Evidence map›Paper›PMID 40026483›Full record

ArticleArthroplasty today2025

Outpatient Versus Inpatient Total Joint Arthroplasty: Do Medically and Socially Complex Patients Require More Resources but Achieve Similar Outcomes?

Justin Leal, Christine J Wu, Niall H Cochrane, Thorsten M Seyler, William A Jiranek, Samuel S Wellman, Michael P Bolognesi, Sean P Ryan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Arthroplasty today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Justin LealDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Christine J WuDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Niall H CochraneDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Thorsten M SeylerDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
William A JiranekDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Samuel S WellmanDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Michael P BolognesiDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Sean P RyanDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study compared outcomes between patients undergoing outpatient total joint arthroplasty (TJA) at an ambulatory surgery center (ASC) versus a cohort of medically and socially complex patients undergoing TJA at a tertiary healthcare system. Methods: An institutional database at a single academic center was retrospectively reviewed for patients who underwent primary TJA since the opening of an ASC from August 2021 to January 2024. A total of 716 (outpatient: 374; inpatient: 342) total knee arthroplasties and 458 (outpatient: 196; inpatient: 262) total hip arthroplasties met inclusion criteria. Results: Patients in the inpatient total knee arthroplasty group had a higher proportion of patients requiring an emergency department visit (11.4% vs 4.5%; Conclusions: Medically and socially complex patients undergoing TJA required additional resources during the 90-day postoperative window; however, they achieved similar survivorship as patients who met criteria for outpatient surgery.

Indexed as

Ambulatory surgery centerBundled paymentsInpatient arthroplastyOutpatient arthroplastyPatient-reported outcome measures

Identifiers

PMID40026483
PMCPMC11869598

What OpenQuestion holds

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Registered trials

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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.