{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T18:16:51Z","timestamp":1789669011763,"version":"4.0.1"},"reference-count":39,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.arth.2026.01.038","type":"journal-article","created":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T16:03:12Z","timestamp":1768060992000},"page":"3018-3024","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Metabolic Syndrome Is Associated With Higher Odds of Postoperative Complications After Total Hip Arthroplasty"],"prefix":"10.1016","volume":"41","author":[{"given":"Chase W.","family":"Smitterberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza M.","family":"Katanbaf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Misch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Nace","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Mont","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald E.","family":"Delanois","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2026.01.038_bib1","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.ijcard.2018.01.139","article-title":"Trends in the prevalence of metabolic syndrome and its components in the United States 2007-2014","volume":"259","author":"Shin","year":"2018","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.arth.2026.01.038_bib2","doi-asserted-by":"crossref","DOI":"10.1016\/j.diabres.2022.109924","article-title":"Geographic distribution of metabolic syndrome and its components in the general adult population: a meta-analysis of global data from 28 million individuals","volume":"188","author":"Noubiap","year":"2022","journal-title":"Diabetes Res Clin Pract"},{"key":"10.1016\/j.arth.2026.01.038_bib3","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0273948","article-title":"An examination of the prevalence of metabolic syndrome in older adults in Ireland: findings from the Irish Longitudinal Study on Ageing (TILDA)","volume":"17","author":"McCarthy","year":"2022","journal-title":"PLoS One"},{"key":"10.1016\/j.arth.2026.01.038_bib4","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1093\/postmj\/qgad008","article-title":"Prevalence of metabolic syndrome in the United States National Health and Nutrition Examination Survey 2011-18","volume":"99","author":"Liang","year":"2023","journal-title":"Postgrad Med J"},{"key":"10.1016\/j.arth.2026.01.038_bib5","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1186\/s12877-022-03672-6","article-title":"Trends and influence factors in the prevalence, intervention, and control of metabolic syndrome among US adults, 1999-2018","volume":"22","author":"Yang","year":"2022","journal-title":"BMC Geriatr"},{"key":"10.1016\/j.arth.2026.01.038_bib6","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/j.amjsurg.2019.12.021","article-title":"Association of metabolic syndrome with morbidity and mortality in emergency general surgery","volume":"220","author":"Elsamna","year":"2020","journal-title":"Am J Surg"},{"key":"10.1016\/j.arth.2026.01.038_bib7","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1097\/JS9.0000000000000834","article-title":"Metabolic syndrome and surgical complications: a systematic review and meta-analysis of 13 million individuals","volume":"110","author":"Norris","year":"2023","journal-title":"Int J Surg"},{"key":"10.1016\/j.arth.2026.01.038_bib8","doi-asserted-by":"crossref","first-page":"1636","DOI":"10.1161\/CIR.0000000000001186","article-title":"A synopsis of the evidence for the science and clinical management of Cardiovascular-Kidney-Metabolic (CKM) syndrome: a scientific statement from the American Heart Association","volume":"148","author":"Ndumele","year":"2023","journal-title":"Circulation"},{"key":"10.1016\/j.arth.2026.01.038_bib9","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/j.amjsurg.2017.02.018","article-title":"The impact of metabolic syndrome and its components on perioperative outcomes after elective laparotomy - a prospective observational study","volume":"214","author":"Laou","year":"2017","journal-title":"Am J Surg"},{"key":"10.1016\/j.arth.2026.01.038_bib10","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.jss.2024.12.044","article-title":"Metabolic syndrome and the risk of postoperative complications following esophagectomy: National Surgical Quality Improvement Program Study","volume":"306","author":"Kuo","year":"2025","journal-title":"J Surg Res"},{"key":"10.1016\/j.arth.2026.01.038_bib11","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1016\/j.jss.2019.07.075","article-title":"Metabolic syndrome exponentially increases the risk of adverse outcomes in operative diverticulitis","volume":"245","author":"Jehan","year":"2020","journal-title":"J Surg Res"},{"key":"10.1016\/j.arth.2026.01.038_bib12","doi-asserted-by":"crossref","first-page":"6122","DOI":"10.1007\/s00464-021-08954-5","article-title":"Metabolic syndrome as a predictor of perioperative outcomes in primary bariatric surgery, a