Evidence map›Paper›PMID 31020032›Full record

ArticleArthroplasty today2019

Transition to outpatient total hip and knee arthroplasty: experience at an academic tertiary care center.

Hrishikesh C Gogineni, Chancellor F Gray, Hernan A Prieto, Justin T Deen, Andre P Boezaart, Hari K Parvataneni

Abstract read
In one paragraph

Article in Arthroplasty today, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. 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 · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. VNS Health and HSS Partner to Reduce Length of Stay After Total Joint Arthroplasty: Implications for Home Care Providers.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. No Effect of Surgical Approach on Discharge Outcomes in Outpatient Total Hip Arthroplasty.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2022
    Article
  17. Failure to Meet Same-Day Discharge is Not a Predictor of Adverse Outcomes.Archives of orthopaedic and trauma surgery · 2022
    Article
  18. Article
  19. Review
  20. The safety and efficacy of day-case total joint arthroplasty.Annals of the Royal College of Surgeons of England · 2021
    Review
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

6 authors.

Hrishikesh C GogineniDepartment of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA.
Chancellor F GrayDepartment of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA.
Hernan A PrietoDepartment of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA.
Justin T DeenDepartment of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA.
Andre P BoezaartDepartment of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA.
Hari K ParvataneniDepartment of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterest in outpatient total hip arthroplasty (THA) and total knee arthroplasty (TKA) has increased recently as part of value-based care and early recovery protocols. Outpatient pathways require significant paradigm shifts, are not used widely, and are mostly implemented at outpatient surgery centers or orthopedic specialty hospitals. In this article, we report on the outcomes of implementation of an outpatient arthroplasty protocol at a tertiary care academic medical center.

methodsWe performed a retrospective review on a series of 105 consecutive patients who underwent THA or TKA following our newly implemented outpatient arthroplasty protocol. We compared these patients to a group of inpatient arthroplasty patients from the same time period.

resultsEighty-three of 105 (79%) patients were successfully discharged home on the day of surgery. Successful same-day discharge was predicted by early ambulation (

conclusionsOutpatient THA and TKA in a well-selected patient is feasible in an academic multidisciplinary tertiary care hospital, with complication rates approximating inpatient surgery. The findings reported here can be used to further optimize outpatient arthroplasty protocols.

Indexed as

AmbulationAnesthesiaOutpatient arthroplastyRapid recoveryUrinary retention

Identifiers

PMID31020032
PMCPMC6470322

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Registered trials

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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.