Evidence map›Paper›PMID 33401365›Full record

ArticleJMIR perioperative medicine2018

Postoperative Home Monitoring After Joint Replacement: Retrospective Outcome Study Comparing Cases With Matched Historical Controls.

Homer Yang, Geoff Dervin, Susan Madden, Ashraf Fayad, Paul Beaulé, Sylvain Gagné, Mary Lou Crossan, Kathryn Wheeler, Melody Afagh, Tinghua Zhang and 1 more

Registry-linked trialOpen access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR perioperative medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02143232 (Postop Home Monitoring After Joint Replacements), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 30% 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.

NCT02143232 nacompletednot on this map

Postop Home Monitoring After Joint Replacements (POHM)

TypeinterventionalSponsorOttawa Hospital Research InstituteRan2014 to 2017Enrolled54ConditionsTotal Knee Replacement, Total Hip ReplacementArmsremote patient monitoring (Telus RPM)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Management of patients undergoing same-day discharge primary total hip and knee arthroplasty.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
    Review
  7. 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

11 authors at 3 institutions in 1 country.

Homer YangDepartment of Anesthesia and Perioperative Medicine, Schulich School of Medicine, Western University, London, ON, Canada.ORCID http://orcid.org/0000-0003-1943-8857
Geoff DervinDivision of Orthopaedic Surgery, University of Ottawa, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0002-4618-4090
Susan MaddenDepartment of Nursing, The Ottawa Hospital, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0002-2345-1854
Ashraf FayadDepartment of Anesthesia and Perioperative Medicine, Schulich School of Medicine, Western University, London, ON, Canada.ORCID http://orcid.org/0000-0002-2054-2304
Paul BeauléDivision of Orthopaedic Surgery, University of Ottawa, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0001-7667-9994
Sylvain GagnéDepartment of Anesthesia and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0002-3977-0585
Mary Lou CrossanDepartment of Anesthesia and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0001-9406-298X
Kathryn WheelerDepartment of Anesthesia and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0003-1418-2565
Melody AfaghDepartment of Anesthesia and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0002-5628-1409
Tinghua ZhangClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0003-2108-6301
Monica TaljaardClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0002-3978-8961
University of Ottawa · CAOttawa Hospital · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA retrospective cohort study was conducted in patients undergoing postoperative home monitoring (POHM) following elective primary hip or knee replacements.

objectiveThe objectives of our study were to compare the cost per patient, readmissions rate, emergency room visits, and mortality within 30 days to the historical standard of care using descriptive analysis.

methodsAfter Research Ethics Board approval, patients who were enrolled and had completed a POHM study were individually matched to historical controls by age, American Society of Anesthesiology class, and procedure at a ratio 1:2.

resultsA total of 54 patients in the study group and 107 in the control group were eligible for the analysis. Compared with the historical standard of care, the average cost per case was Can $5826.32 (SD 1418.89) in the POHM group and Can $9198.58 (SD 1513.59) for controls. After 30 days, there were 2 emergency room visits (3.7%) and 0 readmissions in the POHM group, whereas there were 8 emergency room visits (7.5%) and 2 readmissions (1.9%) in the control group. No mortalities occurred in either group.

conclusionsThe POHM study offers an early hospital discharge pathway for elective hip and knee procedures at a 38% reduction of the standard of care cost. The multidisciplinary transitional POHM team may provide a reliable forum to minimize readmissions, and emergency room visits within 30 days postoperatively.

trial registrationClinicalTrials.gov NCT02143232; https://clinicaltrials.gov/ct2/show/NCT02143232 (Archived by WebCite at http://www.webcitation.org/73WQ9QR6P).

Indexed as

continuity of carecost reductionslength of staypostoperative carepostoperative emergency department visitpostoperative home monitoringpostoperative readmissions

Identifiers

PMID33401365
PMCPMC7728407
OpenAlexW2895833906

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.