ArticleMedicina (Kaunas, Lithuania)2021
Enhanced Recovery after Surgery (ERAS) for Hip and Knee Replacement-Why and How It Should Be Implemented Following the COVID-19 Pandemic.
Article in Medicina (Kaunas, Lithuania), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis 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
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Effect of pain-relief nursing on activities of daily living in patients following hip arthroplasty: a systematic review and meta-analysis.Frontiers in medicine · 2025Pooled it
- Using machine learning to evaluate a non-selective enhanced recovery pathway for hip and knee arthroplasty: perioperative factors associated with same-day and early discharge.Arthroplasty (London, England) · 2026Article
- Non-selective enhanced recovery pathway in primary hip and knee arthroplasty: a propensity score matched analysis on safety and efficacy.Arthroplasty (London, England) · 2026Article
- Mobilisation After Total Knee Replacement Within an Enhanced Recovery Pathway: A Two-Cycle Clinical Audit.Cureus · 2026Article
- "I'm a paper and pencil person": a qualitative descriptive study of potential barriers and facilitators to engagement with pre-operative total knee replacement education and prehabilitation digital interventions.BMC musculoskeletal disorders · 2025Article
- Outcomes of total knee replacement versus unicompartmental knee arthroplasty in an enhanced recovery after surgery protocol.Journal of orthopaedics · 2025Article
- The preventive efficacy of lipid emulsion on the occurrence of local anesthetic systemic toxicity in patients receiving local infiltration analgesia for total joint arthroplasty.Journal of orthopaedic surgery and research · 2024Article
- Enhanced recovery after surgery from 1997 to 2022: a bibliometric and visual analysis.Updates in surgery · 2024Review
- Is a Rapid Recovery Protocol for THA and TKA Associated With Decreased 90-day Complications, Opioid Use, and Readmissions in a Health Safety-net Hospital?Clinical orthopaedics and related research · 2024Observational
- Rehabilitation care for pain in elderly knee replacement patients.World journal of clinical cases · 2024Article
- Quick Transition to One Day Length of Stay after Hip and Knee Arthroplasty Using a Digital Follow-Up Tool during COVID-19: A Retrospective Comparative Study.Healthcare (Basel, Switzerland) · 2023Article
- Digital Rehabilitation after Knee Arthroplasty: A Multi-Center Prospective Longitudinal Cohort Study.Journal of personalized medicine · 2023Article
- Study protocol for discharge on day of surgery after hip and knee arthroplasty from the Center for Fast-track Hip and Knee Replacement.Acta orthopaedica · 2023Article
- Immunonutrition in Orthopedic and Traumatic Patients.Nutrients · 2023Review
- The impact of the pandemic on functional outcomes for joint replacement patients: An observational study.Medicine · 2022Observational
- [Discharge readiness versus discharge-Results of the PROMISE study].Der Orthopade · 2022Article
- Article
- Impact and Strategies on Joint Surgery Centers without Lockdowns during the Peak of the COVID-19 Pandemic: A Multicenter Cross-Sectional Study.Journal of clinical medicine · 2021Article
- Process of Posthospital Care Involving Telemedicine Solutions for Patients after Total Hip Arthroplasty.International journal of environmental research and public health · 2021Article
- Physiotherapy in an advanced rehabilitation pathway for patients after hip and knee arthroplasty: A proposal.The South African journal of physiotherapy · 2021Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The COVID-19 pandemic has led to a reduction in hip and knee replacement surgery across healthcare systems. When regular operating returns, there will be a large volume of patients and an emphasis on a short hospital stay. Patients will be keen to return home, and capacity will need to maximised. Strategies to reduce the associated risks of surgery and to accelerate recovery will be needed, and so Enhanced Recovery after Surgery (ERAS) should be promoted as the model of care. ERAS protocols are proven to reduce hospital stay safely; however, ERAS pathways may require adaption to ensure both patient and staff safety. The risk of exposure to possible sources of COVID-19 should be limited, and so hospital visits should be minimised. The use of technology such as smartphone apps to provide pre-operative education, wearable activity trackers to assist with rehabilitation, and the use of telemedicine to complete outpatient appointments may be utilised. Also, units should be reminded that ERAS protocols are multi-modal, and every component is vital to minimise the surgical stress response. The focus should be on providing better and not just faster care. Units should learn from the past in order to expedite the implementation of or adaption of existing ERAS protocols. Strong leadership will be required, along with a supportive organisational culture, an inter-professional approach, and a recognised QI method should be used to contextualize improvement efforts.
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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.