The Effect of Obesity and Increasing Age on Operative Time and Length of Stay in Primary Hip and Knee Arthroplasty

Journal of Arthroplasty

Volumn 29, Issue 10, 2014, Pages 1906-1910

  Bradley, Ben M ^a   Griffiths, Shelly N ^a   Stewart, Kyle J ^a   Higgins, Gordon A ^a   Hockings, Michael ^a   Isaac, David L ^a  

^a TORBAY HOSPITAL   (United Kingdom)

Author keywords

Financial cost; Hip and knee arthroplasty; Length of stay; Obesity; Theatre time

Indexed keywords

AGE; AGED; ARTICLE; BODY MASS; COMORBIDITY; CONTROLLED STUDY; HEALTH CARE COST; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MEDICAL ASSESSMENT; OBESITY; OPERATION DURATION; ORTHOPEDIC SURGEON; REIMBURSEMENT; RETROSPECTIVE STUDY; TOTAL HIP PROSTHESIS; TOTAL KNEE REPLACEMENT; COMPLICATION; ECONOMICS; FEMALE; KNEE ARTHROPLASTY; MALE; MIDDLE AGED; OSTEOARTHRITIS, KNEE; RISK FACTOR;

AGE FACTORS; AGED; ARTHROPLASTY, REPLACEMENT, KNEE; BODY MASS INDEX; COMORBIDITY; FEMALE; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; OBESITY; OPERATIVE TIME; OSTEOARTHRITIS, KNEE; RETROSPECTIVE STUDIES; RISK FACTORS;

EID: 84911004483     PISSN: 08835403     EISSN: 15328406     Source Type: Journal    
DOI: 10.1016/j.arth.2014.06.002     Document Type: Article

References (38)

