Observational studyBMC musculoskeletal disorders2015
Comparison of patients in three different rehabilitation settings after knee or hip arthroplasty: a natural observational, prospective study.
Observational study in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04923373 (Early Function Recovery in Geriatric Patients With Total Knee Arthroplasty by Telerehabilitation), which is not on this map. Cited by 15 papers.
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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.
Early Function Recovery in Geriatric Patients With Total Knee Arthroplasty by Telerehabilitation
Who cites it
15 citing papers in PubMed.
- Rapid recovery following hip and knee arthroplasty using local infiltration analgesia: length of stay, rehabilitation protocol and cost savings.ANZ journal of surgery · 2020Trial
- Admission to rehab increases risk of postoperative venous thromboembolism and bleeding after operative fixation of femoral neck fractures.Journal of orthopaedics · 2025Article
- Risk assessment model used to predict discharge care after total hip and total knee arthroplasty: A population-based study.Journal of orthopaedics · 2025Article
- Effect of baseline values on inpatient rehabilitation outcomes after total knee arthroplasty: a retrospective observational study.Journal of rehabilitation medicine · 2025Observational
- A protocol for delivery of prehabilitation in lower limb arthroplasty in South Africa.The South African journal of physiotherapy · 2025Article
- Clinical effectiveness of a standardized community-based supervised post-acute rehabilitation model after total knee arthropathy: A pilot study.The journal of the International Society of Physical and Rehabilitation Medicine · 2024Article
- Discharge to inpatient rehabilitation following arthroplasty is a strong predictor of persistent opioid use 90 days after surgery: a prospective, observational study.BMC musculoskeletal disorders · 2023Observational
- Recovery and the use of postoperative physical therapy after total hip or knee replacement.BMC musculoskeletal disorders · 2022Observational
- The effect of a preoperative physical therapy education program on short-term outcomes of patients undergoing elective total hip arthroplasty: A controlled prospective clinical trial.Acta orthopaedica et traumatologica turcica · 2021Article
- Social Determinants of Health in Physiatry: Challenges and Opportunities for Clinical Decision Making and Improving Treatment Precision.Frontiers in public health · 2021Review
- Fast-track rehabilitation after total knee arthroplasty reduces length of hospital stay: A prospective, case-control clinical trial.Turkish journal of physical medicine and rehabilitation · 2020Article
- Variation in rehabilitation setting after uncomplicated total knee or hip arthroplasty: a call for evidence-based guidelines.BMC musculoskeletal disorders · 2019Observational
- The effectiveness of inpatient rehabilitation after uncomplicated total hip arthroplasty: a propensity score matched cohort.BMC musculoskeletal disorders · 2018Observational
- Observational
- Post-acute Transitional Journey: Caring for Orthopedic Surgery Patients in the United States.Frontiers in medicine · 2018Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients after primary hip or knee replacement surgery can benefit from postoperative treatment in terms of improvement of independence in ambulation, transfers, range of motion and muscle strength. After discharge from hospital, patients are referred to different treatment destination and modalities: intensive inpatient rehabilitation (IR), cure (medically prescribed stay at a convalescence center), or ambulatory treatment (AT) at home. The purpose of this study was to 1) measure functional health (primary outcome) and function relevant factors in patients with hip or knee arthroplasty and to compare them in relation to three postoperative management strategies: AT, Cure and IR and 2) compare the post-operative changes in patient's health status (between preoperative and the 6 month follow-up) for three rehabilitation settings.
methodsNatural observational, prospective two-center study with follow-up. Sociodemographic data and functional mobility tests, Timed Up and Go (TUG) and Iowa Level of Assistance Scale (ILOAS) of 201 patients were analysed before arthroplasty and at the end of acute hospital stay (mean duration of stay: 9.7 days +/- 3.9). Changes in health state were measured with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) before and 6 months after arthroplasty.
resultsCompared to patients referred for IR and Cure, patients referred for AT were significantly younger and less comorbid. Patients admitted to IR had the highest functional disability before arthroplasty. Before rehabilitation, mean TUG was 40.0 s in the IR group, 33.9 s in the Cure group, and 27.5 s in the AT group, and corresponding mean ILOAS was 16.0, 13.0 and 12.2 (50.0 = worst). At the 6 months follow-up, the corresponding effect sizes of the WOMAC global score were 1.32, 1.87, and 1.51 (>0 means improvement).
conclusionsAge, comorbidity and functional disability are associated with referral for intensive inpatient rehabilitation after hip or knee arthroplasty and partly affect health changes after rehabilitation.
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