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Table 7 Results of adjusted regression models for postoperative complications and patient-reported outcome measures according to BMI and preoperative weight change

From: The effect of body mass index and preoperative weight loss in people with obesity on postoperative outcomes to 6 months following total hip or knee arthroplasty: a retrospective study

 

BMI ≥ 35 kg/m2 vs. BMI < 35 kg/m2

Lost 5% of baseline weight vs. weight unchanged or increased

Overall sample

(n = 1,337)

THA

(n = 399)

TKA

(n = 938)

Overall sample

(n = 809)

TKA

(n = 616)

Overall complications to 6 months

post-surgery OR (95% CI)

1.0 (0.8, 1.4), P = 0.8

1.5 (0.8, 2.8), P = 0.2

0.9 (0.6, 1.2), P = 0.4

1.1 (0.7, 1.8), P = 0.7

0.7 (0.4, 1.2), P = 0.2

Major complications to 6 months

post-surgery OR (95% CI)

1.0 (0.6, 1.6), P = 1.0

1.0 (0.4, 2.4), P = 1.0

1.0 (0.6, 1.7), P = 1.0

1.2 (0.6, 2.5), P = 0.6

0.7 (0.2, 1.7), P = 0.4

Major complications to discharge

OR (95% CI)

1.0 (0.5, 1.9), P = 1.0

1.1 (0.3, 3.6), P = 0.8

1.0 (0.5, 2.1), P = 1.0

1.7 (0.6, 4.4), P = 0.3

0.7 (0.1, 2.8), P = 0.7

Oxford Score at 6 months

post-surgery Mean (95% CI)

-0.2 (-1.4, 0.9), P = 0.7, R2 = 0.04

-

-

0.6 (-1.3, 2.6), P = 0.5, R2 = 0.05

-

EQ-VAS at 6 months

post-surgery Mean (95% CI)

-1.0 (-3.6, 1.6), P = 0.4, R2 = 0.08

-

-

0.7 (-3.5, 4.9), P = 0.7, R2 = 0.09

-

Patient-rated improvement from

surgery OR (95% CI)

1.2 (0.8, 1.7), P = 0.5

-

-

0.9 (0.5, 1.8), P = 0.8

-

  1. BMI body mass index, n number, THA total hip arthroplasty, TKA total knee arthroplasty, OR Odds Ratio, CI Confidence Interval, EQ-VAS EuroQol Visual Analogue Scale