Evidence map›Paper›PMID 35067723›Full record

ArticleActa orthopaedica2022

Reducing patient-staff contact in fast-track total hip arthroplasty has no effect on patient-reported outcomes, but decreases satisfaction amongst patients with self-perceived complications: analysis of 211 patients.

Jens B Hansen, Jens F L Sørensen, Eva N Glassou, Morten Homilius, Torben B Hansen

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Article in Acta orthopaedica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

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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

7 citing papers in PubMed.

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  4. Environmental impact of the enhanced recovery pathway in colorectal surgery: A simulation study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
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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

5 authors.

Jens B HansenDepartment of Sociology, Environmental and Business Economics at the University of Southern Denmark, Esbjerg; NIDO | danmark, Gødstrup Hospital. jensbh@sam.sdu.dk.
Jens F L SørensenDepartment of Sociology, Environmental and Business Economics at the University of Southern Denmark, Esbjerg. jls@sam.sdu.dk.
Eva N GlassouUniversity Clinic of Hand, Hip and Knee Surgery, Department of Orthopaedics, Gødstrup Hospital; Department of Quality, Gødstrup Hospital. Eva.Glassou@vest.rm.dk.
Morten HomiliusUniversity Clinic of Hand, Hip and Knee Surgery, Department of Orthopaedics, Gødstrup Hospital. mortenhomilius@os.dk.
Torben B HansenUniversity Clinic of Hand, Hip and Knee Surgery, Department of Orthopaedics, Gødstrup Hospital; Department of Clinical Medicine, Aarhus University, Denmark. torbehns@rm.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeSeveral studies have compared fast-track with conventional pathways for total hip arthroplasty (THA) patients, but none have compared different fast-track pathways. Due to COVID-19 restrictions, our department had to minimize patient-staff contact in the THA pathway. First, telephone consultations were implemented instead of an outpatient clinic visit and subsequently preoperative patient education was discontinued. This enabled us to compare patient-reported outcomes and satisfaction among 3 fast-track pathways. PATIENTS AND

methodsWe collected data from patients treated for hip osteoarthritis with THA at Gødstrup Hospital between 2018 and 2021. The patients had experienced 1 of 3 pathways and were interviewed via telephone between 2 and 6 months after discharge. We analyzed the influence of patient pathway on patient-reported pain and mobility level, self-perceived complications, and compliance using logistic regression. We then compared the pathway's effect on patient satisfaction both for the total sample and for the patients who experienced complications.

resultsThe amount of patient-staff contact in the patient pathway did not have any influence on patientreported outcomes or the probability of self-perceived complications. For the full sample, patient-staff contact had no statistically significant influence on patient satisfaction either, but for the subgroup of patients experiencing complications, the pathways with less patient-staff contact reduced satisfaction. Patient satisfaction was primarily related to pain and mobility outcomes.

interpretationOur results indicate that reducing patient-staff contact in fast-track THA can be done without influencing mobility and pain outcomes, but the overall satisfaction among patients with self-perceived complications will be negatively affected.

Indexed as

Patient Reported Outcome MeasuresPatient SatisfactionArthroplasty, Replacement, HipCOVID-19HumansPain MeasurementPandemicsPostoperative ComplicationsSARS-CoV-2Telemedicine

Identifiers

PMID35067723
PMCPMC8788681

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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.