature search was conducted 
      across Medline and EMBASE databases for articles published between 1980 and 2020 
      that investigated patient-reported measures of functional recovery after THR and 
      TKR in participants with osteoarthritis and obesity (defined as BMI >/=30 kg/m(2)). 
      RESULTS: Twenty-six articles reporting on 68,840 persons (34,955 for THR and 
      33,885 for TKR) were included in the final analysis: 5 case-control studies, 21 
      cohort studies (9 for THR only, 10 for TKR only and 2 for both). The average 
      minimum follow-up was 36.4 months, ranging from 6 weeks to 10 years. Most studies 
      found significantly lower pre-operative patient-reported functional scores for 
      participants with obesity. After THR, there was a small difference in functional 
      recovery in favor of those without obesity in the short term (<6 months), but the 
      difference remained below the minimal clinically important difference (MCID) 
      threshold and disappeared in the medium and long term. After TKR, functional 
      recovery was better for those with obesity than those without in the first year, 
      similar until the third year, and then decreased thereafter. CONCLUSIONS: 
      Although there is a paucity of high-quality evidence, our findings show 
      substantial functional gains in people with obesity after total joint 
      replacement. Functional recovery after THR or TKR does not significantly differ, 
      or only slightly differs, between those with and without obesity, and the 
      difference in functional gain is not clinically important. PROSPERO NUMBER: 
      CRD42018112919.
CI  - Copyright (c) 2022 Elsevier Masson SAS. All rights reserved.
FAU - Courtine, Matthieu
AU  - Courtine M
AD  - Dijon university hospital, Department of Orthopaedic surgery, CHU 
      Dijon-Bourgogne, France.
FAU - Bourredjem, Abderrahmane
AU  - Bourredjem A
AD  - INSERM, Universite de Bourgogne, CIC 1432, Module Epidemiologie Clinique, Dijon, 
      France.
FAU - Gouteron, Anais
AU  - Gouteron A
AD  - INSERM UMR1093-CAPS, Universite de Bourgogne, UFR STAPS, Dijon, France; Dijon 
      university hospital, Department of Physical Medicine and Rehabilitation, CHU 
      Dijon-Bourgogne, Dijon, France.
FAU - Fournel, Isabelle
AU  - Fournel I
AD  - INSERM, Universite de Bourgogne, CIC 1432, Module Epidemiologie Clinique, Dijon, 
      France.
FAU - Bartolone, Placido
AU  - Bartolone P
AD  - La Colline, Hirslanden Private Hospital Group, Geneva, Switzerland.
FAU - Baulot, Emmanuel
AU  - Baulot E
AD  - Dijon university hospital, Department of Orthopaedic surgery, CHU 
      Dijon-Bourgogne, France; INSERM UMR1093-CAPS, Universite de Bourgogne, UFR STAPS, 
      Dijon, France.
FAU - Ornetti, Paul
AU  - Ornetti P
AD  - INSERM UMR1093-CAPS, Universite de Bourgogne, UFR STAPS, Dijon, France; Dijon 
      university hospital, Department of Rheumatology, CHU Dijon-Bourgogne, Dijon, 
      France; INSERM, Universite de Bourgogne, CIC 1432, Module Plurithematique, 
      Plateforme d'Investigation Technologique, CHU Dijon-Bourgogne, Dijon, France. 
      Electronic address: paul.ornetti@chu-dijon.fr.
FAU - Martz, Pierre
AU  - Martz P
AD  - Dijon university hospital, Department of Orthopaedic surgery, CHU 
      Dijon-Bourgogne, France; INSERM UMR1093-CAPS, Universite de Bourgogne, UFR STAPS, 
      Dijon, France; INSERM, Universite de Bourgogne, CIC 1432, Module Plurithematique, 
      Plateforme d'Investigation Technologique, CHU Dijon-Bourgogne, Dijon, France.
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20221129
PL  - Netherlands
TA  - Ann Phys Rehabil Med
JT  - Annals of physical and rehabilitation medicine
JID - 101502773
SB  - IM
MH  - Humans
MH  - *Arthroplasty, Replacement, Knee
MH  - *Arthroplasty, Replacement, Hip/methods
MH  - *Osteoarthritis, Knee
MH  - Obesity
MH  - Recovery of Function
OTO - NOTNLM
OT  - Functional recovery
OT  - Obesity
OT  - Osteoarthritis
OT  - Systematic review
OT  - Total hip replacement
OT  - Total knee replacement
EDAT- 2022/12/03 06:00
MHDA- 2023/03/03 06:00
CRDT- 2022/12/02 18:24
PHST- 2020/11/07 00:00 [received]
PHST- 2022/08/04 00:00 [revised]
PHST- 2022/09/24 00:00 [accepted]
PHST- 2022/12/03 06:00 [pubmed]
PHST- 2023/03/03 06:00 [medline]
PHST- 2022/12/02 18:24 [entrez]
AID - S1877-0657(22)00082-3 [pii]
AID - 10.1016/j.rehab.2022.101710 [doi]
PST - ppublish
SO  - Ann Phys Rehabil Med. 2023 Feb;66(1):101710. doi: 10.1016/j.rehab.2022.101710. 
      Epub 2022 Nov 29.