Key result
A systematic review found no published surgical outcomes studies comparing the body roundness index to the body mass index for surgical risk stratification in plastic surgery.
Why the study?
Meta-analyses suggest body roundness index predicts cardiovascular disease and metabolic syndrome better than BMI, but its use in surgical risk stratification in plastic surgery was unknown.
Does the body roundness index (BRI) yield better surgical risk stratification than body mass index (BMI) in plastic surgery patients?
Systematic Review
Does the body roundness index (BRI) yield better surgical risk stratification than body mass index (BMI) in plastic surgery patients?
There is currently a lack of literature comparing the body roundness index to body mass index for surgical risk stratification in plastic surgery.
No comparative data exist for BRI versus BMI in plastic surgery risk stratification; leaves open whether BRI improves perioperative prediction.
Meta-analyses suggest the body roundness index (BRI) yields better discriminatory power for predicting cardiovascular disease and metabolic syndrome than the body mass index (BMI). Given the role of plastic surgeons in the surgical management of obesity, massive weight loss, and their sequalae, we conducted a systematic review of the literature to search for surgical outcomes studies comparing BRI to BMI for surgical risk stratification. Our search yielded no studies meeting criteria. We offer suggestions for integrating the BRI into plastic surgery clinical research and clinical practice.
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Dagi et al. (2025) conducted a systematic review in Obesity and massive weight loss requiring surgical management. Body roundness index (BRI) vs. Body mass index (BMI) was evaluated on Surgical outcomes for risk stratification. A systematic review found no published surgical outcomes studies comparing the body roundness index to the body mass index for surgical risk stratification in plastic surgery.
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