{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T02:56:27Z","timestamp":1789440987972,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This systematic review and meta\u2010analysis aimed to synthesize current evidence on the effect of metabolic and bariatric surgery on osteoarthritis (OA) diagnosis, pain, stiffness, and functional outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      A systematic search was conducted in PubMed\/MEDLINE, Scopus, Web of Science, and the Cochrane Library for studies published between January 2000 and July 2025. Eligible studies included adult patients undergoing any form of bariatric surgery who had either a documented diagnosis of OA before and after surgery or a quantitative assessment of OA\u2010related symptoms using validated instruments such as the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Data were pooled using random\u2010effects models, and heterogeneity was assessed using the I\n                      <jats:sup>2<\/jats:sup>\n                      statistic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twelve studies published between 2007 and 2024 met the inclusion criteria, encompassing 12,000 participants across prospective and retrospective cohorts. The pooled odds ratio for OA diagnosis after surgery compared with preoperative status was 0.21 (95% CI: 0.11\u20130.41), indicating a 79% reduction in OA likelihood. Significant improvements were observed in WOMAC pain, stiffness, and physical function scores at 6 and 12\u00a0months postoperatively, with overall pooled mean differences of \u221220.80 (95% CI: \u221232.74 to \u22128.86) and \u221217.12 (95% CI: \u221225.28 to \u22128.96), respectively. Heterogeneity was substantial across studies (I\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0&gt;\u00a075%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Metabolic and bariatric surgery is associated with significant reductions in osteoarthritis diagnosis and improvements in OA\u2010related pain and physical function. These findings suggest that surgical weight loss may provide meaningful benefits for joint health in patients with obesity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70236","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T02:00:32Z","timestamp":1769047232000},"page":"513-522","source":"Crossref","is-referenced-by-count":1,"title":["Effect of Bariatric Surgery on Osteoarthritis\u2010Related Pain and Function: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"50","author":[{"given":"Mohammed Mana Mohammed","family":"Alqahtani","sequence":"first","affiliation":[{"name":"Department of Endocrine Medicine Armed Forces Hospital Southern Region (AFHSR)  Khamis Mushit Aseer Region Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ant\u00f3nio","family":"Raposo","sequence":"additional","affiliation":[{"name":"CBIOS (Research Center for Biosciences and Health Technologies) ECTS (School 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Saleh","family":"Alqahtani","sequence":"additional","affiliation":[{"name":"Najran Armed Forces Hospital  Najran Saudi\u00a0Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rawan Asad Salameh","family":"Shawabkeh","sequence":"additional","affiliation":[{"name":"Department of Endocrine Medicine Armed Forces Hospital Southern Region (AFHSR)  Khamis Mushit Aseer Region Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afnan Ali Saeed","family":"Abonukhaa","sequence":"additional","affiliation":[{"name":"Department of Endocrine Medicine Armed Forces Hospital Southern Region (AFHSR)  Khamis Mushit Aseer Region Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara Ahmed Elmahadi","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Endocrine Medicine Armed Forces Hospital Southern Region (AFHSR)  Khamis Mushit Aseer Region Saudi 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