Evidence map›Paper›PMID 30598872›Full record

ArticleWorld journal of orthopedics2018

Socio-demographic factors impact time to discharge following total knee arthroplasty.

Ugonna N Ihekweazu, Garrett H Sohn, Mitzi S Laughlin, Robin N Goytia, Vasilios Mathews, Gregory W Stocks, Anay R Patel, Mark R Brinker

Abstract read
In one paragraph

Article in World journal of orthopedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Effect of Marital Status on Outcomes Following Total Joint Arthroplasty.Archives of orthopaedic and trauma surgery · 2022
    Article
  8. Demographics of Patients Traveling Notable Distances to Receive Total Knee Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022
    Article
  9. Article
  10. Racial and Socioeconomic Differences in Distance Traveled for Elective Hip Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022
    Article
  11. Observational
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

8 authors.

Ugonna N IhekweazuFondren Orthopedic Group, Houston, TX 77030, United States.
Garrett H SohnDepartment of Orthopedic Surgery, Baylor College of Medicine, Houston, TX 77030, United States.
Mitzi S LaughlinFondren Orthopedic Research Institute, Fondren Orthopedic Group, Houston, TX 77030, United States. mitzi.laughlin@fondren.com.
Robin N GoytiaFondren Orthopedic Group, Houston, TX 77030, United States.
Vasilios MathewsFondren Orthopedic Group, Houston, TX 77030, United States.
Gregory W StocksFondren Orthopedic Group, Houston, TX 77030, United States.
Anay R PatelFondren Orthopedic Group, Houston, TX 77030, United States.
Mark R BrinkerFondren Orthopedic Group, Houston, TX 77030, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo determine social, logistical and demographic factors that influence time to discharge in a short stay pathway (SSP) by following total knee arthroplasty (TKA).

methodsThe study included primary TKA's performed in a high-volume arthroplasty center from January 2016 through December 2016. Potential variables associated with increased hospital length of stay (LOS) were obtained from patient medical records. These included age, gender, race, zip code, body mass index (BMI), number of pre-operative medications used, number of narcotic medications used, number of patient reported allergies (PRA), simultaneous bilateral surgery, tobacco use, marital status, living arrangements, distance traveled for surgery, employment history, surgical day of the week, procedure end time and whether the surgery was performed during a major holiday week. Multivariate step-wise regression determined the impact of social, logistical and demographic factors on LOS.

resultsEight hundred and six consecutive primary SSP TKA's were included in this study. Patients were discharged at a median of 49 h (post-operative day two). The following factors increased LOS: Simultaneous bilateral TKA [46.1 h longer (

conclusionThe cost of TKA is dependent upon LOS, which is affected by multiple factors. The clinical care team should acknowledge socio-demographic factors to optimize LOS.

Indexed as

CostLength of stayRisk factorsTotal knee arthroplastyTotal knee replacement

Identifiers

PMID30598872
PMCPMC6306518

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.