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Acta Orthopaedica Volume 89, 2018 - Issue 2
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Original Articles

Fast-tracking for total knee replacement reduces use of institutional care without compromising quality

Konsta J PamiloDepartment of Orthopaedics and Traumatology, Central Finland Hospital, Jyväskylä; Correspondence[email protected]
,
Paulus TorkkiAalto University, Helsinki;
,
Mikko PeltolaCentre for Health and Social Economics CHESS, National Institute for Health and Welfare, Helsinki;
,
Maija PesolaDepartment of Orthopaedics and Traumatology, Central Finland Hospital, Jyväskylä;
,
Ville RemesPihlajalinna Group, Helsinki, Finland
&
Juha PalonevaDepartment of Orthopaedics and Traumatology, Central Finland Hospital, Jyväskylä;
Pages 184-189 | Received 19 Sep 2017, Accepted 17 Oct 2017, Published online: 21 Nov 2017

  • Andreasen S E, Holm H B, Jørgensen M, Gromov K, Kjaersgaard-Andersen P, Husted H. Time-driven activity-based cost of fast-track total hip and knee arthroplasty. J Arthroplasty 2016; 32: 1747–55.
  • Bozic K J, Maselli J, Pekow P S, Lindenauer P K, Vail T P, Auerbach A D. The influence of procedure volumes and standardization of care on quality and efficiency in total joint replacement surgery. J Bone Joint Surg Am 2010; 92 (16): 2643–52.
  • Cram P, Lu X, Kates S L, Singh J A, Li Y, Wolf B R. Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991–2010. JAMA 2012; 308 (12): 1227–36.
  • den Hartog Y M, Mathijssen N M, Vehmeijer S B. Reduced length of hospital stay after the introduction of a rapid recovery protocol for primary THA procedures. Acta Orthop 2013; 84 (5): 444–7.
  • Glassou E N, Pedersen A B, Hansen T B. Risk of re-admission, reoperation, and mortality within 90 days of total hip and knee arthroplasty in fast-track departments in Denmark from 2005 to 2011. Acta Orthop 2014; 85 (5): 493–500.
  • Glassou E N, Pedersen A B, Hansen T B. Is decreasing mortality in total hip and knee arthroplasty patients dependent on patients’ comorbidity? Acta Orthop 2017; 88 (3): 288–93.
  • Gromov K, Kjaersgaard-Andersen P, Revald P, Kehlet H, Husted H. Feasibility of outpatient total hip and knee arthroplasty in unselected patients. Acta Orthop 2017; 88 (5): 516–21.
  • Halawi M J, Vovos T J, Green C L, Wellman S S, Attarian D E, Bolognesi M P. Patient expectation is the most important predictor of discharge destination after primary total joint arthroplasty. J Arthroplasty 2015; 30 (4): 539–42.
  • Hoorntje A, Koenraadt K L M, Boevé M G, van Geenen R C I. Outpatient unicompartmental knee arthroplasty: Who is afraid of outpatient surgery? Knee Surgery, Sport Traumatol Arthrosc 2017; 25 (3): 759–66.
  • Husted H. Fast-track hip and knee arthroplasty: Clinical and organizational aspects. Acta Orthop 2012; 83 (Suppl 346): 1–39.
  • Husted H, Holm G, Jacobsen S. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: Fast-track experience in 712 patients. Acta Orthop 2008; 79 (2): 168–73.
  • Husted H, Hansen H C, Holm G, Bach-Dal C, Rud K, Andersen K L, et al. What determines length of stay after total hip and knee arthroplasty? A nationwide study in Denmark. Arch Orthop Trauma Surg 2010a; 130 (2): 263–8.
  • Husted H, Otte K S, Kristensen B B, Orsnes T, Kehlet H. Readmissions after fast-track hip and knee arthroplasty. Arch Orthop Trauma Surg 2010b; 130 (9): 1185–91.
  • Husted H, Lunn T H, Troelsen A, Gaarn-Larsen L, Kristensen B B, Kehlet H. Why still in hospital after fast-track hip and knee arthroplasty? Acta Orthop 2011a; 82 (6): 679–84.
  • Husted H, Troelsen A, Otte K S, Kristensen B B, Holm G, Kehlet H. Fast-track surgery for bilateral total knee replacement. J Bone Jt Surg Br 2011b; 93 (3): 351–6.
  • Husted H, Jørgensen C C, Gromov K, Troelsen A. Low manipulation prevalence following fast-track total knee arthroplasty. Acta Orthop 2015; 86 (1): 86–91.
  • Husted H, Jørgensen C C, Gromov K, Kehlet H. Does BMI influence hospital stay and morbidity after fast-track hip and knee arthroplasty? Acta Orthop 2016; 87 (5): 466–72.
  • ICD-10. International statistical classification of diseases and related health problems 10th revision [Internet] 2010 [cited 2017 Sep 15]. Available from: http://apps.who.int/classifications/icd10/browse/2010/en
  • Institute for Health and Welfare. Finnish Arthroplasty Register [Internet] 2017 [cited 2017 May 15]. Available from: https://www.thl.fi/far//#data/cphd
  • Jans O, Bandholm T, Kurbegovic S, Solgaard S, Kjaersgaard-Andersen P, Johansson P I, et al. Postoperative anemia and early functional outcomes after fast-track hip arthroplasty: A prospective cohort study. Transfusion 2016; 56 (4): 917–25.
  • Jørgensen C C, Kehlet H, Group LFC for FH and KRC. Fall-related admissions after fast-track total hip and knee arthroplasty: Cause of concern or consequence of success? Clin Interv Aging 2013a; 8: 1569–77.
