“Body Mass Index, Comorbidities, and the New Lancet Obesity Definition: Implications for Risk Analysis in Plastic and Reconstructive Surgery”

Plastic & Reconstructive Surgery 2026

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Authors: Micaela J. Tobin, Audrey K. Mustoe, Sophia L. Ahn, Mohammed Yamin, Tricia Mae Raquepo, Anirudh Kulkarni, Manuela Neira, Sarah J. Karinja, Bernard Travis Lee, Ryan P. Cauley
DOI: 10.1097/prs.0000000000012830
Cited by: 1
References: 40

Abstract

INTRODUCTION: The Lancet Diabetes and Endocrinology Commission proposed a new definition of obesity that de-emphasizes body mass index (BMI) in favor of adiposity-related comorbidities. Our study evaluates the relevance of this paradigm shift to Plastic and Reconstructive Surgery (PRS) by analyzing the effects of BMI and adiposity-related comorbidities on 30-day complication rates. METHODS: The TriNetX health database was queried for patients undergoing PRS procedures. Patients were stratified by BMI categories and presence/absence of adiposity-related comorbidities. Cox regression analyses determined hazard ratios (HR) for 30-day complications with subset analyses performed by procedural complexity. RESULTS: Among 957,985 patients, those with BMIs 25-39.9 and comorbidities (HR 1.05, p

Fields of Study & Subjects

Body Contouring and Surgery Breast Implant and Reconstruction Bariatric Surgery and Outcomes

Publication details

Journal / source
Plastic & Reconstructive Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Volume
158
Issue
4
Pages
718e-726e
Publication date
20 January 2026
Language
EN