ArticleBone & joint open2025
High-volume day-case hip arthroplasty in a district general hospital.
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 2 papers.
What it found
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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
2 citing papers in PubMed.
- National survey of protocols for day-case hip and knee arthroplasty in the UK.Bone & joint open · 2026Article
- Optimizing Early Recovery Quality in Same-Day Discharge Total Hip Arthroplasty: A Narrative Review.Clinical interventions in aging · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aims: With the increasing burden of arthroplasty waiting lists within Northern Ireland, this study aims to evaluate the safety, efficacy, and postoperative outcomes following the introduction of a high-volume day-case arthroplasty unit in a district general hospital (South West Acute Hospital (SWAH)), with no previous routine orthopaedic service. Methods: An independent company was contracted to provide high-volume, day-case arthroplasty. Standardization of care, enhanced recovery after surgery (ERAS) principles, and recruiting experienced staff were important steps in the set-up. This study includes the first 244 total hip arthroplasty (THA) cases performed. A matched cohort of 43 THA patients was compared with patients from the largest elective unit in Northern Ireland (Musgrave Park Hospital) to ensure satisfactory outcomes in the 90-day postoperative period. Results: Same-day discharge was achieved in 83.7% of cases performed in SWAH which compared with 4.7% of MPH patients (p < 0.001). There was no significant difference in rates of attendance to an out of hours general practioner (7% vs 9.3%, p = 0.693) or emergency department (11.6% vs 16.3%, p = 0.757). Readmission rates (2.3% vs 11.6%) and reoperation rates (2.3% vs 0%) also did not show any significant difference (p = 0.202 and p = 0.500, respectively). No patient in either matched cohort had a venous thromboembolism diagnosed. Between the matched cohorts, there was a significantly higher number of American Society of Anesthesiologists grade I and II patients performed at SWAH (p = 0.003); however, this was likely due to the strict exclusion criteria necessary for the safe implementation of a day-case arthroplasty unit. Conclusion: An arthroplasty day-case service was safely set up in a district general hospital without a previous orthopaedic unit. More than 80% of these patients were discharged on the same day of surgery. With the ever-increasing pressure, demand, and waiting lists for arthroplasty, this model could prove an important adjunct to existing services.
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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.