Evidence map›Paper›PMID 31054080›Full record

Observational studyMusculoskeletal surgery2020

Enhanced recovery after surgery (ERAS) in hip and knee replacement surgery: description of a multidisciplinary program to improve management of the patients undergoing major orthopedic surgery.

L Frassanito, A Vergari, R Nestorini, G Cerulli, G Placella, V Pace, M Rossi

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Musculoskeletal surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06084403 (The Efficacy of Different Volumes for Ultrasound-Guided Adductor Canal Block for Postoperative Analgesia Management After Total Knee Arthroplasty Surgery), which is not on this map. Cited by 70 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 6 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.

NCT06084403 nacompletednot on this mapstarted 2023, after this paper: background citation

The Efficacy of Different Volumes for Ultrasound-Guided Adductor Canal Block for Postoperative Analgesia Management After Total Knee Arthroplasty Surgery

TypeinterventionalSponsorBursa City HospitalRan2023 to 2024Enrolled90ConditionsKnee Disease, Knee Deformity, Knee Pain Chronic, Knee ArthropathyArms20 ml volume adductor canal block, 30 ml volume adductor canal block, 40 ml volume adductor canal block
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Review
  13. Article
  14. Article
  15. Perioperative Considerations for Orthopedic Surgery in a Geriatric Population.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

10 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

7 authors.

L FrassanitoArea Anestesiologia, Rianimazione, Terapie Intensive e Terapia del Dolore, Fondazione Policlinico A. Gemelli, Rome, Italy. lucfras75@hotmail.com.ORCID http://orcid.org/0000-0001-6406-2591
A VergariArea Anestesiologia, Rianimazione, Terapie Intensive e Terapia del Dolore, Fondazione Policlinico A. Gemelli, Rome, Italy.
R NestoriniArea Anestesiologia, Rianimazione, Terapie Intensive e Terapia del Dolore, Fondazione Policlinico A. Gemelli, Rome, Italy.
G CerulliArea Invecchiamento, Ortopedia e Riabilitazione, Fondazione Policlinico A. Gemelli, Rome, Italy.
G PlacellaU. O. Ortopedia e Traumatologia, Azienda Ospedaliera Regionale San Carlo, Potenza, Italy.
V PaceRoyal National Orthopedic Hospital, Stanmore, London, UK.
M RossiArea Anestesiologia, Rianimazione, Terapie Intensive e Terapia del Dolore, Fondazione Policlinico A. Gemelli, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEnhanced recovery after surgery (ERAS) protocols aim to develop peri-operative multidisciplinary programs to shorten length of hospital stay (LOS) and reduce complications, readmissions and costs for patients undergoing major surgery. The aim of this study is to evaluate the effects of an ERAS pathway for total hip (THR) and knee (TKR) replacement surgery in terms of length of stay, incidence of complications and patient satisfaction.

methodsPatients scheduled for hip and knee replacement were included in the study. The main aspects of this program were preoperative education/physical therapy, rational choice of the anesthetic technique, optimization of multimodal analgesia, reduction of incidence of urinary retention and catheterization, active management of risk for blood loss and deep vein thrombosis, and early mobilization of the patients. All patients had 6 months predicted and planned follow-up appointments. Primary outcomes of the study were the mean LOS, readmission and complication rates. Secondary Outcomes were percentage of Knee Injury & Osteoarthritis Outcome Score (KOOS) and Hip disability and Osteoarthritis Outcome Score (HOOS) increase and patient's satisfaction.

resultsWe consecutively enrolled 207 patients who underwent total joint arthroplasty, 78 hip and 129 knee joint replacements. The mean length of stay (LOS) for patients of the two groups was 4.3 days for ASA 3-4 patients subjected to TKR and THR, in ASA 1-2 patients 3.6 days for TKR and 3.9 days for THR respectively. Postoperative satisfaction level was higher than 7 (very satisfied) in 94.4% of the cases. All patients were discharged home: 61.8% continued physical therapy in complete autonomy, 23.7% supported by a home-physiotherapist and only 14.5% needed the attendance to a physiotherapy center on a daily basis. The overall incidence of major complications was 3.4%.

conclusionsThe implementation of an ERAS program for hip and knee replacement surgery allows early patient's discharge and a quick return to independency in the daily activities. LEVEL OF EVIDENCE: IV.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeEnhanced Recovery After SurgeryLength of StayPatient DischargeAgedFemaleHumansIncidenceMalePostoperative ComplicationsEnhanced recovery after surgeryHipKneeOrthopedicsSelective spinal anesthesia

Identifiers

PMID31054080

What OpenQuestion holds

Textmetadata
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.