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 | 3Â 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 |