ReviewAnnals of the Royal College of Surgeons of England2013
An evidence-based review of enhanced recovery interventions in knee replacement surgery.
Review in Annals of the Royal College of Surgeons of England, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Efficacy and Side Effects of Intrathecal Morphine in Multimodal Analgesia for Unilateral Total Knee Arthroplasty
Effects of Structured Rehabilitation Program on Pain and Function in Patients With Total Knee Replacement
Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Enhanced recovery following hip and knee arthroplasty: a systematic review of cost-effectiveness evidence.BMJ open · 2020Pooled it
- What is the evidence to support early supervised exercise therapy after primary total knee replacement? A systematic review and meta-analysis.BMC musculoskeletal disorders · 2019Pooled it
- Occupational advice to help people return to work following lower limb arthroplasty: the OPAL intervention mapping study.Health technology assessment (Winchester, England) · 2020Trial
- In-home versus hospital preoperative balance and proprioceptive training in patients undergoing TKR; rationale, design, and method of a randomized controlled trial.BMC musculoskeletal disorders · 2017Trial
- Trial
- Review
- Review
- Is a Rapid Recovery Protocol for THA and TKA Associated With Decreased 90-day Complications, Opioid Use, and Readmissions in a Health Safety-net Hospital?Clinical orthopaedics and related research · 2024Observational
- A nomogram to predict the risk of prolonged length of stay following primary total hip arthroplasty with an enhanced recovery after surgery program.Journal of orthopaedic surgery and research · 2021Article
- Sex-Specific Reduction in Inflammation of Osteoarthritic Human Chondrocytes and Nutraceutical-Dependent Extracellular Matrix Formation.Journal of immunology and regenerative medicine · 2021Article
- Application of Enhanced Recovery after Surgical Treatment of the Occipitocervical Region.Orthopaedic surgery · 2021Article
- Development and Validation of the Pain and State of Health Inventory (PHI): Application for the Perioperative Setting.Journal of clinical medicine · 2021Article
- Enhanced Recovery After Surgery Trends in Adult Spine Surgery: A Systematic Review.International journal of spine surgery · 2020Article
- Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERASActa orthopaedica · 2020Review
- Electrolyte imbalance after total joint arthroplasty: risk factors and impact on length of hospital stay.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Observational
- Article
- Intravenous Oxycodone Versus Other Intravenous Strong Opioids for Acute Postoperative Pain Control: A Systematic Review of Randomized Controlled Trials.Pain and therapy · 2019Review
- [Comparison of early rehabilitation effects of total hip arthroplasty with direct anterior approach versus posterior approach].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Article
- Accuracy of bone resection in total knee arthroplasty using CT assisted-3D printed patient specific cutting guides.SICOT-J · 2018Article
- Surgical Technical Evidence Review of Hip Fracture Surgery Conducted for the AHRQ Safety Program for Improving Surgical Care and Recovery.Geriatric orthopaedic surgery & rehabilitation · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTotal knee replacement (TKR) is a very common surgical procedure. Improved pain management techniques, surgical practices and the introduction of novel interventions have enhanced the patient's postoperative experience after TKR. Safe, efficient pathways are needed to address the increasing need for knee arthroplasty in the UK. Enhanced recovery programmes can help to reduce hospital stays following knee replacements while maintaining patient safety and satisfaction. This review outlines common evidence-based pre, intra and postoperative interventions in use in enhanced recovery protocols following TKR.
methodsA thorough literature search of the electronic healthcare databases (MEDLINE(®), Embase™ and the Cochrane Library) was conducted to identify articles and studies concerned with enhanced recovery and fast track pathways for TKR.
resultsA literature review revealed several non-operative and operative interventions that are effective in enhanced recovery following TKR including preoperative patient education, pre-emptive and local infiltration analgesia, preoperative nutrition, neuromuscular electrical stimulation, pulsed electromagnetic fields, perioperative rehabilitation, modern wound dressings, different standard surgical techniques, minimally invasive surgery and computer assisted surgery.
conclusionsEnhanced recovery programmes require a multidisciplinary team of dedicated professionals, principally involving preoperative education, multimodal pain control and accelerated rehabilitation; this will be boosted if combined with minimally invasive surgery. The current economic climate and restricted healthcare budget further necessitate brief hospitalisation while minimising costs. These non-operative interventions are the way forward to achieve such requirements.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.