MBSAQIP survey","volume":"36","author":"Sarna","year":"2022","journal-title":"Surg Endosc"},{"key":"10.1016\/j.arth.2026.01.038_bib13","doi-asserted-by":"crossref","first-page":"1917","DOI":"10.3899\/jrheum.091242","article-title":"Metabolic syndrome and the functional outcomes of hip and knee arthroplasty","volume":"37","author":"Gandhi","year":"2010","journal-title":"J Rheumatol"},{"key":"10.1016\/j.arth.2026.01.038_bib14","doi-asserted-by":"crossref","first-page":"1842","DOI":"10.1016\/j.arth.2014.04.009","article-title":"Impact of metabolic syndrome on perioperative complication rates after total joint arthroplasty surgery","volume":"29","author":"Gage","year":"2014","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.01.038_bib15","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.arth.2016.05.016","article-title":"The interaction of obesity and metabolic syndrome in determining risk of complication following total joint arthroplasty","volume":"31","author":"Edelstein","year":"2016","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.01.038_bib16","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1016\/j.arth.2016.08.007","article-title":"The impact of metabolic syndrome on 30-Day complications following total joint arthroplasty","volume":"32","author":"Edelstein","year":"2017","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.01.038_bib17","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1016\/j.arth.2022.01.091","article-title":"The impact of metabolic syndrome on reoperations and complications after primary total hip arthroplasty","volume":"37","author":"Ledford","year":"2022","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.01.038_bib18","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1016\/j.arth.2012.12.018","article-title":"Patients with uncontrolled components of metabolic syndrome have increased risk of complications following total joint arthroplasty","volume":"28","author":"Zmistowski","year":"2013","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.01.038_bib19","doi-asserted-by":"crossref","first-page":"1743","DOI":"10.1016\/j.arth.2012.04.011","article-title":"The metabolic syndrome in patients undergoing knee and hip arthroplasty: trends and In-Hospital outcomes in the United States","volume":"27","author":"Valle","year":"2012","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.01.038_bib20","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/j.arth.2016.07.025","article-title":"Calculating the cost and risk of comorbidities in total joint arthroplasty in the United States","volume":"32","author":"Hustedt","year":"2017","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.01.038_bib21","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1016\/j.arth.2023.08.062","article-title":"Trends in costs and professional reimbursements for revision total hip and knee arthroplasty","volume":"39","author":"Heo","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.01.038_bib22","doi-asserted-by":"crossref","first-page":"3250","DOI":"10.1002\/ksa.12696","article-title":"Diabetes and total knee arthroplasty: a nationwide analysis of complications, hospitalization outcomes and revision burden","volume":"33","author":"Berkovich","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arth.2026.01.038_bib23","doi-asserted-by":"crossref","first-page":"1322","DOI":"10.1016\/j.arth.2015.12.021","article-title":"Metabolic syndrome and deep vein thrombosis after total knee and hip arthroplasty","volume":"31","author":"Song","year":"2016","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.01.038_bib24","doi-asserted-by":"crossref","first-page":"2440","DOI":"10.1016\/j.arth.2024.07.013","article-title":"Metabolic syndrome and morbid obesity are not risk factors for revision surgery in patients undergoing hip and knee arthroplasty","volume":"39","author":"S\u00f8rensen","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.01.038_bib25","first-page":"2735","article-title":"Diagnosis and management of the metabolic syndrome: an American heart Association\/National heart, lung, and blood Institute scientific statement","volume":"2006","author":"Grundy","year":"2006","journal-title":"Circulation"},{"key":"10.1016\/j.arth.2026.01.038_bib26","doi-asserted-by":"crossref","first-page":"2480","DOI":"10.1016\/j.arth.2020.04.090","article-title":"The Association between comorbidity and the risks and early benefits of total hip arthroplasty for hip osteoarthritis","volume":"35","author":"Mannion","year":"2020","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.01.038_bib27","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1302\/0301-620X.100B9.BJJ-2017-1372.R1","article-title":"The effect of multimorbidity on changes in health-related quality of life following hip and knee arthroplasty","volume":"100-B","author":"Zhang","year":"2018","journal-title":"Bone Jt