Evidence map›Paper›PMID 31612317›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2020

Does face-to-face pre-operative joint replacement education reduce hospital costs in a regional Australian hospital? A descriptive retrospective clinical audit.

Daniel Lewis, Katherine Fullard, Tyrone Kolbe, Sally Chapman, Anestis Divanoglou, Christopher Doran, Victoria Hutton, Joel Santamaria, Luke J Heales

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Implementation of +PERTOHealthcare (Basel, Switzerland) · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Adapting Physical Therapy Practice for the "Short-Stay" Total Joint Arthroplasty Patient: A Commentary.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024
    Article
  7. Modifiable factors influencing length of stay after total knee arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  8. Article
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

9 authors.

Daniel LewisDepartment of Physiotherapy, Rockhampton Base Hospital, Central Queensland Hospital and Health Service, Rockhampton, 4700, Australia.
Katherine FullardDepartment of Physiotherapy, Rockhampton Base Hospital, Central Queensland Hospital and Health Service, Rockhampton, 4700, Australia.
Tyrone KolbeDepartment of Physiotherapy, Rockhampton Base Hospital, Central Queensland Hospital and Health Service, Rockhampton, 4700, Australia.
Sally ChapmanDepartment of Physiotherapy, Rockhampton Base Hospital, Central Queensland Hospital and Health Service, Rockhampton, 4700, Australia.
Anestis DivanoglouDepartment of Exercise and Health Sciences, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, 4701, Australia.
Christopher DoranCentre for Indigenous Health Equity Research, School of Health Medical and Applied Sciences, Central Queensland University, Brisbane, QLD, Australia.
Victoria HuttonDepartment of Exercise and Health Sciences, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, 4701, Australia.
Joel SantamariaDepartment of Exercise and Health Sciences, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, 4701, Australia.
Luke J HealesDepartment of Exercise and Health Sciences, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, 4701, Australia. l.heales@cqu.edu.au.ORCID http://orcid.org/0000-0002-4510-3324

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate whether attending a face-to-face pre-operative joint replacement education in a regional setting reduces overall hospital costs and length of stay (LOS) following total knee replacement (TKR) or total hip replacement (THR).

methodsA retrospective clinical audit reviewed the medical records of all patients who underwent an elective THR or TKR at Rockhampton Hospital in regional Queensland, Australia, between 03/2015 and 12/2016 (22 months). The pre-operative joint replacement education class was provided by a multidisciplinary team that included a physiotherapist, an occupational therapist, a dietician, a pharmacist and a social worker. In addition to demographic data, we extracted and analysed data related to total acute care and total healthcare cost, prevalence of post-operative complications, discharge destination and comorbidities (using the Functional Comorbidity Index).

resultsOut of 326 cases that were included in the analysis, 115 cases with TKR and 51 cases with THR attended a pre-operative education class. Demographic characteristics between those attending and not attending the class were largely similar, except from more females attending in the THR group. There was no difference in hospital costs or LOS between those who attended the class compared to those who did not for both the TKR and THR groups. Outcomes related to total acute stay costs, total cost including travel and education and score for Functional Comorbidities Index were similar between those who attended the class and those who did not.

conclusionPre-operative education does not reduce hospital costs (surgery and hospital stay) in Central Queensland.

Indexed as

AgedArthroplasty, Replacement, HipArthroplasty, Replacement, KneeClinical AuditCost SavingsFemaleHospital CostsHospitals, DistrictHumansLength of StayMaleMiddle AgedPatient Education as TopicPreoperative PeriodQueenslandRetrospective StudiesCost-effectivenessPatient educationTotal hip arthroplastyTotal joint replacementTotal knee arthroplasty

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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.