ArticleArthroplasty today2017
Improving value in primary total joint arthroplasty care pathways: changes in inpatient physical therapy staffing.
Article in Arthroplasty today, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Value-Based Healthcare Initiatives in Practice: A Systematic Review.Journal of healthcare management / American College of Healthcare Executives · 2021Pooled it
- Higher Perioperative Opioid Use Is Associated With Reduced Early Ambulation Following Total Hip and Knee Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Global Adoption of Value-Based Health Care Initiatives Within Health Systems: A Scoping Review.JAMA health forum · 2025Article
- The factors determining early mobilization in elderly patients undergoing total knee replacement.BMC geriatrics · 2025Article
- Same-day discharge after early mobilisation and increased frequency of physiotherapy following hip and knee arthroplasty.The South African journal of physiotherapy · 2022Article
- Implementing early mobilisation after knee or hip arthroplasty to reduce length of stay: a quality improvement study with embedded qualitative component.BMC musculoskeletal disorders · 2020Article
- Time of return of neurologic function after spinal anesthesia for total knee arthroplasty: mepivacaine vs bupivacaine in a randomized controlled trial.Arthroplasty today · 2019Article
- Short-term functional recovery after total joint arthroplasty is unaffected by bundled payment participation.Arthroplasty today · 2019Article
- Nursing care activities based on documentation.BMC nursing · 2019Article
- Immediate Physical Therapy following Total Joint Arthroplasty: Barriers and Impact on Short-Term Outcomes.Advances in orthopedics · 2019Article
- CORR Insights®: Long-term Mortality After Revision THA.Clinical orthopaedics and related research · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAn early physical therapy (PT) care pathway was implemented to provide same-day ambulation after total joint arthroplasty by changing PT staffing hours.
methodsAfter receiving an exemption from our institutional review board, we performed a secondary data analysis on a cohort of patients that underwent primary TJA of the hip or knee 6 months before and 12 months after implementation of the change. Data on same-day ambulation rates, length of stay (LOS), and in-hospital costs were reviewed.
resultsEarly evaluation and mobilization of patients by PT improved on postoperative day (POD) 0 from 64% to 85% after the change (
conclusionsA relatively simple change to staffing hours, using resources currently available to us, and little additional financial or institutional investment resulted in a significant improvement in the number of patients ambulating on POD 0, with a modest reduction in both LOS and inpatient costs.
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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.