The obesity epidemic - Its effect on total joint arthroplasty

被引：181

作者：

Fehring, Thomas K. ^{[1
]}

Odum, Susan M. ^{[1
]}

Griffin, William L. ^{[1
]}

Mason, J. Bohannon ^{[1
]}

Mccoy, Thomas H. ^{[1
]}

机构：

[1] Hip & Knee Ctr, Charlotte, NC 28207 USA

来源：

JOURNAL OF ARTHROPLASTY | 2007年 / 22卷 / 06期

关键词：

body mass index; total joint arthroplasty; reimbursement; TOTAL KNEE ARTHROPLASTY; RISK-FACTORS; OSTEOARTHRITIS; CONSEQUENCES; REPLACEMENT; PREVALENCE; HEALTH; HIP;

D O I：

10.1016/j.arth.2007.04.014

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

A retrospective review of patients with joint arthroplasty was performed to determine if body mass index has increased with time and if the body mass index of patients with arthroplasty was significantly different than that of the general population. We also sought to determine if reimbursement kept pace with this growing cohort. The number of obese patients increased from 30.4% in 1990 to 52.1% in 2005 (P<.0001). In 2005, 24% of the general population was obese, whereas 52.1% of arthroplasty patients were obese. Physician reimbursement decreased 38% for knee arthroplasty and 46% for hip arthroplasty and the need for total joint arthroplasty because of these confounding variables will increase exponentially beyond scheduled expectations. Patients and health policy forecasters must understand the interrelationship between obesity and the need for arthroplasty.

引用

页码：71 / 76

页数：6

共 27 条

[1]

Assessment and management of the obese patient [J].