The impact of pre-operative weight loss on incidence of surgical site infection and readmission rates after total joint arthroplasty

Journal of Arthroplasty

Volumn 29, Issue 3, 2014, Pages

  Inacio, Maria C S ^a   Kritz Silverstein, Donna ^b   Raman, Rema ^b   Macera, Caroline A ^a   Nichols, Jeanne F ^a   Shaffer, Richard A ^a   Fithian, Donald C ^c  

^a SAN DIEGO STATE UNIVERSITY   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c KAISER PERMANENTE   (United States)

Author keywords

Infection; Obesity; Readmission; Total hip arthroplasty; Total knee arthroplasty; Weight loss

Indexed keywords

ADULT; AGED; ARTICLE; BODY MASS; BODY WEIGHT; COHORT ANALYSIS; CONTROLLED STUDY; DISEASE ASSOCIATION; FEMALE; HOSPITAL READMISSION; HUMAN; MAJOR CLINICAL STUDY; MALE; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; POSTOPERATIVE PERIOD; PREOPERATIVE PERIOD; RETROSPECTIVE STUDY; RISK ASSESSMENT; RISK REDUCTION; SURGICAL INFECTION; SURGICAL PATIENT; TOTAL HIP PROSTHESIS; TOTAL KNEE REPLACEMENT; WEIGHT CHANGE; WEIGHT GAIN; WEIGHT REDUCTION;

INFECTION; OBESITY; READMISSION; TOTAL HIP ARTHROPLASTY; TOTAL KNEE ARTHROPLASTY; WEIGHT LOSS;

ADULT; AGED; ARTHROPLASTY, REPLACEMENT, HIP; ARTHROPLASTY, REPLACEMENT, KNEE; CALIFORNIA; COHORT STUDIES; COMORBIDITY; FEMALE; HUMANS; INCIDENCE; JOINT DISEASES; MALE; MIDDLE AGED; OBESITY; PATIENT READMISSION; PREOPERATIVE PERIOD; REGISTRIES; RETROSPECTIVE STUDIES; RISK FACTORS; SURGICAL WOUND INFECTION; TREATMENT OUTCOME; WEIGHT LOSS;

EID: 84893872475     PISSN: 08835403     EISSN: 15328406     Source Type: Journal    
DOI: 10.1016/j.arth.2013.07.030     Document Type: Article

References (41)

