Skip to main content

Table 2 Associations of BMI with pain/opioid use after THA

From: Risk factors for pain after total hip arthroplasty: a systematic review

First author

Year

Study design

n

Follow-up

BMI groups (% of patient)

Outcome measures

Associations of high BMI with postoperative pain/opioid use

Prentice [9]

2019

RC

12,560

1 yr

 < 30 (60.8); 30–35 (24.5);

 > 35 (14.6)

Opioid usage

Greater postoperative opioid use after initial 90-day recovery period

Li [13]

2017

RC

2040

6 mo

25–29.9 (37); 30–34.9 (22);

35–39.9 (10); ≥ 40 (4)

PCS, HOOS

Worse pain at baseline and 6 months, more improvement postoperatively

Rajamaki [21]

2015

CC

54

1–2 yr

 < 30 (53); 30–35 (31); > 35 (16)

Questionnaire

Higher proportion of patients with pain

Judge [24]

2014

RS

1431

1 yr

 < 25 (33); 25–30 (42); 30–35 (18);

35–40 (5.5); > 40 (1.7)

OHS

Worse pain, low clinical difference

Motaghedi [26]

2014

PC

60

1 d

 < 25 (33); 25–30 (33); > 30 (33)

VRS

No association

Judge [2]

2013

PC

1431

1–5 yr

 < 25 (33); 25–30 (42); 30–35 (18);

35–40 (5.5); > 40 (1.7)

OHS

Worse pain

Jones [35]

2012

PC

231

3 yr

 > 35 (14)

WOMAC

Worse pain at 6 months; no association at 3 years

Liu [36]

2012

CC

428

1 d

30a

VAS for pain

Worse pain, low clinical significance

Smith [37]

2012

PC

1318

3 yr

NA

HHS

Worse pain

Singh [46]

2010

CC

5707, 3289

2 yr, 5 yr

 < 25 (24); 25–29.9 (39); 30–34.9 (24);

35–39.9 (8); ≥ 40 (1)

Questionnaire

Worse pain

Busato [7]

2008

RC

20,553

3, 6, 9, 12 yr

 < 25 (38); 25–30 (44); > 30 (18)

Questionnaire

No association

Kessler [50]

2007

PC

67

10 d, 3 mo

 < 25 (16); 25–30 (54); > 30 (30)

WOMAC

No association

Moran [51]

2005

PC

800

6, 18 mo

28a (range, 14–49)

HHS

Worse pain

  1. BMI Body mass index, CC Case control, CI Confidence interval, HHS Harris Hip Score, HOOS Hip Disability and Osteoarthritis Outcome Score, NA Not available, OHS Oxford Hip Score, OR Odds ratio, PC Prospective cohort, PCS Pain catastrophizing scale, RC Retrospective cohort, SD Standard deviation, VAS Visual analog scale, VRS Verbal rating scale
  2. aExpressed as mean BMI