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

Research Article

Annette W-Dahl¹  Perna Ighani Arani²  Per Wretenberg² 

[1] Department of Clinical Sciences Lund, Orthopedics, Faculty of Medicine, Lund University, 221 00, Lund, Sweden;The Swedish Arthroplasty Register, Göteborg, Sweden;Department of Orthopedic Surgery, Örebro University Hospital, Örebro, Sweden;Faculty of Medicine and Health, School of Medical Sciences, Örebro University, 702 81, Örebro, Sweden;

关键词: Osteoarthritis;    Knee arthroplasty;    Obesity;    Routines;    BMI limit;   

DOI  :  10.1186/s13018-022-03442-5

 received in 2022-09-16, accepted in 2022-12-06,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundIn 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.MethodsA 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.ResultsA 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.ConclusionThe 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.

【 授权许可】

CC BY   
© The Author(s) 2022