1. HCUP facts and figures: statistics on hospital-based care in the United States, 2009. 2011. (Accessed January 06, 2013, at.). http://www.hcup-us.ahrq.gov/reports.jsp.
2. Felson D.T. Epidemiology of hip and knee osteoarthritis. Epidemiol Rev 1988, 10:1.
3. Felson D.T., Zhang Y., Hannan M.T., et al. Risk factors for incident radiographic knee osteoarthritis in the elderly: the Framingham Study. Arthritis Rheum 1997, 40:728.
4. Niu J., Zhang Y.Q., Torner J., et al. Is obesity a risk factor for progressive radiographic knee osteoarthritis?. Arthritis Rheum 2009, 61:329.
5. Namba R.S., Inacio M.C., Paxton E.W. Risk factors associated with surgical site infection in 30,491 primary total hip replacements. J Bone Joint Surg Br 2012, 94:1330.
6. Namba R.S., Inacio M.C., Paxton E.W. Risk factors associated with deep surgical site infections after primary total knee arthroplasty: an analysis of 56,216 knees. J Bone Joint Surg Am 2013, 95:775.
7. Haverkamp D., Klinkenbijl M.N., Somford M.P., et al. Obesity in total hip arthroplasty-does it really matter? A meta-analysis. Acta Orthop 2011, 82:417.
8. Kerkhoffs G.M., Servien E., Dunn W., et al. The influence of obesity on the complication rate and outcome of total knee arthroplasty: a meta-analysis and systematic literature review. J Bone Joint Surg Am 2012, 94:1839.
9. Huotari K., Lyytikainen O., Ollgren J., et al. Disease burden of prosthetic joint infections after hip and knee joint replacement in Finland during 1999-2004: capture-recapture estimation. J Hosp Infect 2010, 75:205.
10. Inacio M.C., Paxton E.W., Chen Y., et al. Leveraging electronic medical records for surveillance of surgical site infection in a total joint replacement population. Infect Control Hosp Epidemiol 2011, 32:351.
11. Jamsen E., Huhtala H., Puolakka T., Jamsen E., Huhtala H., Puolakka T., et al. Risk factors for infection after knee arthroplasty. A register-based analysis of 43,149 cases. J BoneJoint Surg - Am Vol 2009, 91:38.
12. Jamsen E., Varonen M., Huhtala H., et al. Incidence of prosthetic joint infections after primary knee arthroplasty. J Arthroplasty 2010, 25:87.
13. Kurtz S.M., Lau E., Schmier J., et al. Infection burden for hip and knee arthroplasty in the United States. J Arthroplasty 2008, 23:984.
14. Cram P., Lu X., Kaboli P.J., et al. Clinical characteristics and outcomes of Medicare patients undergoing total hip arthroplasty, 1991-2008. JAMA 2011, 305:1560.
15. Cram P., Lu X., Kates S.L., et al. Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010. JAMA 2012, 308:1227.
16. Reinke C.E., Kelz R.R., Zubizarreta J.R., et al. Obesity and readmission in elderly surgical patients. Surgery 2012, 152:355.
17. Kulkarni A., Jameson S.S., James P., et al. Does bariatric surgery prior to lower limb joint replacement reduce complications?. Surgeon 2011, 9:18.
18. Parvizi J., Trousdale R.T., Sarr M.G. Total joint arthroplasty in patients surgically treated for morbid obesity. J Arthroplasty 2000, 15:1003.
19. Severson E.P., Singh J.A., Browne J.A., et al. Total knee arthroplasty in morbidly obese patients treated with bariatric surgery: a comparative study. J Arthroplasty 2012, 27:1696.
20. Karter A.J., Ferrara A., Liu J.Y., et al. Ethnic disparities in diabetic complications in an insured population. JAMA 2002, 287:2519.
21. Koebnick C., Langer-Gould A.M., Gould M.K., et al. Sociodemographic characteristics of members of a large, integrated health care system: comparison with US Census Bureau data. Perm J 2012, 16:37.
22. Khatod M., Inacio M., Paxton E.W., et al. Knee replacement: epidemiology, outcomes, and trends in Southern California: 17,080 replacements from 1995 through 2004. Acta Orthop 2008, 79:812.
23. Paxton E.W., Inacio M., Slipchenko T., et al. The Kaiser Permanente national total joint replacement registry. Perm J 2008, 12:12.
24. Paxton E.W., Inacio M.C., Khatod M., et al. Kaiser Permanente National Total Joint Replacement Registry: aligning operations with information technology. Clin Orthop Relat Res 2010, 468:2646.
25. Paxton E.W., Inacio M.C., Kiley M.L. The Kaiser Permanente implant registries: effect on patient safety, quality improvement, cost effectiveness, and research opportunities. Perm J 2012, 16:36.
26. Horan T.C., Andrus M., Dudeck M.A. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008, 36:309.
27. Institute of Medicine. Weighing the options: criteria for evaluating weight-management programs. The National Academies Press; 1995.
28. Centers for Drug Evaluation and Research, United States Food and Drug Administration. Guidance for industry: developing products for weight management. FDA, 2007. (Accessed February 12, 2012, at). http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm071612.pdf.
29. Elixhauser A., Steiner C., Harris D.R., et al. Comorbidity measures for use with administrative data. Med Care 1998, 36:8.
30. Rubin D. Multiple imputation for nonresponse in surveys; 1987.
31. Moons K.G., Donders R.A., Stijnen T., et al. Using the outcome for imputation of missing predictor values was preferred. J Clin Epidemiol 2006, 59:1092.
32. Flegal K.M., Carroll M.D., Ogden C.L., et al. Prevalence and trends in obesity among US adults, 1999-2008. JAMA 2010, 303:235.
33. Vanina Y., Podolskaya A., Sedky K., et al. Body weight changes associated with psychopharmacology. Psychiatr Serv 2002, 53:842.
34. Blackburn G. Effect of degree of weight loss on health benefits. Obes Res 1995, 3(Suppl 2):211s.
35. Wing R.R., Lang W., Wadden T.A., et al. Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care 2011, 34:1481.
36. Goldstein D.J. Beneficial health effects of modest weight loss. Int J Obes Relat Metab Disord 1992, 16:397.
37. Stevens J., Truesdale K.P., McClain J.E., et al. The definition of weight maintenance. Int J Obes (Lond) 2006, 30:391.
38. Klein S., Sheard N.F., Pi-Sunyer X., et al. Weight management through lifestyle modification for the prevention and management of type 2 diabetes: rationale and strategies: a statement of the American Diabetes Association, the North American Association for the Study of Obesity, and the American Society for Clinical Nutrition. Diabetes Care 2004, 27:2067.
39. Janssen I., Katzmarzyk P.T., Ross R. Duration of overweight and metabolic health risk in American men and women. Ann Epidemiol 2004, 14:585.
40. Osteoarthritis. The care and management of osteoarthritis in adults. Agency for Healthcare Research and Quality (AHRQ), 2008. (Accessed February 22, 2012, at). http://www.guideline.gov.
41. Hillier T.A., Pedula K.L. Characteristics of an adult population with newly diagnosed type 2 diabetes: the relation of obesity and age of onset. Diabetes Care 2001, 24:1522.