ArticleActa orthopaedica2018
Outpatient total hip and knee arthroplasty.
Article in Acta orthopaedica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 95 citations in OpenAlex.
- Safety, efficacy and cost-effectiveness of outpatient versus inpatient joint arthroplasty: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2025Pooled it
- Safety and efficacy of outpatient hip and knee arthroplasty: a systematic review with meta-analysis.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Pre-emptive analgesia with methylprednisolone and gabapentin in total knee arthroplasty in the elderly.Scientific reports · 2022Trial
- Outpatient total hip or knee arthroplasty in ambulatory surgery center versus arthroplasty ward: a randomized controlled trial.Acta orthopaedica · 2020Trial
- The Effect of an App for Day-to-Day Postoperative Care Education on Patients With Total Knee Replacement: Randomized Controlled Trial.JMIR mHealth and uHealth · 2019Trial
- Fast-track total knee arthroplasty improved clinical and functional outcome in the first 7 days after surgery: a randomized controlled pilot study with 5-year follow-up.Archives of orthopaedic and trauma surgery · 2018Trial
- Day-Care Direct Anterior Total Hip Arthroplasty in Urban India: Patient Education, Apprehensions, and Outcomes.Journal of orthopaedic case reports · 2026Article
- The Effect of Unilateral Erector Spinae Plane Block With Dexmedetomidine as an Additive Versus Intrathecal Morphine on Early Mobilization After Total Hip Replacement Under Spinal Anesthesia in Cairo University Hospitals: A Randomized Controlled Trial.Anesthesiology research and practice · 2026Article
- Optimizing Early Recovery Quality in Same-Day Discharge Total Hip Arthroplasty: A Narrative Review.Clinical interventions in aging · 2026Review
- Hyponatraemia After Hip and Knee Replacement: Incidence, Risk Factors, Clinical Consequences and Management in the Era of Enhanced Recovery.Clinics and practice · 2025Review
- Safety of same-day discharge knee arthroplasty surgery: a retrospective analysis of observational data from the hospital episode statistics dataset for England.Archives of orthopaedic and trauma surgery · 2025Observational
- Clinical Implications of Post-operative Haemoglobin Levels in Total Hip and Knee Arthroplasty.Cureus · 2025Article
- In-Hospital Pain and Opioid Consumption After Primary Total Knee Arthroplasty Compared to Primary Total Hip Arthroplasty: Results from 7330 Patients Treated in a Fast-Track Setting.Pain and therapy · 2025Article
- A home-based tele-rehabilitation exercise system for patients after knee replacement surgery.BMC musculoskeletal disorders · 2024Article
- Half of all hip and knee arthroplasty patients may be potential day-case candidates: a nationwide register study of 166,730 procedures.Acta orthopaedica · 2024Article
- Higher Risk of Reoperation after Total Knee Arthroplasty in Young and Elderly Patients.Materials (Basel, Switzerland) · 2023Article
- Outpatient hip and knee arthroplasty: how is it utilized?Acta orthopaedica · 2023Article
- Prospective cohort study of same-day discharge shoulder arthroplasty in patients of 85 years and younger.Shoulder & elbow · 2023Article
- Study protocol for discharge on day of surgery after hip and knee arthroplasty from the Center for Fast-track Hip and Knee Replacement.Acta orthopaedica · 2023Article
- Predicting Need for Skilled Nursing or Rehabilitation Facility after Outpatient Total Hip Arthroplasty.Hip & pelvis · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As a result of the introduction of fast-track programs, the length of hospital stay after arthroplasty has decreased to a point where some patients meet the discharge criteria on the day of surgery. In several studies, well-established fast-track centers have demonstrated the feasibility of outpatient procedures in selected patients. However, in literature the term "outpatient" is sometimes also used for patients who spend one or more nights in hospital. We therefore propose to use "outpatient" solely for patients who are discharged to their own home on the day of surgery and do not have an overnight stay at either the hospital or another non-home facility. Also, several challenges need to be overcome before this becomes an established procedure. The combination of preoperative high-dose steroids and multimodal opioid-sparing analgesia has enhanced patient recovery after arthroplasty, but efforts to control undesirable pathophysiological responses will be a prerequisite to improve the success rate of an outpatient setting. Also, care must be taken to avoid extra activities or investments solely to enable discharge on the day of surgery. Further cost analyses will have to be performed to establish the true financial benefit of outpatient treatment.
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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.