J"},{"key":"10.1016\/j.arth.2026.01.038_bib28","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1186\/s12891-025-08745-2","article-title":"Association of preoperative health status with risk of complications after primary total hip arthroplasty: how useful are the measures self-rated health, ASA classification and comorbidity count?","volume":"26","author":"Bonnefoy-Mazure","year":"2025","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.arth.2026.01.038_bib29","doi-asserted-by":"crossref","first-page":"4955","DOI":"10.1007\/s00402-024-05588-9","article-title":"Do modifiable patient factors increase the risk of postoperative complications after total joint arthroplasty?","volume":"144","author":"Baran","year":"2024","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.arth.2026.01.038_bib30","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-021784","article-title":"Impact of comorbid conditions on outcomes of hip and knee replacement surgery: a systematic review and meta-analysis","volume":"8","author":"Podmore","year":"2018","journal-title":"BMJ Open"},{"key":"10.1016\/j.arth.2026.01.038_bib31","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1302\/0301-620X.103B1.BJJ-2020-0859.R1","article-title":"Impact of comorbidities on the safety and effectiveness of hip and knee arthroplasty surgery","volume":"103-B","author":"Podmore","year":"2021","journal-title":"Bone Jt J"},{"key":"10.1016\/j.arth.2026.01.038_bib32","doi-asserted-by":"crossref","first-page":"1975","DOI":"10.1136\/annrheumdis-2012-202064","article-title":"Comorbid diseases as predictors of survival of primary total hip and knee replacements: a nationwide register-based study of 96 754 operations on patients with primary osteoarthritis","volume":"72","author":"J\u00e4msen","year":"2013","journal-title":"Ann Rheum Dis"},{"key":"10.1016\/j.arth.2026.01.038_bib33","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1016\/j.artd.2020.06.010","article-title":"Metabolic syndrome is associated with higher risk of wound complications after total hip arthroplasty","volume":"6","author":"Cheng","year":"2020","journal-title":"Arthroplasty Today"},{"key":"10.1016\/j.arth.2026.01.038_bib34","doi-asserted-by":"crossref","first-page":"592","DOI":"10.2340\/17453674.2024.42112","article-title":"Metabolic syndrome increases the length of stay and medical complications after hip and knee arthroplasty: results from a prospective cohort study of 2,901 patients","volume":"95","author":"Reinholdt S\u00f8rensen","year":"2024","journal-title":"Acta Orthop"},{"key":"10.1016\/j.arth.2026.01.038_bib35","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1302\/2046-3758.93.BJR-2019-0138.R1","article-title":"Patients with metabolic syndrome have a greater rate of complications after arthroplasty: a systematic review and meta-analysis","volume":"9","author":"Guofeng","year":"2020","journal-title":"Bone Jt Res"},{"key":"10.1016\/j.arth.2026.01.038_bib36","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1302\/0301-620X.106B10.BJJ-2024-0087.R1","article-title":"Metabolic syndrome and patient-reported outcome two years after hip and knee arthroplasty: results from a Danish prospective cohort of 2,586 patients","volume":"106-B","author":"S\u00f8rensen","year":"2024","journal-title":"Bone Jt J"},{"key":"10.1016\/j.arth.2026.01.038_bib40","doi-asserted-by":"crossref","DOI":"10.4414\/smw.2015.14265","article-title":"\u201cThe obesity paradox\u201d in disease \u2013 is the protective effect of obesity true?","volume":"145","author":"Braun","year":"2015","journal-title":"Swiss Med Wkly"},{"key":"10.1016\/j.arth.2026.01.038_bib41","doi-asserted-by":"crossref","first-page":"2579","DOI":"10.1007\/s00586-022-07333-5","article-title":"Impact of chronic hyperlipidemia on perioperative complications in patients undergoing lumbar fusion: a propensity score matching analysis","volume":"31","author":"Mesregah","year":"2022","journal-title":"Eur Spine J"},{"key":"10.1016\/j.arth.2026.01.038_bib42","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1016\/j.surg.2013.11.008","article-title":"Perioperative pleiotropic statin effects in general surgery","volume":"155","author":"Iannuzzi","year":"2014","journal-title":"Surgery"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326000380?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326000380?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:46:52Z","timestamp":1789627612000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540326000380"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":39,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S0883540326000380"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2026.01.038","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Metabolic Syndrome Is Associated With Higher Odds of Postoperative Complications After Total Hip Arthroplasty","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2026.01.038","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}