Trial reportActa orthopaedica2014
Role of preoperative pain, muscle function, and activity level in discharge readiness after fast-track hip and knee arthroplasty.
Trial report in Acta orthopaedica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Impact of perioperative enhanced recovery after surgery on wound infection in patients undergoing orthopaedic surgery: A meta-analysis.International wound journal · 2024Pooled it
- Effects of Enhanced Recovery After Surgery in Total Knee Arthroplasty for Patients Older Than 65 Years.Orthopaedic surgery · 2019Trial
- [Application of interrupted suture at exercise position in total knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Trial
- Effect of preoperative neuromuscular training (NEMEX-TJR) on functional outcome after total knee replacement: an assessor-blinded randomized controlled trial.BMC musculoskeletal disorders · 2015Trial
- Implementation of an institutional Enhanced Recovery After Surgery (ERAS) pathway is associated with fewer in-hospital falls after total knee arthroplasty.Journal of experimental orthopaedics · 2026Article
- RHD-HA-9: A scale for nurses to assess readiness for hospital discharge in older adults following hip arthroplasty-development and psychometric testing.Belitung nursing journal · 2024Article
- Key Components, Current Practice and Clinical Outcomes of ERAS Programs in Patients Undergoing Orthopedic Surgery: A Systematic Review.Journal of clinical medicine · 2022Review
- [Discharge readiness versus discharge-Results of the PROMISE study].Der Orthopade · 2022Article
- Developing an enhanced recovery after surgery program for oncology patients who undergo hip or knee reconstruction surgery.World journal of orthopedics · 2021Review
- [Preoperative management and patient education in fast-track arthroplasty].Der Orthopade · 2020Review
- Fast track in hip arthroplasty.EFORT open reviews · 2017Article
- Psychiatric disease as a risk factor in fast-track hip and knee replacement.Acta orthopaedica · 2016Review
- Accuracy of a custom physical activity and knee angle measurement sensor system for patients with neuromuscular disorders and gait abnormalities.Sensors (Basel, Switzerland) · 2015Article
- The impact of IPACK combined with adductor canal block under ultrasound guidance on early motor function after total knee arthroplasty.Brazilian journal of anesthesiology (Elsevier)Article
- Comparison of different local analgesia protocols in postoperative pain management after total knee arthroplasty.Brazilian journal of anesthesiology (Elsevier)Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThe concept of fast-track surgery has led to a decline in length of stay after total hip arthroplasty (THA) and total knee arthroplasty (TKA) to about 2-4 days. However, it has been questioned whether this is only achievable in selected patients-or in all patients. We therefore investigated the role of preoperative pain and functional characteristics in discharge readiness and actual LOS in fast-track THA and TKA.
methodsBefore surgery, hip pain (THA) or knee pain (TKA), lower-extremity muscle power, functional performance, and physical activity were assessed in a sample of 153 [corrected] patients and used as independent variables to predict the outcome (dependent variable) – readiness for hospital discharge – for each type of surgery. Discharge readiness was assessed twice daily by blinded assessors
resultsMedian discharge readiness and actual length of stay until discharge were both 2 days. Univariate linear regression followed by multiple linear regression revealed that age was the only independent predictor of discharge readiness in THA and TKA, but the standardized coefficients were small (≤ 0.03).
interpretationThese results support the idea that fast-track THA and TKA with a length of stay of about 2-4 days can be achieved for most patients independently of preoperative functional characteristics.
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.