Table 3 Specific routines concerning obesity of knee arthroplasty centers of Sweden
Question | Alternative | Answers |
|---|---|---|
Does your clinic have an upper limit of BMI for knee arthroplasty? | No, n (%) | 51 (25) |
Yes, n (%) | 152 (75) | |
Private clinics | No, n (%) | 4 (13) |
Yes, n (%) | 26 (87) | |
Public clinics | No, n (%) | 47 (27) |
Yes, n (%) | 126 (73) | |
If yes, what is the limit? | BMI limit, Median [IQR] | 35 [35,40] |
Private clinics | BMI limit, Median [IQR] | 35 [35,40] |
Public clinics | BMI limit, Median [IQR] | 35 [35,40] |
If yes on item 12, do you adhere to the BMI limit? | Always, n (%) | 71 (46) |
Often, n (%) | 75 (49) | |
Sometimes, n (%) | 7 (4) | |
Rarely, n (%) | 1 (1) | |
Never, n (%) | 0 (0) | |
How often do you schedule a patients with BMI ≥ 35 for knee arthroplasty? | Always, n (%) | 4 (2) |
Often, n (%) | 19 (10) | |
Sometimes, n (%) | 65 (32) | |
Rarely, n (%) | 89 (44) | |
Never, n (%) | 25 (12) | |
If you deny a patient for knee arthroplasty due to obesity, what is the reason? | Surgery becomes more difficult technically, n (%) | 0 (0) |
Too many risks, n (%) | 118 (58) | |
Both above, n (%) | 67 (33) | |
Other, n (%) | 2 (1) | |
Do not deny due to obesity, n (%) | 15 (8) | |
If you deny a patient a knee arthroplasty due to obesity, on what does your decision rely on? Previous studies | No, n (%) | 34 (17) |
Yes, n (%) | 168 (83) | |
If you deny a patient for knee arthroplasty due to obesity, on what does your decision rely on? The clinics experiences | No, n (%) | 104 (51) |
Yes, n (%) | 98 (49) | |
If you deny a patient for knee arthroplasty due to obesity, on what does your decision rely on? Own experiences | No, n (%) | 126 (62) |
Yes, n (%) | 76 (38) | |
If you refuse a patient for knee arthroplasty due to obesity, on what does your decision rely on? Do not deny due to obesity | No, n (%) | 185 (92) |
Yes, n (%) | 17 (8) | |
Does your clinic have a routine to recommend weight loss for patients with obesity that are eligible for knee arthroplasty? | No, n (%) | 51 (25) |
Yes, n (%) | 151 (75) | |
If yes, what routines do you have on your clinic? Referral to district health care | No, n (%) | 63 (39) |
Yes, n (%) | 100 (61) | |
If yes, what routines do you have on your clinic? Referral to dietitian | No, n (%) | 113 (69) |
Yes, n (%) | 50 (31) | |
If yes, what routines do you have on your clinic? Referral to abdominal surgery for possible bariatric surgery | No, n (%) | 125 (77) |
Yes, n (%) | 38 (23) | |
If yes, what routines do you have on your clinic? Oral recommendation | No, n (%) | 74 (45) |
Yes, n (%) | 89 (55) | |
If yes, what routines do you have on your clinic? Contact to welfare officer | No, n (%) | 163 (100) |
Yes, n (%) | 0 (0) | |
If yes, what routines do you have on your clinic? Other | No, n (%) | 150 (92) |
Yes, n (%) | 13 (8) | |
Do you refer patients for possible bariatric surgery for patients with BMI > 35 before a knee arthroplasty? | Always, n (%) | 7 (3) |
Often, n (%) | 18 (9) | |
Sometimes, n (%) | 50 (25) | |
Rarely, n (%) | 44 (22) | |
Never, n (%) | 82 (41) | |
If a patient with obesity is scheduled for knee arthroplasty, do you require additional blood tests in excess of the regular blood tests? | Always, n (%) | 9 (5) |
Often, n (%) | 11 (5) | |
Sometimes, n (%) | 27 (13) | |
Rarely, n (%) | 72 (36) | |
Never, n (%) | 84 (41) |