Rubenstein WJ, et al. - Using the National Surgical Quality Improvement Program database from 2015 to 2016, researchers examined 26,509 shoulder arthroscopy cases to estimate the postoperative complications after shoulder arthroscopy stratified by body mass index (BMI) and also quantified the trade-off in postsurgical complexities. They observed a higher overall complication rate, elevated rates of readmission, pneumonia, progressive renal insufficiency, and cardiac arrest among subjects with a BMI >40. They suggested that a BMI cutoff of 40 would circumvent 12% of major complexities. They also found a positive predictive value (PPV) of 2.3% where 43 surgeries would be rejected for every dilemma avoided at a BMI cutoff of 40.