ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2019
Outcomes of the First 1,000 Total Hip and Total Knee Arthroplasties at a Same-day Surgery Center Using a Rapid-recovery Protocol.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Patient reported outcome measures (PROMs) as primary and secondary outcomes in total hip and knee arthroplasty randomized controlled trials: a systematic review.Archives of orthopaedic and trauma surgery · 2024Pooled it
- 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 · 2026Article
- Trends and Outcomes in Outpatient Revision Total Hip Arthroplasty: A Retrospective Matched Cohort Study.Hip & pelvis · 2026Article
- Results of Total Knee Arthroplasty with Robotic Assistance.Revista brasileira de ortopedia · 2025Article
- [Results of Total Knee Arthroplasty with Robotic Assistance].Revista brasileira de ortopedia · 2025Article
- Outcomes of salvage total hip arthroplasty after failed cannulated screw fixation of fractured neck of femur.Journal of orthopaedics · 2025Article
- Safety of Same-Day Discharge Following Total Ankle Arthroplasty: A Retrospective Cohort Analysis.Foot & ankle orthopaedics · 2024Article
- A Medicoeconomic Evaluation of a Telehealth Platform for Elective Outpatient Surgeries: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2023Article
- Total Joint Arthroplasty at a Novel "Hyperspecialty" Ambulatory Surgical Center With Extended Care Suites is as Safe as Inpatient Arthroplasty.Arthroplasty today · 2022Article
- The safety and efficacy of day-case total joint arthroplasty.Annals of the Royal College of Surgeons of England · 2021Review
- Perioperative gait analysis after total hip arthroplasty: Does outpatient surgery compromise patient outcomes?Canadian journal of surgery. Journal canadien de chirurgie · 2021Observational
- Converting hip and knee arthroplasty cases to same-day surgery due to COVID-19.Bone & joint open · 2021Article
- Demographic and clinical factors associated with same-day discharge and unplanned readmission following shoulder arthroplasty: a retrospective cohort study.Korean journal of anesthesiology · 2021Article
- Are functional outcomes and early pain affected by discharge on the day of surgery following total hip and knee arthroplasty?Acta orthopaedica · 2021Article
- Safety of Same and Next Day Discharge Following Revision Hip and Knee Arthroplasty Using Modern Perioperative Protocols.The Journal of arthroplasty · 2021Article
- Is There Benefit in Keeping Early Discharge Patients Overnight After Total Joint Arthroplasty?The Journal of arthroplasty · 2021Article
- Rationale and design of the PaTIO study: PhysiotherApeutic Treat-to-target Intervention after Orthopaedic surgery.BMC musculoskeletal disorders · 2020Article
- Outpatient total knee arthroplasty: is it economically feasible in the hospital setting?Arthroplasty today · 2020Article
- Enhanced ambulatory male urethral surgery: a pathway to successful outpatient urethroplasty.Translational andrology and urology · 2020Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOutpatient (<24 hour stay) total joint arthroplasty (TJA) has emerged as an alternative to traditional inpatient TJA. Patient-reported outcomes in the past have revealed favorable comparisons with inpatient controls. However, a higher outpatient TJA readmission rate has been reported. The goal of our study is to report outcomes, readmissions, and unplanned access to care data on the first 1,000 TJAs performed at a de novo ambulatory surgery center (ASC).
methodsFrom March 2014 to May 2016, a consecutive series of 1,000 primary, total hip, and total knee arthroplasties (TKAs) were performed at a same-day surgical center. All patients were ≤66 years old, met the ASC inclusion criteria, and received preoperative training. All patients were discharged <24 hours after surgery to postoperative care suites. Oxford scores, visual analog scale for pain, patient satisfaction, ambulation, complication, and adverse events data were collected.
resultsA consecutive series of 543 TKAs and 457 total hip arthroplasties (THAs) were performed. Mean age was 57.2 years (range 28 to 66 years). The TKA patients consisted of 55.2% women, whereas THA patients consisted of 45.3% women. Overall infection rate was 0.8%. Hospital readmission rate was 1.5%, and early/unplanned access to care was 11.7%. Oxford Knee and Oxford Hip scores showed 15.7 and 21.1 point improvements, respectively, whereas pain scores improved 71% for TKA and 81% for THA at 6 months postoperatively (
conclusionsOur immediate and short-term complications, readmissions, and outcomes for all patients compared favorably with published inpatient data. This study provides baseline data for quality metrics and functional outcomes for ASC-based total joint procedures.
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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.