{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:58:33Z","timestamp":1790769513926,"version":"4.1.0"},"reference-count":16,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","surgjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.surg.2026.110617","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:09:01Z","timestamp":1788480541000},"page":"110617","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Weighing the evidence: The obesity paradox and its impact on lower extremity bypass surgery outcomes"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7703-5487","authenticated-orcid":false,"given":"Tien","family":"Nguyen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnav","family":"Mahajan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooja","family":"Podugu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Mansoor","family":"Kara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariadna","family":"Marrero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garietta","family":"Falls-Beddies","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2026.110617_bib1","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1016\/j.surg.2023.02.001","article-title":"The association between obesity and postoperative outcomes in a broad surgical population: a 7-year American college of surgeons national surgical quality improvement analysis","volume":"173","author":"Madsen","year":"2023","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2026.110617_bib2","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1097\/SLA.0b013e3181ad8935","article-title":"The obesity paradox: body mass index and outcomes in patients undergoing nonbariatric general surgery","volume":"250","author":"Mullen","year":"2009","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2026.110617_bib4","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1002\/clc.22355","article-title":"The obesity paradox in patients undergoing transcatheter aortic valve implantation","volume":"38","author":"Konigstein","year":"2015","journal-title":"Clin Cardiol"},{"key":"10.1016\/j.surg.2026.110617_bib5","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1016\/j.jvs.2024.04.044","article-title":"The obesity paradox exists for perioperative complications and mortality following lower extremity arterial bypass surgery","volume":"80","author":"Ramachandran","year":"2024","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.surg.2026.110617_bib6","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.avsg.2023.02.021","article-title":"Association between obesity and outcomes following endovascular aneurysm repair","volume":"94","author":"Naiem","year":"2023","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.surg.2026.110617_bib7","article-title":"Body mass index and mortality after elective open abdominal aortic aneurysm repair in a fifteen year multicenter cohort study","volume":"15","author":"Zhang","year":"2025","journal-title":"Sci Rep"},{"key":"10.1016\/j.surg.2026.110617_bib3","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1016\/S0735-1097(01)01802-2","article-title":"The impact of obesity on the short-term and long-term outcomes after percutaneous coronary intervention: the obesity paradox?","volume":"39","author":"Gruberg","year":"2002","journal-title":"JACC"},{"key":"10.1016\/j.surg.2026.110617_bib8","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/j.jvs.2019.05.039","article-title":"Perioperative outcomes after lower extremity bypass and peripheral vascular interventions in patients with morbid obesity and superobesity","volume":"71","author":"Arinze","year":"2020","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.surg.2026.110617_bib9","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/j.jvs.2008.08.052","article-title":"The influence of body mass index obesity status on vascular surgery 30-day morbidity and mortality","volume":"49","author":"Davenport","year":"2009","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.surg.2026.110617_bib10","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/j.jvs.2022.12.023","article-title":"A systematic review and meta-analysis of the effect of obesity on patients undergoing lower extremity revascularization","volume":"78","author":"Abi-Jaoude","year":"2023","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.surg.2026.110617_bib11","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.jvs.2025.02.013","article-title":"Mortality and amputation outcomes of infrainguinal bypass versus endovascular therapy based on body mass index","volume":"82","author":"Kricfalusi","year":"2025","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.surg.2026.110617_bib12","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.avsg.2017.10.030","article-title":"Fewer complications in the Obese following lower extremity endovascular interventions","volume":"49","author":"Shean","year":"2018","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.surg.2026.110617_bib13","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.1016\/j.jcin.2019.03.012","article-title":"Bleeding complications in lower-extremity peripheral vascular interventions: insights from the NCDR PVI registry","volume":"12","author":"Bhardwaj","year":"2019","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.surg.2026.110617_bib14","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.pcad.2018.07.003","article-title":"An overview and update on obesity and the obesity paradox in cardiovascular diseases","volume":"61","author":"Elagizi","year":"2018","journal-title":"Prog Cardiovasc Dis"},{"key":"10.1016\/j.surg.2026.110617_bib15","doi-asserted-by":"crossref","first-page":"291","DOI":"10.31083\/j.rcm2508291","article-title":"Physical activity, cardiorespiratory fitness, and the obesity paradox with consideration for racial and\/or ethnic differences: a broad review and call to action","volume":"25","author":"Sparks","year":"2024","journal-title":"Rev Cardiovasc Med"},{"key":"10.1016\/j.surg.2026.110617_bib18","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1016\/j.pcad.2013.09.002","article-title":"Fitness vs. fatness on all-cause mortality: a meta-analysis","volume":"56","author":"Barry","year":"2014","journal-title":"Prog Cardiovasc Dis"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606026005428?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606026005428?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:16:28Z","timestamp":1790766988000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039606026005428"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":16,"alternative-id":["S0039606026005428"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2026.110617","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Weighing the evidence: The obesity paradox and its impact on lower extremity bypass surgery outcomes","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2026.110617","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"110617"}}