Evidence map›Paper›PMID 33153453›Full record

Observational studyBMC musculoskeletal disorders2020

Quality of recovery after total hip and knee arthroplasty in South Africa: a national prospective observational cohort study.

Ulla Plenge, Romy Parker, Shamiela Davids, Gareth L Davies, Zahnne Fullerton, Lindsay Gray, Penelope Groenewald, Refqah Isaacs, Ntambue Kauta, Frederik M Louw and 17 more

Registry-linked trialAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03540667 (Prospective Observational Study of Current Perioperative Care for Hip and Knee Arthroplasty in South Africa, and Associated Outcomes), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT03540667 completednot on this map

Prospective Observational Study of Current Perioperative Care for Hip and Knee Arthroplasty in South Africa, and Associated Outcomes

TypeobservationalSponsorUniversity of Cape TownRan2018 to 2019Enrolled206ConditionsOsteoarthritis, Knee, Osteoarthritis, Hip, Arthritis, Rheumatoid, Arthritis Knee
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
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  4. Article
  5. Article
  6. 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

27 authors.

Ulla PlengeDepartment of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, University of Cape Town, Anzio Rd, Observatory, Cape Town, Western Cape, 7925, South Africa. ullaplenge@gmail.com.ORCID http://orcid.org/0000-0003-3712-2469
Romy ParkerDepartment of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, University of Cape Town, Anzio Rd, Observatory, Cape Town, Western Cape, 7925, South Africa.
Shamiela DavidsDepartment of Physiotherapy, Mitchell's Plain Hospital, AZ Berman Drive, Mitchell's Plain, Cape Town, Western Cape, 7785, South Africa.
Gareth L DaviesDepartment of Anaesthesia, Paarl Hospital, Hospital Street, Paarl, Western Cape, 7646, South Africa.
Zahnne FullertonDepartment of Anaesthesia, Victoria Hospital, Alphen Hill Rd, Wynberg, Cape Town, Western Cape, 7800, South Africa.
Lindsay GrayDepartment of Physiotherapy, New Somerset Hospital, Portswood Rd, Greenpoint, Cape Town, Western Cape, 8051, South Africa.
Penelope GroenewaldDepartment of Physiotherapy, Universitas Academic Hospital, University of the Free State, Logeman Str, Bloemfontein, Free State, 9301, South Africa.
Refqah IsaacsDepartment of Physiotherapy, Victoria Hospital, Alphen Hill Rd, Wynberg, Cape Town, Western Cape, 7800, South Africa.
Ntambue KautaDepartment of Orthopaedic Surgery, Mitchell's Plain Hospital, AZ Berman Drive, Mitchell's Plain, Cape Town, Western Cape, 7785, South Africa.
Frederik M LouwDepartment of Orthopaedic Surgery, New Somerset Hospital, Portswood Rd, Greenpoint, Cape Town, Western Cape, 8051, South Africa.
Andile MazibukoDepartment of Anaesthesia, Steve Biko Academic Hospital, University of Pretoria, Corner Malan and Steve Biko Str, Capital Park, Pretoria, Gauteng, 0001, South Africa.
David M NorthDepartment of Orthopaedic Surgery, Paarl Hospital, Hospital Street, Paarl, Western Cape, 7646, South Africa.
Marc NortjeDepartment of Orthopaedic Surgery, Groote Schuur Hospital, University of Cape Town, Anzio Rd, Observatory, Cape Town, Western Cape, 7925, South Africa.
Glen M NunesDepartment of Physiotherapy, Inkosi Albert Luthuli Central Hospital, University of KwaZulu-Natal, Vusi Mzimela Rd, Umkumbaan, Durban, KwaZulu-Natal, 4091, South Africa.
Neo PebaneDepartment of Physiotherapy, Steve Biko Academic Hospital, University of Pretoria, Corner Malan and Steve Biko Str, Capital Park, Pretoria, Gauteng, 0001, South Africa.
Chantal RajahDepartment of Anaesthesia, Grey's Hospital, University of KwaZulu-Natal, Townbush Rd, Pietermaritzburg, KwaZulu-Natal, 3201, South Africa.
John RoosDepartment of Anaesthesia, Mitchell's Plain Hospital, AZ Berman Drive, Mitchell's Plain, Cape Town, Western Cape, 7785, South Africa.
Paul RyanDepartment of Orthopaedic Surgery, Inkosi Albert Luthuli Central Hospital, University of KwaZulu-Natal, Vusi Mzimela Rd, Umkumbaan, Durban, KwaZulu-Natal, 4091, South Africa.
Winlecia V SeptemberDepartment of Physiotherapy, Paarl Hospital, Hospital Street, Paarl, Western Cape, 7646, South Africa.
Heidi ShanahanDepartment of Physiotherapy, Grey's Hospital, University of KwaZulu-Natal, Townbush Rd, Pietermaritzburg, KwaZulu-Natal, 3201, South Africa.
Ruth E SiebritzDepartment of Physiotherapy, Groote Schuur Hospital, University of Cape Town, Anzio Rd, Observatory, Cape Town, Western Cape, 7925, South Africa.
Rian W SmitDepartment of Orthopaedic Surgery, Grey's Hospital, University of KwaZulu-Natal, Townbush Rd, Pietermaritzburg, KwaZulu-Natal, 3201, South Africa.
Simon SombiliDepartment of Orthopaedic Surgery, Steve Biko Academic Hospital, University of Pretoria, Corner Malan and Steve Biko Str, Capital Park, Pretoria, Gauteng, 0001, South Africa.
Alexandra TorborgDepartment of Anaesthesia, Inkosi Albert Luthuli Central Hospital, University of KwaZulu-Natal, Vusi Mzimela Rd, Umkumbaan, Durban, KwaZulu-Natal, 4091, South Africa.
Johan F van der MerweDepartment of Orthopaedic Surgery, Universitas Academic Hospital, University of the Free State, Logeman Str, Bloemfontein, Free State, 9301, South Africa.
Nico van der WesthuizenDepartment of Anaesthesia, Universitas Academic Hospital, University of the Free State, Logeman Str, Bloemfontein, Free State, 9301, South Africa.
Bruce BiccardDepartment of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, University of Cape Town, Anzio Rd, Observatory, Cape Town, Western Cape, 7925, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEncouraged by the widespread adoption of enhanced recovery protocols (ERPs) for elective total hip and knee arthroplasty (THA/TKA) in high-income countries, our nationwide multidisciplinary research group first performed a Delphi study to establish the framework for a unified ERP for THA/TKA in South Africa. The objectives of this second phase of changing practice were to document quality of patient recovery, record patient characteristics and audit standard perioperative practice.

methodsFrom May to December 2018, nine South African public hospitals conducted a 10-week prospective observational study of patients undergoing THA/TKA. The primary outcome was 'days alive and at home up to 30 days after surgery' (DAH

resultsTwenty-one (10.1%) out of 207 enrolled patients had their surgery cancelled or postponed resulting in 186 study patients. No fatalities were recorded, median LOS was 4 (inter-quartile-range (IQR), 3-5) days and 30-day readmission rate was 3.8%, leading to a median DAH

conclusionQuality of recovery measured by a median DAH

trial registrationThe study was registered with ClinicalTrials.gov ( NCT03540667 ).

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeObesity, MorbidHumansLength of StayPostoperative ComplicationsProspective StudiesSouth AfricaDAH30Enhanced recovery protocolsLow-and middle-income countriesPerioperative arthroplasty practiceQuality of recoverySouth AfricaTotal hip arthroplastyTotal knee arthroplasty

Identifiers

PMID33153453
PMCPMC7643442

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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.