[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-457335-105":59,"doc-detail-457335-en":134},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":127,"head_meta":129,"extra_data":131,"updated_unix":133},105,"en","bmi-and-its-association-with-patient-reported-outcome-measures-following-revision-hip-surgery","BMI and its association with patient-reported outcome measures following revision hip surgery","","Obesity is linked to greater surgical complexity and worse postoperative results after primary total hip arthroplasty, while its effects on revision surgery remain uncertain. This study prospectively analyzes PQIP data from patients undergoing revision THA (May 2018–December 2022), stratified by BMI. Using EQ-5D-5L at baseline and 6 and 12 months, it compares health-related quality of life across BMI groups, evaluating both short- and longer-term recovery patterns.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/bmi-and-its-association-with-patient-reported-outcome-measures-following-revision-hip-surgery/457335/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/bmi-and-its-association-with-patient-reported-outcome-measures-following-revision-hip-surgery/457335.png","ImageObject",300,407,{"name":92,"@type":93},"Pentious","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-01","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"What is the study aiming to determine about BMI and revision THA outcomes?","Question",{"text":112,"@type":113},"The study evaluates the relationship between BMI and postoperative outcomes after revision total hip arthroplasty, where obesity’s impact is currently unclear.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were patients grouped and what outcome measure was used?",{"text":117,"@type":113},"Patients undergoing revision THA from May 2018 to December 2022 were stratified into BMI categories. Outcomes were assessed with the EQ-5D-5L at baseline, 6 months, and 12 months postoperatively.",{"name":119,"@type":110,"acceptedAnswer":120},"Do patients with higher BMI improve after revision THA?",{"text":121,"@type":113},"Yes. Although higher BMI patients had lower preoperative EQ-5D scores, all BMI groups showed significant postoperative improvement, with the largest gains reported in those with BMI > 40 kg/m2.",{"name":123,"@type":110,"acceptedAnswer":124},"What do the findings imply for BMI-based restrictions on revision THA?",{"text":125,"@type":113},"The results challenge BMI-based surgical restrictions by indicating that high BMI alone should not be a contraindication for revision THA, since patients can still achieve meaningful functional recovery.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},457335,1790796660,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":143,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":67,"update_tm":147,"read_time":148,"preview_page_count":4},1374404730887,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","BMI and its association with patient-reported outcome measures following revision hip surgery  \nFrom Royal National Orthopaedic Hospital, Stanmore, UK  \nCorrespondence should be sent to A. Mehmood Ahmed. [mehmood@doctors.org.uk](mehmood@doctors.org.uk)  \n[Cite this article:](Cite this article:)  \nBone Jt Open 2026;7(1): 28–36.  \nDOI: 10. 1302/2633-1462 .  \n71.BJO-2025-0152.R1  \nR. Baumber,1,2 A. Mehmood,1 R. McCulloch,3 S. M. P. Pereira,4 E. Warwick,5 A. Hart,1,4 S. R. Moonesinghe,6,7,8 PQIP delivery team, PQIP collaborative, On behalf of the PQIP delivery team and collaborative  \n1Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK  \n2Division of Sugery and Interventional Science, Faculty of Medical Sciences, University College London, London, UK  \n3Nuffield Orthopaedic Hospital, Oxford, UK  \n4Institute of Orthopaedics and Musculoskeletal Science, University College London, London, UK  \n5Anaesthesia and Perioperative Medicine, Kings College Hospital NHS Foundation Trust, London, UK  \n6Research Department of Targeted Intervention, Division of Surgery and Interventional Science, University College London, London, UK  \n7National Institute for Health Research Central London Patient Safety Research Collaboration, London, UK  \n8Critical and Perioperative Care Theme, National Institute for Health Research University College London Hospitals Biomedical Research Centre, London, UK  \nAims  \nObesity is associated with increased surgical complexity and poorer postoperative outcomes after primary total hip arthroplasty (THA), yet its impact on revision THA remains unclear. This study evaluates the relationship between BMI and outcomes following revision THA.  \nMethods  \nWe analyzed prospectively collected data from patients who consented to participation in the Perioperative Quality Improvement Programme (PQIP) research study. All patients undergoing revision THA from May 2018 to December 2022 were included. Patients were stratified into BMI categories, and outcomes were assessed using the EuroQol five-dimension five-level questionnaire (EQ-5D-5L) at baseline, six, and 12 months postoperatively. Statistical comparisons were performed to evaluate differences in health-related quality of life (HRQoL) between BMI groups.  \nResults  \nHigher BMI was associated with lower preoperative EQ-5D scores. However, all BMI groups demonstrated significant postoperative improvement, with the greatest gains observed inpatients with a BMI > 40 kg/m2. At six and 12 months, HRQoL improvements were comparable across BMI groups, with no significant difference in long-term outcomes between those living with and without obesity.  \nConclusion  \nDespite potentially increased intraoperative risks, high BMI patients experience meaningful functional improvement following revision THA. These findings challenge the rationale for BMI-based surgical restrictions, suggesting that high BMI alone should not be a contraindication for revision THA.  \nBMI and its association with patient-reported outcome measures following revision hip surgery  \nR. Baumber, A. Mehmood, R. McCulloch, et al.  \nTake home message  \n• Despite lower preoperative scores, patients with higher BMI show substantial improvement in health-related quality of life after revision total hip arthroplasty (THA) .  \n• At six and 12 months, functional gains were similar between patients living with and without obesity.  \n• Higher BMI does not justify exclusion from revision THA, as patients experience meaningful postoperative recovery.  \n• Perioperative risks exist but do not negate benefits. While high BMI increases surgical complexity, it does not prevent positive long-term outcomes.  \n• Policy reconsideration is needed. Blanket BMI-based restrictions on revision THA may deny effective treatment to patients who stand to benefit.  \nIntroduction  \nObesity is a growing global public health concern, posing significant challenges to healthcare institutions and patient outcomes. In 2022, the World Health Orga","cbCaivkOHJ3PsNKO","https://ap.wps.com/l/cbCaivkOHJ3PsNKO","pdf",859663,"English","# Aims\n# Methods\n# Results\n# Conclusion\n# Introduction\n## Obesity as a public health concern\n## Obesity and osteoarthritis\n## High BMI risks in total hip arthroplasty","[{\"question\":\"What is the study aiming to determine about BMI and revision THA outcomes?\",\"answer\":\"The study evaluates the relationship between BMI and postoperative outcomes after revision total hip arthroplasty, where obesity’s impact is currently unclear.\"},{\"question\":\"How were patients grouped and what outcome measure was used?\",\"answer\":\"Patients undergoing revision THA from May 2018 to December 2022 were stratified into BMI categories. Outcomes were assessed with the EQ-5D-5L at baseline, 6 months, and 12 months postoperatively.\"},{\"question\":\"Do patients with higher BMI improve after revision THA?\",\"answer\":\"Yes. Although higher BMI patients had lower preoperative EQ-5D scores, all BMI groups showed significant postoperative improvement, with the largest gains reported in those with BMI \\u003e 40 kg/m2.\"},{\"question\":\"What do the findings imply for BMI-based restrictions on revision THA?\",\"answer\":\"The results challenge BMI-based surgical restrictions by indicating that high BMI alone should not be a contraindication for revision THA, since patients can still achieve meaningful functional recovery.\"}]","BMI and its association with patient-reported outcome measures following revision hip surgery | PDF",1790748914,23]