Observational studyAnnals of the Royal College of Surgeons of England2021
The current status of daycase hip and knee arthroplasty within the English National Health Service: a retrospective analysis of hospital episode statistics data.
Observational study in Annals of the Royal College of Surgeons of England, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 24 citations in OpenAlex.
- Robotic-assisted hip and knee replacement in NHS scotland: trends and efficiency implications (2020-2024).Journal of robotic surgery · 2026Observational
- Safety of same-day discharge knee arthroplasty surgery: a retrospective analysis of observational data from the hospital episode statistics dataset for England.Archives of orthopaedic and trauma surgery · 2025Observational
- Day case hip and knee replacement in England: a population-based cohort study using linked National Joint Registry and Hospital Episode Statistics data.BMC medicine · 2025Article
- Willingness to repeat discharge on day of surgery after hip and knee arthroplasty.Bone & joint open · 2025Article
- High-volume day-case hip arthroplasty in a district general hospital.Bone & joint open · 2025Article
- An overnight sensation: the effect of an acute introduction of a short-stay pathway on a previously compromised arthroplasty service.Bone & joint open · 2025Article
- Implementation of outpatient hip and knee arthroplasty in a multicenter public healthcare setting.Acta orthopaedica · 2024Article
- Half of all hip and knee arthroplasty patients may be potential day-case candidates: a nationwide register study of 166,730 procedures.Acta orthopaedica · 2024Article
- Outpatient hip and knee arthroplasty: how is it utilized?Acta orthopaedica · 2023Article
- 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
- Complications after lateral unicompartmental knee arthroplasty in a fast-track setting: a prospective cohort study of 170 procedures.Acta orthopaedica · 2023Article
- 10-year evolution of day-case hip and knee arthroplasty: a Danish nationwide register study of 166,833 procedures from 2010 to 2020.Acta orthopaedica · 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
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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
introductionA high volume of total hip, total knee and unicompartmental knee arthroplasty procedures, an ageing population and continuing financial pressures within the English NHS mean that strategies to reduce length of hospital stay are attractive. Enhanced recovery after surgery protocols are one such intervention, and have advanced so that daycase arthroplasty is now possible. This study examines the current rate of daycase arthroplasty within the English NHS. MATERIALS AND
methodsHospital episode statistics data from all English NHS providers of arthroplasty procedures were analysed. Activity, daycase rate, length of stay and readmission rates were recorded. All total hip, knee and unicompartmental knee operations undertaken within the time period 1 July 2018 to 30 June 2019 were examined.
resultsLength of stay was analysed for 162,966 patients; 74,665 (46%) were total hip arthroplasty, 79,252 (49%) were total knee arthroplasty and 9,049 were unicompartmental knee arthroplasty (5%). Mean length of stay was 4.08 days for total hip, 4.11 days for total knee and 2.64 days for unicompartmental knee arthroplasties. Daycase rate for total hip arthroplasty was 0.55%, 0.52% for total knee arthroplasty and 5.44% for unicompartmental knee arthroplasty. The percentage of patients staying in hospital for longer than four days (a length of stay of five days or more) was 18.61% of total hip arthroplasty spells, 20.54% of total knee arthroplasty spells and 5.48% of unicompartmental knee arthroplasty spells. DISCUSSION: This large observational study of unselected patients undergoing hip and knee arthroplasty demonstrates that the national daycase rate for arthroplasty across providers in the NHS is low. Mean length of stay remains higher than selected international comparators.
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