Access to hip and knee arthroplasty in England: commissioners’ policies for body mass index and smoking status and implications for integrated care systems

Table 2 Use of body mass index (BMI) thresholds in weight management policies for hip and knee arthroplasty n = 72

Body mass index threshold	BMI threshold for policy application/ patient eligibility of any kind		BMI threshold for mandatory engagement or wait for access to surgery^a		BMI threshold for access to surgery
	n = 72		n = 27		n = 12
	n	%	n	%	n	%
No specific threshold^b	10	13.9	1	3.7	0
25	15	20.8	9	33.3	0	0.0
30	10	13.9	1	3.7	1	8.3
35	27	37.5	6	22.2	2	16.7
40	7	9.7	7	25.9	6	50.0
45	3	4.2	3	11.1	3	25.0

^aIncludes mandatory participation with weight management services and/or mandatory weight loss to reach a % weight loss or a specified BMI threshold
^ball patients were subject to the same restrictions regardless of BMI e.g. all patients given access to lifestyle improvement services for 3 months before surgery

ISSN: 1472-6963