Evidence map›Paper›PMID 31680610›Full record

Trial reportActa orthopaedica2020

Outpatient total hip or knee arthroplasty in ambulatory surgery center versus arthroplasty ward: a randomized controlled trial.

Christian Husted, Kirill Gromov, Helle Krogshøj Hansen, Anders Troelsen, Billy B Kristensen, Henrik Husted

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Acta orthopaedica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05087862 (A Randomized Comparison Between Periarticular Infiltration of Local Anesthetics and Ultrasound-Guided Pericapsular Nerve Group Block for Total Hip Replacement), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
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.

NCT05087862 nacompletednot on this mapstarted 2021, after this paper: background citation

A Randomized Comparison Between Periarticular Infiltration of Local Anesthetics and Ultrasound-Guided Pericapsular Nerve Group Block for Total Hip Replacement

TypeinterventionalSponsorUniversity of ChileRan2021 to 2022Enrolled60ConditionsPostoperative Pain, Weakness, Muscle, Analgesia, Motor ActivityArmsUltrasound-guided pericapsular nerves group of the hip block, Pericapsular local anesthetic infiltration of the hip
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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  13. The safety and efficacy of day-case total joint arthroplasty.Annals of the Royal College of Surgeons of England · 2021
    Review
  14. Article
  15. 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

6 authors at 2 institutions in 1 country.

Christian HustedDepartment of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre.
Kirill GromovDepartment of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre.
Helle Krogshøj HansenDepartment of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre.
Anders TroelsenDepartment of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre.
Billy B KristensenAmbulatory Surgery Center, Copenhagen University Hospital, Hvidovre, Denmark.
Henrik HustedDepartment of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre.
Copenhagen University Hospital · DKHvidovre Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - Discharge on the day of surgery (DOS) in selected patients operated with total hip arthroplasty (THA) or total knee arthroplasty (TKA) has been shown to be feasible, but different factors may determine whether patients are discharged on the DOS or not and setting may be one of them. We investigated the importance of the setting in which the short stay following outpatient THA or TKA takes place: was there a difference between the proportion of patients being discharged on the DOS from an ambulatory surgery center (ASC) compared with patients staying on an arthroplasty ward?Patients and methods - 50 patients (30 TKA, 20 THA) were included in the study and postoperatively randomized to either staying in the ASC or the arthroplasty ward until discharge. All patients were operated under general anesthesia by the same experienced surgeon (HH) and were discharged upon fulfillment of standardized discharge criteria.Results - 24/25 of the patients who stayed in the ASC compared with 20/25 of the patients on the arthroplasty ward were discharged on the DOS following fulfillment of discharge criteria (p = 0.08). All THA patients were discharged on the DOS and significantly more TKA patients were discharged from the ASC (15/16) vs. from the ward (9/14) (p = 0.04).Interpretation - Despite fixed discharge criteria, the logistical setting may play a role for achieving discharge on DOS and the ASC may facilitate achieving discharge criteria earlier especially in TKA.

Indexed as

Ambulatory Surgical ProceduresArthroplasty, Replacement, HipArthroplasty, Replacement, KneeHospital UnitsSurgicentersAgedFemaleHospitalizationHumansMaleMiddle AgedPatient Discharge

Identifiers

PMID31680610
PMCPMC7006733
OpenAlexW2984137968

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.