Evidence map›Paper›PMID 28426262›Full record

ArticleActa orthopaedica2017

Feasibility of outpatient total hip and knee arthroplasty in unselected patients.

Kirill Gromov, Per Kjærsgaard-Andersen, Peter Revald, Henrik Kehlet, Henrik Husted

2 registry-linked trialsOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Acta orthopaedica, 2017. 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 66 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
15.6field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT04227873 unknown statusnot on this mapstarted 2020, after this paper: background citation

Sleep and Cognition After Ambulatory Hip and Knee Arthroplasty

TypeobservationalSponsorHvidovre University HospitalRan2020 to 2020Enrolled16ConditionsSleep Disturbance, Delirium, Arthroplasty Complications
NCT05563155 phase4completednot on this mapstarted 2021, after this paper: background citation

Repeat Dose Steroid to Prevent Pain Relapse After Total Knee Arthroplasty in Patients With High Pain Response - A Randomized Double-blind Placebo-controlled Trial

TypeinterventionalSponsorVejle HospitalRan2021 to 2024Enrolled110ConditionsPost Operative Pain, AcuteArmsDexamethasone 24 mg, Placebo
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 1 synthesis or guideline pooled it, 150 citations in OpenAlex.

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  8. Implementation of an ERASJournal of clinical medicine · 2026
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  18. Ambulatory total hip and knee arthroplasty: a literature review and perioperative considerations.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024
    Review
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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Kirill Gromova Department of Orthopedic Surgery , Copenhagen University Hospital , Hvidovre.
Per Kjærsgaard-Andersenb Departement of Orthopedic Surgery , Vejle Hospital , Vejle.
Peter Revaldb Departement of Orthopedic Surgery , Vejle Hospital , Vejle.
Henrik Kehletc Section of Surgical Pathophysiology, Rigshospitalet , Copenhagen.
Henrik Husteda Department of Orthopedic Surgery , Copenhagen University Hospital , Hvidovre.
Hvidovre Hospital · DKVejle Sygehus · DKRigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - The number of patients who are suitable for outpatient total hip and knee arthroplasty (THA and TKA) in an unselected patient population remains unknown. The purpose of this prospective 2-center study was to identify the number of patients suitable for outpatient THA and TKA in an unselected patient population, to investigate the proportion of patients who were discharged on the day of surgery (DOS), and to identify reasons for not being discharged on the DOS. Patients and methods - All consecutive, unselected patients who were referred to 2 participating centers and who were scheduled for primary THA and TKA were screened for eligibility for outpatient surgery with discharge to home on DOS. If patients did not fulfill the discharge criteria, the reasons preventing discharge were noted. Odds factors with relative risk intervals for not being discharged on DOS were identified while adjusting for age, sex, ASA score, BMI and distance to home. Results - Of the 557 patients who were referred to the participating surgeons during the study period, 54% were potentially eligible for outpatient surgery. Actual DOS discharge occurred in 13-15% of the 557 patients. Female sex and surgery late in the day increased the odds of not being discharged on the DOS. Interpretation - This study shows that even in unselected THA and TKA patients, same-day discharge is feasible in about 15% of patients. Future studies should evaluate safety aspects and economic benefits.

Indexed as

Ambulatory Surgical ProceduresAgedArthroplasty, Replacement, HipArthroplasty, Replacement, KneeFeasibility StudiesFemaleHumansLength of StayMalePatient DischargeProspective Studies

Identifiers

PMID28426262
PMCPMC5560215
OpenAlexW2607196689

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.