1. http://www.aso.org.uk.
2. http://www.ons.gov.uk.
3. Tukker A., Visscher T.L., Picavet H.S. Overweight and health problems of the lower extremities: osteoarthritis, pain and disability. Public Health Nutr 2009, 12(3):359.
4. Gillespie G.N., Porteous A.J. Obesity and knee arthroplasty. Knee 2007, 14(2):81. [Epub 2006 Dec 22].
5. Fehring T.K., Odum S.M., Griffin W.L., et al. The obesity epidemic: its effect on total joint arthroplasty. J Arthroplasty 2007, 22(6 Suppl. 2):71.
6. Coombes R. Rationing of joint replacements raises fears of further cuts. BMJ 2005, 331(7528):1290.
7. Patel V.P., Walsh M., Sehgal B., et al. Factors associated with prolonged wound drainage after primary total hip and knee arthroplasty. J Bone Joint Surg Am 2007, 89(1):33.
8. National Joint Registry for England and Wales 9th Annual Report 2012.
9. Finer N. Rationing joint replacements-trust's decision seems to be based on prejudice or attributing blame. Br Med J 2005, 331:1472.
10. Chee Y.H., Teoh K.H., Sabnis B.M., et al. Total hip replacement in morbidly obese patients with osteoarthritis: results of a prospectively matched study. J Bone Joint Surg (Br) 2010, 92(8):1066.
11. Davis A.M., Wood A.M., Keenan A.C., et al. Does body mass index affect clinical outcome post-operatively and at five years after primary unilateral total hip replacement performed for osteoarthritis? A multivariate analysis of prospective data. J Bone Joint Surg (Br) 2011, 93(9):1178.
12. Dowsey M.M., Liew D., Stoney J.D., et al. The impact of pre-operative obesity on weight change and outcome in total knee replacement: a prospective study of 529 consecutive patients. J Bone Joint Surg (Br) 2010, 92(4):513.
13. Kim S.H. Morbid obesity and excessive hospital resource consumption for unilateral primary hip and knee arthroplasty. J Arthroplasty 2010, 25(8):1258.
14. Dowsey M.M., Liew D., Choong P.F. Economic burden of obesity in primary total knee arthroplasty. Arthritis Care Res (Hoboken) 2011, 63(10):1375.
15. Cavenaghi F., Cerri C., Panella L. Association of hemoglobin levels, acute hemoglobin decrease and age with rehabilitation outcomes after total hip and knee replacement. Eur J Phys Rehabil Med 2009, 45(3):319.
16. Foote J., Panchoo K., Blair P., et al. Length of stay following primary total hip replacement. Ann R Coll Surg Engl 2009, 91(6):500.
17. Husted H., Holm G., Jacobsen S. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients. Acta Orthop 2008, 79(2):168.
18. Smith I.D., Elton R., Ballantyne J.A., et al. Pre-operative predictors of the length of hospital stay in total knee replacement. J Bone Joint Surg (Br) 2008, 90(11).
19. Andrew J.G., Palan J., Kurup H.V., et al. Obesity in total hip replacement. Joint Surg Br 2008, 90(4):424.
20. Bennett D., Gibson D., O'Brien S., et al. Hip arthroplasty in morbidly obese patients-intra-operative and short term outcomes. Hip Int 2010, 20(1):75.
21. Vincent H.K., Vincent K.R. Obesity and inpatient rehabilitation outcomes following knee arthroplasty: a multicenter study. Obesity (Silver Spring) 2008, 16(1):130.
22. Vincent H.K., Weng J.P., Vincent K.R. Effect of obesity on inpatient rehabilitation outcomes after total hip arthroplasty. Obesity (Silver Spring) 2007, 15(2):522.
23. Batsis J.A., Naessens J.M., Keegan M.T., et al. Impact of body mass on hospital resource use in total hip arthroplasty. Public Health Nutr 2009, 12(8):1122.
24. Batsis J.A., Naessens J.M., Keegan M.T., et al. Body mass index and the impact on hospital resource use in patients undergoing total knee arthroplasty. J Arthroplasty 2010, 25(8):1250.
25. Core Team R. R: a language and environment for statistical computing 2012, R Foundation for Statistical Computing, Vienna, Austria, [URL http://www.R-project.org/].
26. Namba R.S., Paxton L., Fithian D.C., et al. Obesity and perioperative morbidity in total hip and total knee arthroplasty patients. J Arthroplasty 2005, 20(7 Suppl 3):46.
27. Vazquez-Vela Johnson G., Worland R.L., Keenan J., et al. Patient demographics as a predictor of the ten-year survival rate in primary total knee replacement. J Bone Joint Surg (Br) 2003, 85(1):52.
28. Sadr Azodi O., Bellocco R., Eriksson K., et al. The impact of tobacco use and body mass index on the length of stay in hospital and the risk of post-operative complications among patients undergoing total hip replacement. J Bone Joint Surg (Br) 2006, 88(10):1316.
29. Foran J.R., Mont M.A., Etienne G., et al. The outcome of total knee arthroplasty in obese patients. J Bone Joint Surg Am 2004, 86-A(8):1609.
30. McKellop H.A., Campbell P., Park S.H., et al. The origin of submicron polyethylene wear debris in total hip arthroplasty. Clin Orthop Relat Res 1995, 311:3.
31. 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(4):417.
32. Moran M., Walmsley P., Gray A., et al. Does body mass index affect the early outcome of primary total hip arthroplasty?. J Arthroplasty 2005, 20(7):866.
33. Amin A.K., Patton J.T., Cook R.E., et al. Does obesity influence the clinical outcome at five years following total knee replacement for osteoarthritis?. J Bone Joint Surg (Br) 2006, 88(3):335.
34. Ethgen O., Bruyère O., Richy F., et al. Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am 2004, 86-A(5):963.
35. Hawker G., Wright J., Coyte P., et al. Health-related quality of life after knee replacement. J Bone Joint Surg Am 1998, 80(2):163.
36. Wang T., Ackland T., Hall S., et al. Functional recovery and timing of hospital discharge after primary total hip arthroplasty. Aust N Z J Surg 1998, 68(8):580.
37. Jørgensen C.C., Kehlet H. Role of patient characteristics for fast-track hip and knee arthroplasty. Br J Anaesth 2013 Jun, 110(6):972-980. 10.1093/bja/aes505.
38. Huddleston J.I., Wang Y., Uquillas C., et al. Age and obesity are risk factors for adverse events after total hip arthroplasty. Clin Orthop Relat Res 2012, 470(2):490.