Preoperative and Postoperative Weight Change has Minimal Influence on Healthcare Utilization and Patient Reported Outcomes Following Total Knee Arthroplasty.
Joshua L TiddNickelas HuffmanPrecious C OyemIgnacio PasqualiniMatthew HadadAlison K KlikaMatthew DerenNicolas Santiago PiuzziPublished in: The journal of knee surgery (2023)
Pre- and postoperative weight change has little impact on the achievement of satisfaction and clinically relevant differences in pain and function at 1-year. However, preoperative weight gain was associated with a higher risk of 90-day readmissions after TKA. Furthermore, patients categorized in Class III obesity were at increased risk of non-home discharge but experienced a greater likelihood of achieving MCID in KOOS-Pain and KOOS-PS. Our results raise awareness of the dangers of using weight changes and BMI alone as a measure of TKA eligibility.
Keyphrases
- weight gain
- total knee arthroplasty
- patient reported outcomes
- body mass index
- patients undergoing
- birth weight
- healthcare
- weight loss
- chronic pain
- end stage renal disease
- total hip
- pain management
- neuropathic pain
- chronic kidney disease
- newly diagnosed
- ejection fraction
- peritoneal dialysis
- type diabetes
- spinal cord injury
- metabolic syndrome
- health insurance
- affordable care act