ArticleScientific reports2020
Improvement in fast-track hip and knee arthroplasty: a prospective multicentre study of 36,935 procedures from 2010 to 2017.
Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.
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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
50 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of extended duration pharmacological thromboprophylaxis on venous thromboembolism after hip and knee arthroplasty and hip fracture surgery: a systematic review and meta-analysis of randomised controlled trials.Journal of thrombosis and thrombolysis · 2026Pooled it
- A systematic review and meta-analysis of short-stay programmes for total hip and knee replacement, focusing on safety and optimal patient selection.BMC medicine · 2023Pooled it
- The Adverse Effects Associated With Ibuprofen Use After Major Orthopaedic Surgeries-A Detailed Statistical Analysis Plan for the PERISAFE Randomized Clinical Trial.Acta anaesthesiologica Scandinavica · 2025Trial
- High-dose steroids in high pain responders undergoing total knee arthroplasty: a randomised double-blind trial.British journal of anaesthesia · 2022Trial
- Spatially Confined/Ligand-Directed Ultrabright NIR-AIE Nanoprobe for In Vitro Rapid Detection and In Situ Imaging of Bacterial Septic Arthritis.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026Article
- Development and Clinical Utility of Machine Learning Models for Prediction of Same-Day Discharge in Outpatient Hip and Knee Replacement: A Prognostic Study.Acta anaesthesiologica Scandinavica · 2026Article
- Implementation and early results of same-day hip and knee replacement in a public hospital without prior same-day surgical experience, a feasibility study.Archives of orthopaedic and trauma surgery · 2026Article
- Article
- Renal Adverse Events Associated With Ibuprofen Treatment After Hip and Knee Arthroplasties-A Protocol for the Preplanned Substudy of the PERISAFE Trial.Acta anaesthesiologica Scandinavica · 2026Article
- Is semaglutide a better weight-management option than bariatric surgery for patients undergoing total knee arthroplasty?Archives of orthopaedic and trauma surgery · 2026Article
- Rethinking thromboprophylaxis duration after total joint arthroplasty: when historical evidence meets modern surgical practice.Journal of thrombosis and thrombolysis · 2026Article
- Digital health literacy and sociodemographic characteristics of patients undergoing total hip or knee arthroplasty-a cross-sectional study.Frontiers in digital health · 2026Article
- Implementation of Day Surgery in Denmark Compared with Benchmarks from the United Kingdom: A Nationwide Register-Based Cohort Study.Clinical epidemiology · 2026Article
- Fast track hip and knee arthroplasty: impact of different hospital care levels.Open medicine (Warsaw, Poland) · 2026Article
- Clinical Outcomes and Complication Rates in Fast-Track Versus Routine after Total Knee Arthroplasty: A Systematic Review and Meta-analysis.The archives of bone and joint surgery · 2026Review
- Avoiding Orthostatic Intolerance During Early Ambulation After Total Knee Arthroplasty: The Impact of Lying-to-Standing Time.Arthroplasty today · 2025Article
- Clinical Pathways in Knee and Hip Arthroplasty: Narrative Review on Sustainability, Quality, and Resource Management.JMIR perioperative medicine · 2025Review
- Willingness to repeat discharge on day of surgery after hip and knee arthroplasty.Bone & joint open · 2025Article
- The Impact of Disease-Specific Care Certification on Total Medical Costs for Joint Replacement Surgeries.Healthcare (Basel, Switzerland) · 2025Article
- Are pre-operative exercise interventions for joint arthroplasty effective at improving peri‑operative outcomes? A systematic review and meta-analysis of randomized controlled trials.Journal of sport and health science · 2025Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
"Fast-track" protocols has improved surgical care with a reduction in length of hospital stay (LOS) in total hip (THA) and knee arthroplasty (TKA). However, the effects of continuous refinement of perioperative care lack detailed assessment. We studied time-related changes in LOS and morbidity after THA and TKA within a collaboration with continuous scientific refinement of perioperative care. Prospective multicentre consecutive cohort study between 2010 and 2017 from nine high-volume orthopaedic centres with established fast-track THA and TKA protocols. Prospective collection of comorbidities and complete 90-day follow-up from the Danish National Patient Registry and medical records. Of 36,935 procedures median age was 69 [62 to 75] years and 58% women. LOS declined from three [two to three] days in 2010 to one [one to two] day in 2017. LOS > 4 days due to "medical" or "surgical" complications, and "with no recorded morbidity" declined from 4.4 to 2.7%, 1.5 to 0.6%, and 3.8 to 1.3%, respectively. 90-days readmission rate declined from 8.6 to 7.7%. Our multicentre study in a socialized healthcare setting was associated with a continuous reduction in LOS and morbidity after THA and TKA.
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