Obese patients undergoing total knee arthroplasty have distinct preoperative characteristics: an institutional study of 4718 patients

J Arthroplasty. 2013 Aug;28(7):1125-9. doi: 10.1016/j.arth.2012.10.028. Epub 2013 Mar 21.

Abstract

Obesity affects a disproportionate proportion of total knee arthroplasty (TKA) patients. Our study explores pre-operative characteristics between obese and non-obese patients undergoing TKA surgery. A cohort of 4718 osteoarthritic patients, undergoing primary TKA, was studied. Patients were stratified according to BMI classes. Each class was compared in terms of age, race, gender, level of education, insurance status, pre-operative WOMAC, SF-36, and Elixhauser comorbidities. There was a positive relationship between BMI and female gender, non-white race, Medicaid, private insurance, and self-pay. A negative relationship was observed between BMI and age, Medicare, WOMAC and SF-36. Obese TKA candidates differ from their non-obese counterparts in a number of demographic, socioeconomic, and clinical characteristics.

Keywords: BMI; SF-36; TKA; WOMAC; obesity.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Age Factors
  • Aged
  • Analysis of Variance
  • Arthroplasty, Replacement, Knee*
  • Body Mass Index
  • Chi-Square Distribution
  • Comorbidity
  • Disability Evaluation
  • Female
  • Humans
  • Insurance Coverage / statistics & numerical data
  • Male
  • Medicaid
  • Middle Aged
  • Obesity / complications*
  • Obesity / ethnology
  • Osteoarthritis, Knee / surgery*
  • Prospective Studies
  • Registries
  • Risk Factors
  • Sex Factors
  • United States