Information and BMI limits for patients with obesity eligible for knee arthroplasty: the Swedish surgeons’ perspective from a nationwide cross-sectional study
Abstract Background In the past decades, the incidence of obesity has increased worldwide. This disease is often accompanied with several comorbidities and therefore, surgeons and anesthesiologists should be prepared to provide optimal management for these patients. The aim of this descriptive cross...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-022-03442-5 |
| _version_ | 1797977371896184832 |
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| author | Perna Ighani Arani Per Wretenberg Annette W-Dahl |
| author_facet | Perna Ighani Arani Per Wretenberg Annette W-Dahl |
| author_sort | Perna Ighani Arani |
| collection | DOAJ |
| description | Abstract Background In the past decades, the incidence of obesity has increased worldwide. This disease is often accompanied with several comorbidities and therefore, surgeons and anesthesiologists should be prepared to provide optimal management for these patients. The aim of this descriptive cross-sectional study was to map the criteria and routines that are used by Swedish knee arthroplasty surgeons today when considering patients with obesity for knee arthroplasty. Methods A survey including 21 items was created and sent to all the Swedish centers performing knee arthroplasty. The survey included questions about the surgeons’ experience, hospital routines of preoperative information given and the surgeons’ individual assessment of patients with obesity that candidates for knee arthroplasty. Descriptive statistics were used to present the data. Results A total of 203 (64%) knee surgeons responded to the questionnaire. Almost 90% of the surgeons claimed to inform their patients with obesity that obesity has been associated with an increased risk of complications after knee arthroplasty. Seventy-nine percent reported that they had an upper BMI limit to perform knee arthroplasty, a larger proportion of the private centers had a BMI limit compared to public centers. The majority of the centers had an upper BMI limit of 35. Conclusion The majority of the knee arthroplasty surgeons in Sweden inform their patients with obesity regarding risks associated with knee arthroplasty. Most centers that perform knee arthroplasties in Sweden have an upper BMI limit. |
| first_indexed | 2024-04-11T05:05:48Z |
| format | Article |
| id | doaj.art-e618bb4855cb4b3bb762ba3f277dd870 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T05:05:48Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-e618bb4855cb4b3bb762ba3f277dd8702022-12-25T12:23:17ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2022-12-0117111010.1186/s13018-022-03442-5Information and BMI limits for patients with obesity eligible for knee arthroplasty: the Swedish surgeons’ perspective from a nationwide cross-sectional studyPerna Ighani Arani0Per Wretenberg1Annette W-Dahl2Department of Orthopedic Surgery, Örebro University HospitalDepartment of Orthopedic Surgery, Örebro University HospitalDepartment of Clinical Sciences Lund, Orthopedics, Faculty of Medicine, Lund UniversityAbstract Background In the past decades, the incidence of obesity has increased worldwide. This disease is often accompanied with several comorbidities and therefore, surgeons and anesthesiologists should be prepared to provide optimal management for these patients. The aim of this descriptive cross-sectional study was to map the criteria and routines that are used by Swedish knee arthroplasty surgeons today when considering patients with obesity for knee arthroplasty. Methods A survey including 21 items was created and sent to all the Swedish centers performing knee arthroplasty. The survey included questions about the surgeons’ experience, hospital routines of preoperative information given and the surgeons’ individual assessment of patients with obesity that candidates for knee arthroplasty. Descriptive statistics were used to present the data. Results A total of 203 (64%) knee surgeons responded to the questionnaire. Almost 90% of the surgeons claimed to inform their patients with obesity that obesity has been associated with an increased risk of complications after knee arthroplasty. Seventy-nine percent reported that they had an upper BMI limit to perform knee arthroplasty, a larger proportion of the private centers had a BMI limit compared to public centers. The majority of the centers had an upper BMI limit of 35. Conclusion The majority of the knee arthroplasty surgeons in Sweden inform their patients with obesity regarding risks associated with knee arthroplasty. Most centers that perform knee arthroplasties in Sweden have an upper BMI limit.https://doi.org/10.1186/s13018-022-03442-5OsteoarthritisKnee arthroplastyObesityRoutinesBMI limit |
| spellingShingle | Perna Ighani Arani Per Wretenberg Annette W-Dahl Information and BMI limits for patients with obesity eligible for knee arthroplasty: the Swedish surgeons’ perspective from a nationwide cross-sectional study Journal of Orthopaedic Surgery and Research Osteoarthritis Knee arthroplasty Obesity Routines BMI limit |
| title | Information and BMI limits for patients with obesity eligible for knee arthroplasty: the Swedish surgeons’ perspective from a nationwide cross-sectional study |
| title_full | Information and BMI limits for patients with obesity eligible for knee arthroplasty: the Swedish surgeons’ perspective from a nationwide cross-sectional study |
| title_fullStr | Information and BMI limits for patients with obesity eligible for knee arthroplasty: the Swedish surgeons’ perspective from a nationwide cross-sectional study |
| title_full_unstemmed | Information and BMI limits for patients with obesity eligible for knee arthroplasty: the Swedish surgeons’ perspective from a nationwide cross-sectional study |
| title_short | Information and BMI limits for patients with obesity eligible for knee arthroplasty: the Swedish surgeons’ perspective from a nationwide cross-sectional study |
| title_sort | information and bmi limits for patients with obesity eligible for knee arthroplasty the swedish surgeons perspective from a nationwide cross sectional study |
| topic | Osteoarthritis Knee arthroplasty Obesity Routines BMI limit |
| url | https://doi.org/10.1186/s13018-022-03442-5 |
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