Enhanced recovery principles applied to revision hip and knee arthroplasty reduces length of stay and blood transfusion.

Michael Kent, Nick Calvert, Kevin Blades, Alex Swann, Piers Yates

Open access · bronzeAbstract read

In one paragraph

Article in Journal of orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it

0cells of the map it votes in

2citing papers in PubMed

1.0field-weighted citation impact, top 23% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

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 · 2021
Article
Enhanced recovery principles applied to revision hip and knee arthroplasty leads to better patient outcomes.Journal of orthopaedics
Article

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 2 countries.

Michael KentTorbay Hospital, Lowes Bridge, Torquay, Devon TQ2 7AA, United Kingdom.

Nick CalvertSt John of God Hospital Murdoch, Murdoch Drive, Murdoch, Perth, Western Australia 6159, Australia.

Kevin BladesSt John of God Hospital Murdoch, Murdoch Drive, Murdoch, Perth, Western Australia 6159, Australia.

Alex SwannSt John of God Hospital Murdoch, Murdoch Drive, Murdoch, Perth, Western Australia 6159, Australia.

Piers YatesSt John of God Hospital Murdoch, Murdoch Drive, Murdoch, Perth, Western Australia 6159, Australia.

St John of God Hospital · AUTorbay Hospital · GBUniversity of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis is the first study reporting the application of Enhanced Recovery Principles (ERP) to revision arthroplasty.

methodRetrospective series of 132 revision hip and knee replacements treated with ERP.

resultsInfiltration was associated with reduced LOS in knees (6 vs 8.5 days), lower PCA usage and incidence of transfusion in knees (2 vs 3 days) and hips (1 vs 6 days). Revisions for infection had a longer LOS (5.4 vs 11.5 days p = 0.001), a greater use of PCA and a higher incidence of transfusion (5 vs 0) in both knees and hips. DISCUSSION: The application of ERPs to revision arthroplasty is safe. Infiltration appears to be an important factor in improving outcome measures.

Indexed as

Blood transfusionEnhanced recoveryLength of stayPain controlRevision hip replacementRevision knee replacement

Identifiers

PMID28878516

DOI10.1016/j.jor.2017.08.012

PMCPMC5581381

OpenAlexW2749312223

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

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.