ArticleBone & joint open2025
An overnight sensation: the effect of an acute introduction of a short-stay pathway on a previously compromised arthroplasty service.
Article in Bone & joint open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Implementation and early results of same-day hip and knee replacement in a public hospital without prior same-day surgical experience, a feasibility study.Archives of orthopaedic and trauma surgery · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aims: In this study, we report the impact of implementing a new short-stay hip and knee arthroplasty pathway in an NHS hospital. This was enacted due to existing concerns around long length of stay (LOS) and reduced elective operating capacity each winter due to bed pressures. The overnight introduction of this pathway was aimed to reduce LOS, alleviate bed pressures, minimize readmission rates, and generate financial savings, all combining to facilitate full elective activity during the winter. Methods: We conducted a prospective study at a regional tertiary arthroplasty centre. The new pathway was introduced across the service overnight. It included rigorous preoperative optimization, specific anaesthetic protocols, and uniform changes in surgical practice to allow a focus on early mobilization and discharge on the day of surgery where possible. Data collection spanned 17 months, encompassing the initial six months post-implementation of the short-stay pathway. LOS data were collected for the full period and data were compared pre- and post-implementation of the new pathway. Patient satisfaction and 30-day readmission data were also collected. Results: There was a significant decrease in median LOS from four days pre-implementation to one day post-implementation. Patient satisfaction was high and the 30-day readmission rate was unchanged (5.95%, n = 43), with no readmissions directly related to decreased inpatient stay. Financial analyses revealed substantial cost savings due to reduced LOS and the elimination of routine postoperative blood tests. Elective activity over winter was significantly higher (203 more arthroplasties, 79% increase) than in the same time period in the previous year. Conclusion: An acute introduction of a carefully planned and coordinated short-stay hip and knee pathway is safe, cost-effective, and popular with patients, but also contributes to increased efficiency in the delivery of elective healthcare in the context of increasing demand and financial constraints in the NHS.
Identifiers
What OpenQuestion holds
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.