Evidence map›Paper›PMID 33573396›Full record

ArticleBone & joint open2021

Day-case total hip arthroplasty: a literature review and development of a hospital pathway.

Joshua W Thompson, Warran Wignadasan, Mazin Ibrahim, Lucy Beasley, Sujith Konan, Ricci Plastow, Ahmed Magan, Fares S Haddad

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Bone & joint open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 22 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Joshua W ThompsonDepartment of Trauma and Orthopaedic Surgery, University College London Hospital Foundation NHS Trust, London, UK.
Warran WignadasanDepartment of Trauma and Orthopaedic Surgery, University College London Hospital Foundation NHS Trust, London, UK.
Mazin IbrahimDepartment of Trauma and Orthopaedic Surgery, University College London Hospital Foundation NHS Trust, London, UK.
Lucy BeasleyDepartment of Trauma and Orthopaedic Surgery, University College London Hospital Foundation NHS Trust, London, UK.
Sujith KonanDepartment of Trauma and Orthopaedic Surgery, University College London Hospital Foundation NHS Trust, London, UK.
Ricci PlastowDepartment of Trauma and Orthopaedic Surgery, University College London Hospital Foundation NHS Trust, London, UK.
Ahmed MaganDepartment of Trauma and Orthopaedic Surgery, University College London Hospital Foundation NHS Trust, London, UK.
Fares S HaddadDepartment of Trauma and Orthopaedic Surgery, University College London Hospital Foundation NHS Trust, London, UK.
University College London Hospitals NHS Foundation Trust · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWe present the development of a day-case total hip arthroplasty (THA) pathway in a UK National Health Service institution in conjunction with an extensive evidence-based summary of the interventions used to achieve successful day-case THA to which the protocol is founded upon.

methodsWe performed a prospective audit of day-case THA in our institution as we reinitiate our full capacity elective services. In parallel, we performed a review of the literature reporting complication or readmission rates at ≥ 30-day postoperative following day-case THA. Electronic searches were performed using four databases from the date of inception to November 2020. Relevant studies were identified, data extracted, and qualitative synthesis performed.

resultsOur evaluation and critique of the evidence-based literature identifies day-case THA to be safe, effective, and economical, benefiting both patients and healthcare systems alike. We further validate this with our institutional elective day surgery arthroplasty pathway (EDSAP) and report a small cohort of successful day-case THA cases as an example in the early stages of this practice in our unit.

conclusionCareful patient selection and education, adequate perioperative considerations, including multimodal analgesia, surgical technique and blood loss management protocols and appropriate postoperative pathways comprising reliable discharge criteria are essential for successful day-case THA. Cite this article:

Indexed as

complicationsday-case surgeryoutcomespatient selectionsafe dischargetotal hip arthroplasty

Identifiers

PMID33573396
PMCPMC7925215
OpenAlexW3128289110

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.