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dc.contributor.authorJester, Rebecca
dc.date.accessioned2019-09-05T15:02:25Z
dc.date.available2019-09-05T15:02:25Z
dc.date.issued2019-09-05
dc.identifier.citationJester, R. (2019) Should patients be denied access to total joint replacement surgery because they are obese? International Journal of Orthopaedic and Trauma Nursing, 35. https://doi.org/10.1016/j.ijotn.2019.100715en
dc.identifier.issn1878-1241en
dc.identifier.doi10.1016/j.ijotn.2019.100715
dc.identifier.urihttp://hdl.handle.net/2436/622702
dc.description.abstractSince 1990 The World Health Organisation (WHO) has raised concerns about increasing rates of obesity in both children and adults. Once considered a problem only in high income countries, overweight and obesity are now dramatically on the rise in low- and middle-income countries, particularly in urban settings. WHO defines individuals who have a BMI between 25-29.9 as overweight and a BMI of 30 or over as obese. Obesity is subdivided into 3 classes: class 1 BMI 30-34.9, class 2 BMI 35-39.9 and class 3 BMI of 40 or over. Overweight and obesity are major risk factors for a number of chronic diseases including diabetes, cardiovascular and cancer. In our speciality the impact of overweight and obesity on development of osteoarthritis in load bearing joints is well documented. Increasing numbers of people with severe OA of the knee joint requiring TKR is a global challenge in the developed world with TKR in-patient costs exceeding $9 billion in 2008 in the USA alone- the highest aggregate cost among the ten procedures for which demand is growing fastest. Between, 2005-2030 the demand for primary TKR in the US is projected to grow by 673% or 3.48 million procedures annually (Tomek et al, 2012).en
dc.formatapplication/PDFen
dc.languageEnglish
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urlhttps://www.journals.elsevier.com/international-journal-of-orthopaedic-and-trauma-nursing/en
dc.subjectobesityen
dc.subjecttotal joint replacementen
dc.subjectrationingen
dc.subjectdenied accessen
dc.titleShould patients be denied access to total joint replacement surgery because they are obese?en
dc.typeJournal articleen
dc.identifier.journalInternational Journal of Orthopaedic and Trauma Nursingen
dc.date.updated2019-09-03T09:01:59Z
dc.date.accepted2019-09-03
rioxxterms.funderUniversity of Wolverhamptonen
rioxxterms.identifier.projectUOW050919RJen
rioxxterms.versionAMen
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
rioxxterms.licenseref.startdate2020-09-05en
refterms.dateFCD2019-09-05T15:00:55Z
refterms.versionFCDAM


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