The association of body mass index with patient outcomes after shoulder replacement surgery: Population-based cohort study using linked national data from the United Kingdom and Denmark
Increasing BMI was associated with lower 365-day mortality, and no poorer outcomes after elective primary shoulder replacement surgery. This surgery is safe and effective in obese patients and access to shoulder replacements should not be restricted based on BMI alone. Clinicians and hospitals should be aware that underweight patients appear more at risk of mortality, serious adverse events and revision surgery after shoulder replacement.
Authors
- Tim Jones (ORCID: https://orcid.org/0000-0002-1199-8668)
- Josefine Beck Larsen (ORCID: https://orcid.org/0000-0001-8290-350X)
- Jonathan Rees (ORCID: https://orcid.org/0000-0003-1818-5800)
- Pia Kjær Kristensen (ORCID: https://orcid.org/0000-0001-5473-9386)
- Stephen E. Gwilym (ORCID: https://orcid.org/0000-0002-1323-8646)
- Michael Richard Whitehouse (ORCID: https://orcid.org/0000-0003-2436-9024)
- Adrian Sayers (ORCID: https://orcid.org/0000-0001-7452-5043)
- Inger Mechlenburg (ORCID: https://orcid.org/0000-0001-5432-8691)
- Epaminondas Markos Valsamis (ORCID: https://orcid.org/0000-0003-4154-9596)
- Theis Muncholm Thillemann (ORCID: https://orcid.org/0000-0003-1240-4427)
Institutions
- Aarhus University (DK)
- Southmead Hospital (GB)
- Nuffield Orthopaedic Centre (GB)
- Aarhus University Hospital (DK)
- University of Bristol (GB)
- NIHR Oxford Musculoskeletal Biomedical Research Centre (GB)
- Oxford BioMedica (United Kingdom) (GB)
- VIA University College (DK)
Publication Details
- Journal
- PLoS Medicine
- Published
- 2025-11-20
- DOI
- https://doi.org/10.1371/journal.pmed.1004786
- Citations
- 1
- Primary Topic
- Shoulder Injury and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 2.01