An enhanced recovery programme for primary total knee arthroplasty in the United Kingdom — follow up at one year

McDonald, David A.; Siegmeth, R.; Deakin, A.H.; Kinninmonth, A. W. G.; Scott, N. B.

doi:10.1016/j.knee.2011.07.012

Cited by 132 publications

(143 citation statements)

References 42 publications

Supporting

Mentioning

113

Contrasting

Unclassified

Order By: Relevance

“…Additionally, education aims to psychologically prepare patients by setting expectations of postoperative pain and discomfort. (7,9) These steps ensure that patients "go ahead" and "stay ahead" of impediments to rehabilitation. (6) All patients undergo preoperative assessments to identify significant comorbidities, which can then be proactively optimised.…”

Section: Eras Programmes In the Ukmentioning

confidence: 99%

“…Hence, early discharge can be achieved without risking adverse outcomes. (4,(9)(10)(11)(12) Opioid analgesics should be rationed at all stages of the pathway, due to their side-effect profile which can delay rehabilitation. (5) The gold standard for lower limb arthroplasty is a spinal block lasting up to 4 hours.…”

Section: The Perioperative Phasementioning

confidence: 99%

“…(1,4,5,14) Finally, adopting minimally invasive techniques and reducing operation times can minimise the inflammatory response, resulting in reduced pain, morbidity and length of stay. (7,9) …”

Section: The Perioperative Phasementioning

confidence: 99%

“…(1,6) The largest observational study into ERAS showed a reduction in the mean length of stay from 8.5 to 4.8 days, with no significant change in readmission rates. (6,9,10,12) Translating this to UK orthopaedic practice, this could potentially free up almost 5,500 bed days. If scaled up to the whole NHS, this could save over 430,000 bed days per year, enabling more procedures to be carried out without increasing capacity, and creating an annual saving of £118 million.…”

Section: The Postoperative Phasementioning

confidence: 99%

“…(1) The end goal is always to reduce length of stay and maximise rehabilitation that may be hindered by the hospital environment. (4,9) However, a key question is whether striving for earlier patient discharge is a desirable or even a beneficial goal. There was concern that premature discharge could increase complication rates, resulting in a rise in readmission of up to 13% and reduced patient satisfaction.…”

Section: Enhanced Recovery Programmes: An Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Enhanced recovery after surgery: the future of elective arthroplasty?

Norman

Haughton

Carrington

2018

The British Student Doctor

View full text Add to dashboard Cite

Section: Eras Programmes In the Ukmentioning

confidence: 99%

Section: The Perioperative Phasementioning

confidence: 99%

Section: The Perioperative Phasementioning

confidence: 99%

Section: The Postoperative Phasementioning

confidence: 99%

Section: Enhanced Recovery Programmes: An Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Enhanced recovery after surgery: the future of elective arthroplasty?

Norman

Haughton

Carrington

2018

The British Student Doctor

View full text Add to dashboard Cite

Preoperative education prior to elective knee arthroplasty surgery does not change patient outcomes

Moulton

Evans

Starks

et al. 2017

Musculoskeletal Care

View full text Add to dashboard Cite

Enhanced recovery programmes have improved outcomes following elective arthroplasty surgery. There are few studies assessing the role of patient education. In our enhanced recovery programme, all patients are offered the chance to attend a preoperative education class. Not all patients attend, enabling a comparison of outcomes. We have published data demonstrating that patients undergoing hip arthroplasty have improved outcomes. In the present article, we present data for total knee arthroplasty. Using a prospectively collected database, we identified all patients undergoing elective primary total knee arthroplasty. Data were assessed to look at patient outcomes. This was analysed using non-parametric tests. Between April 2009 and March 2013, 563 patients underwent elective total knee replacement. A total of 503 attended the class and 60 did not. Patients attending had a reduced length of stay when compared with the non-attenders but this did not reach statistical significance (4.13 days versus 4.57 days; p = 0.118). The spread of length of stay was slightly larger in the group that attended. Our analysis demonstrated that, for these patients, there is no statistically significant difference in length of stay or outcome scores. Therefore, in tougher economic times it may be prudent to focus preoperative education on total hip arthroplasty patients if resources are limited.

show abstract

Greek Physiotherapists' Perspectives on Rehabilitation Following Total Knee Replacement: a Descriptive Survey

Moutzouri

Gleeson

Billis

et al. 2016

Physiotherapy Res Intl

View full text Add to dashboard Cite

No significant variations in practice were found during inpatient rehabilitation, whilst there seemed to be diversity across outpatient physiotherapy programs. The current survey suggests that patient's general health and psychological and behavioural issues are the criteria by which physiotherapists select the volume of implemented exercise and progression. However, no specific guidelines were followed. Copyright © 2016 John Wiley & Sons, Ltd.

show abstract

An enhanced recovery programme for primary total knee arthroplasty in the United Kingdom — follow up at one year

Cited by 132 publications

References 42 publications

Enhanced recovery after surgery: the future of elective arthroplasty?

Enhanced recovery after surgery: the future of elective arthroplasty?

Preoperative education prior to elective knee arthroplasty surgery does not change patient outcomes

Greek Physiotherapists' Perspectives on Rehabilitation Following Total Knee Replacement: a Descriptive Survey

Contact Info

Product

Resources

About