Effect of bariatric surgery on postoperative outcomes of total hip arthroplasty: An updated systematic review and meta-analysis
Bariatric surgery may cause complications following total hip arthroplasty (THA); however, the evidence remains unclear. This review aims to evaluate the effects of bariatric surgery on THA complications. A systematic search of PubMed, EMBASE, Scopus, and Cochrane databases was performed. The eligib...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Asian Journal of Surgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958424026058 |
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| author | Pablo Palacios Isabel Palacios Ana Palacios Alejandro Lorente Gonzalo Mariscal María Benlloch José Palacios |
| author_facet | Pablo Palacios Isabel Palacios Ana Palacios Alejandro Lorente Gonzalo Mariscal María Benlloch José Palacios |
| author_sort | Pablo Palacios |
| collection | DOAJ |
| description | Bariatric surgery may cause complications following total hip arthroplasty (THA); however, the evidence remains unclear. This review aims to evaluate the effects of bariatric surgery on THA complications. A systematic search of PubMed, EMBASE, Scopus, and Cochrane databases was performed. The eligibility criteria were cohort studies comparing THA patients with and without prior bariatric surgery. The primary outcomes were complications, length of hospital stay, readmission rate, and cost. The study quality was assessed using the MINORS criteria. The meta-analysis was performed using Review Manager 5.4. Nine cohort studies (170,882 patients) met our inclusion criteria. Bariatric surgery was not associated with the risk of dislocation at 90 days (OR 1.50, 95%CI 0.83, 2.70). However, at one-year follow-up, the dislocation rate was significantly lower in the NBS group (OR 1.51, 95%CI 1.23, 1.86). Bariatric surgery reduced the risk of periprosthetic fracture risk (OR 0.56, 95%CI, 0.33 to 0.96) but had no effect on infection (RR 0.96, 95%CI 0.76 to 1.20), revision rates (OR 1.07, 95%CI 0.89 to 1.29), or survival (HR 2.41, 95%CI 0.78 to 7.42). Hospital stay was lower in the bariatric group (−0.16 days, 95%CI -0.23 to −0.09) as were 30-day readmissions (OR 0.17, 95%CI 0.07 to 0.40). The total costs showed no significant differences between the groups (MD 2323.06, 95%CI -3274.80 − 7920.93). Bariatric surgery may reduce the risk of periprosthetic fractures and decrease the length of hospital stay and 30-day readmission after THA. However, it did not significantly impact overall complications, including infection or revision rates. |
| format | Article |
| id | doaj-art-8e7bd0f575dd4fd2945f98dba58be6f2 |
| institution | Kabale University |
| issn | 1015-9584 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj-art-8e7bd0f575dd4fd2945f98dba58be6f22025-01-30T05:13:45ZengElsevierAsian Journal of Surgery1015-95842025-02-01482979985Effect of bariatric surgery on postoperative outcomes of total hip arthroplasty: An updated systematic review and meta-analysisPablo Palacios0Isabel Palacios1Ana Palacios2Alejandro Lorente3Gonzalo Mariscal4María Benlloch5José Palacios6Department of Orthopedic Surgery and Traumatology, Sanchinarro University Hospital, Madrid, Spain; Research Department at Orthopedic Surgery and Traumatology ''Prof. J. Palacios Carvajal'', SpainDepartment of Orthopedic Surgery and Traumatology, Henares University Hospital, Madrid, Spain; Research Department at Orthopedic Surgery and Traumatology ''Prof. J. Palacios Carvajal'', SpainResearch Department at Orthopedic Surgery and Traumatology ''Prof. J. Palacios Carvajal'', Spain; Department of Orthopedic Surgery and Traumatology, University Hospital Ramón y Cajal, Madrid, SpainDepartment of Orthopedic Surgery and Traumatology, Sanchinarro University Hospital, Madrid, Spain; Research Department at Orthopedic Surgery and Traumatology ''Prof. J. Palacios Carvajal'', Spain; Department of Orthopedic Surgery and Traumatology, University Hospital Ramón y Cajal, Madrid, SpainInstitute for Research on Musculoskeletal Disorders, Valencia Catholic University, Valencia, Spain; Corresponding author. Carrer de Quevedo, 2, 46001, València, Valencia, Spain.Department of Basic Biomedical Sciences, Catholic University of Valencia, 46001, Valencia, SpainResearch Department at Orthopedic Surgery and Traumatology ''Prof. J. Palacios Carvajal'', Spain; Department of Orthopedic Surgery and Traumatology, La Zarzuela University Hospital, Madrid, SpainBariatric surgery may cause complications following total hip arthroplasty (THA); however, the evidence remains unclear. This review aims to evaluate the effects of bariatric surgery on THA complications. A systematic search of PubMed, EMBASE, Scopus, and Cochrane databases was performed. The eligibility criteria were cohort studies comparing THA patients with and without prior bariatric surgery. The primary outcomes were complications, length of hospital stay, readmission rate, and cost. The study quality was assessed using the MINORS criteria. The meta-analysis was performed using Review Manager 5.4. Nine cohort studies (170,882 patients) met our inclusion criteria. Bariatric surgery was not associated with the risk of dislocation at 90 days (OR 1.50, 95%CI 0.83, 2.70). However, at one-year follow-up, the dislocation rate was significantly lower in the NBS group (OR 1.51, 95%CI 1.23, 1.86). Bariatric surgery reduced the risk of periprosthetic fracture risk (OR 0.56, 95%CI, 0.33 to 0.96) but had no effect on infection (RR 0.96, 95%CI 0.76 to 1.20), revision rates (OR 1.07, 95%CI 0.89 to 1.29), or survival (HR 2.41, 95%CI 0.78 to 7.42). Hospital stay was lower in the bariatric group (−0.16 days, 95%CI -0.23 to −0.09) as were 30-day readmissions (OR 0.17, 95%CI 0.07 to 0.40). The total costs showed no significant differences between the groups (MD 2323.06, 95%CI -3274.80 − 7920.93). Bariatric surgery may reduce the risk of periprosthetic fractures and decrease the length of hospital stay and 30-day readmission after THA. However, it did not significantly impact overall complications, including infection or revision rates.http://www.sciencedirect.com/science/article/pii/S1015958424026058Bariatric surgeryObesityMetabolic surgeryTotal hip arthroplastyMeta-analysis |
| spellingShingle | Pablo Palacios Isabel Palacios Ana Palacios Alejandro Lorente Gonzalo Mariscal María Benlloch José Palacios Effect of bariatric surgery on postoperative outcomes of total hip arthroplasty: An updated systematic review and meta-analysis Asian Journal of Surgery Bariatric surgery Obesity Metabolic surgery Total hip arthroplasty Meta-analysis |
| title | Effect of bariatric surgery on postoperative outcomes of total hip arthroplasty: An updated systematic review and meta-analysis |
| title_full | Effect of bariatric surgery on postoperative outcomes of total hip arthroplasty: An updated systematic review and meta-analysis |
| title_fullStr | Effect of bariatric surgery on postoperative outcomes of total hip arthroplasty: An updated systematic review and meta-analysis |
| title_full_unstemmed | Effect of bariatric surgery on postoperative outcomes of total hip arthroplasty: An updated systematic review and meta-analysis |
| title_short | Effect of bariatric surgery on postoperative outcomes of total hip arthroplasty: An updated systematic review and meta-analysis |
| title_sort | effect of bariatric surgery on postoperative outcomes of total hip arthroplasty an updated systematic review and meta analysis |
| topic | Bariatric surgery Obesity Metabolic surgery Total hip arthroplasty Meta-analysis |
| url | http://www.sciencedirect.com/science/article/pii/S1015958424026058 |
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