  • Jørgensen C C, Kehlet H, Group LFC for FH and KRC. Role of patient characteristics for fast-track hip and knee arthroplasty. Br J Anaesth 2013b; 110 (6): 972–80.
  • Jørgensen C C, Kehlet H, Soeballe K, Hansen T B, Husted H, Laursen M B, et al. Time course and reasons for 90-day mortality in fast-track hip and knee arthroplasty. Acta Anaesthesiol Scand 2017; 61 (4): 436–44.
  • Judge A, Chard J, Learmonth I, Dieppe P. The effects of surgical volumes and training centre status on outcomes following total joint replacement: Analysis of the Hospital Episode Statistics for England. J Public Health (Oxf) 2006; 28 (2): 116–24.
  • Keswani A, Tasi M C, Fields A, Lovy A J, Moucha C S, Bozic K J. Discharge destination after total joint arthroplasty: An analysis of postdischarge outcomes, placement risk factors, and recent trends. J Arthroplasty 2016; 31 (6): 1155–62.
  • Khan S K, Malviya A, Muller S D, Carluke I, Partington P F, Emmerson K P, et al. Reduced short-term complications and mortality following enhanced recovery primary hip and knee arthroplasty: Results from 6,000 consecutive procedures. Acta Orthop 2014; 85 (1): 26–31.
  • Mäkelä K T, Peltola M, Sund R, Malmivaara A, Häkkinen U, Remes V. Regional and hospital variance in performance of total hip and knee replacements: a national population-based study. Ann Med 2011; 43 (Suppl 1): S31–S8.
  • Malviya A, Martin K, Harper I, Muller S D, Emmerson K P, Partington P F, et al. Enhanced recovery program for hip and knee replacement reduces death rate. Acta Orthop 2011; 82 (5): 577–81.
  • Mathijssen N M, Verburg H, van Leeuwen C C, Molenaar T L, Hannink G. Factors influencing length of hospital stay after primary total knee arthroplasty in a fast-track setting. Knee Surg Sports Traumatol Arthrosc 2016; 24 (8): 2692–6.
  • McLawhorn A S, Fu M C, Schairer W W, Sculco P K, MacLean C H, Padgett D E. Continued inpatient care after primary total knee arthroplasty increases 30-day post-discharge complications: A propensity score-adjusted analysis. J Arthroplasty 2017; 32 (9S): 113–18.
  • Mitsuyasu S, Hagihara A, Horiguchi H, Nobutomo K. Relationship between total arthroplasty case volume and patient outcome in an acute care payment system in Japan. J Arthroplasty 2006; 21 (5): 656–63.
  • Pamilo K J, Peltola M, Paloneva J, Mäkelä K, Häkkinen U, Remes V. Hospital volume affects outcome after total knee arthroplasty: A nationwide registry analysis of 80 hospitals and 59,696 replacements. Acta Orthop 2015; 86 (1): 41–7.
  • Pamilo K J, Torkki P, Peltola M, Pesola M, Remes V, Paloneva J. Reduced length of uninterrupted institutional stay after implementing a fast-track protocol for primary total hip replacement. Acta Orthop 2017; Sep 7: 1–7. [Epub ahead of print]
  • Paterson J M, Williams J I, Kreder H J, Mahomed N N, Gunraj N, Wang X, et al. Provider volumes and early outcomes of primary total joint replacement in Ontario. Can J Surgery/Journal Can Chir 2010; 53 (3): 175–83.
  • Pitter F T, Jørgensen C C, Lindberg-Larsen M, Kehlet H. Postoperative morbidity and discharge destinations after fast-track hip and knee arthroplasty in patients older than 85 years. Anesth Analg 2016; 122 (6): 1807–15.
  • Ramkumar P N, Chu C T, Harris J D, Athiviraham A, Harrington M A, White D L, et al. Causes and rates of unplanned readmissions after elective primary total joint arthroplasty: A systematic review and meta-analysis. Am J Orthop 2015; 44 (9): 397–405.
  • Savaridas T, Serrano-Pedraza I, Khan S K, Martin K, Malviya A, Reed M R. Reduced medium-term mortality following primary total hip and knee arthroplasty with an enhanced recovery program. A study of 4,500 consecutive procedures. Acta Orthop 2013; 84 (1): 40–3.
  • Sibia U S, Turcotte J J, MacDonald J H, King P J. The cost of unnecessary hospital days for Medicare joint arthroplasty patients discharging to skilled nursing facilities. J Arthroplasty 2017; 32 (9): 2655–7.
  • Styron J F, Koroukian S M, Klika A K, Barsoum W K. Patient vs provider characteristics impacting hospital lengths of stay after total knee or hip arthroplasty. J Arthroplasty 2011; 26 (8): 1412–18.
  • Sund R. Quality of the Finnish Hospital Discharge Register: A systematic review. Scand J Public Health 2012; 40 (6): 505–15.
  • Wied C, Thomsen M G, Kallemose T, Myhrmann L, Jensen L S, Husted H, et al. The risk of manipulation under anesthesia due to unsatisfactory knee flexion after fast-track total knee arthroplasty. Knee 2015; 22 (5): 419–23.
  • Winther S B, Foss O A, Wik T S, Davis S P, Engdal M, Jessen V, et al. 1-year follow-up of 920 hip and knee arthroplasty patients after implementing fast-track. Acta Orthop 2015; 86 (1): 78–85.

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