Half of all hip and knee arthroplasty patients may be potential day-case candidates: a nationwide register study of 166,730 procedures
Background and purpose: The overall potential pool of day-case candidates on a national level in hip and knee arthroplasty is unknown. We aimed to estimate the proportion of hip and knee arthroplasty patients eligible for day-case surgery based on contemporary widely used criteria and determine whe...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2024-02-01
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| Series: | Acta Orthopaedica |
| Subjects: | |
| Online Access: | https://actaorthop.org/actao/article/view/40075 |
| _version_ | 1797297620118405120 |
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| author | Christian Bredgaard Jensen Anders Troelsen Nicolai Bang Foss Christian Skovgaard Nielsen Martin Lindberg-Larsen Kirill Gromov |
| author_facet | Christian Bredgaard Jensen Anders Troelsen Nicolai Bang Foss Christian Skovgaard Nielsen Martin Lindberg-Larsen Kirill Gromov |
| author_sort | Christian Bredgaard Jensen |
| collection | DOAJ |
| description |
Background and purpose: The overall potential pool of day-case candidates on a national level in hip and knee arthroplasty is unknown. We aimed to estimate the proportion of hip and knee arthroplasty patients eligible for day-case surgery based on contemporary widely used criteria and determine whether there has been a change in the proportion of eligible patients over time and, secondarily, to investigate the proportion of eligible patients discharged on the day of surgery.
Methods: Based on data from the Danish National Patient Register, we identified all patients undergoing primary unilateral hip or knee arthroplasty from January 2010 to March 2020. Using a modification of day-case eligibility criteria proposed by a national multicenter collaboration, we sorted patients into either day-case eligible or ineligible. A day-case procedure was defined as discharge on the day of surgery.
Results: We included patients comprising a total of 166,730 primary total hip (THA), total knee (TKA), and unicompartmental knee arthroplasty (UKA). 48% (95% confidence interval [CI] 48–49) were eligible for day-case surgery, with a decline from 50% (CI 49–51) in 2010 to 46% (CI 46–47) eligible in 2019. More UKA patients were day-case eligible (55%, CI 54–56) than THA (47%, CI 47–48) and TKA patients (49%, CI 48–49). A maximum of 8.0% (CI 7.4–8.5) of eligible patients were discharged on the day of surgery in 2019.
Conclusion: 48% of the Danish hip and knee arthroplasty patients were potential day-case candidates, with a small decline in eligibility from 50% in 2010 to 46% in 2019. Day of surgery discharge among day-case eligible patients peaked at 8% in 2019. Thus, the potential for more day-case surgery seems large.
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| first_indexed | 2024-03-07T22:23:34Z |
| format | Article |
| id | doaj.art-2ed8ed2f87244a389ca214a915670803 |
| institution | Directory Open Access Journal |
| issn | 1745-3674 1745-3682 |
| language | English |
| last_indexed | 2024-03-07T22:23:34Z |
| publishDate | 2024-02-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Acta Orthopaedica |
| spelling | doaj.art-2ed8ed2f87244a389ca214a9156708032024-02-23T15:25:19ZengMedical Journals SwedenActa Orthopaedica1745-36741745-36822024-02-019510.2340/17453674.2024.40075Half of all hip and knee arthroplasty patients may be potential day-case candidates: a nationwide register study of 166,730 proceduresChristian Bredgaard Jensen0Anders Troelsen1Nicolai Bang Foss2Christian Skovgaard Nielsen3Martin Lindberg-Larsen4Kirill Gromov5Department of Orthopaedic Surgery, Clinical Orthopaedic Surgery Hvidovre (CORH), Copenhagen University Hospital Hvidovre, HvidovreDepartment of Orthopaedic Surgery, Clinical Orthopaedic Surgery Hvidovre (CORH), Copenhagen University Hospital Hvidovre, HvidovreDepartment of Anesthesiology, Copenhagen University Hospital Hvidovre, HvidovreDepartment of Orthopaedic Surgery, Clinical Orthopaedic Surgery Hvidovre (CORH), Copenhagen University Hospital Hvidovre, HvidovreDepartment of Orthopaedic Surgery, Orthopaedic Research Unit (ORU), Odense University Hospital, Odense, DenmarkDepartment of Orthopaedic Surgery, Clinical Orthopaedic Surgery Hvidovre (CORH), Copenhagen University Hospital Hvidovre, Hvidovre Background and purpose: The overall potential pool of day-case candidates on a national level in hip and knee arthroplasty is unknown. We aimed to estimate the proportion of hip and knee arthroplasty patients eligible for day-case surgery based on contemporary widely used criteria and determine whether there has been a change in the proportion of eligible patients over time and, secondarily, to investigate the proportion of eligible patients discharged on the day of surgery. Methods: Based on data from the Danish National Patient Register, we identified all patients undergoing primary unilateral hip or knee arthroplasty from January 2010 to March 2020. Using a modification of day-case eligibility criteria proposed by a national multicenter collaboration, we sorted patients into either day-case eligible or ineligible. A day-case procedure was defined as discharge on the day of surgery. Results: We included patients comprising a total of 166,730 primary total hip (THA), total knee (TKA), and unicompartmental knee arthroplasty (UKA). 48% (95% confidence interval [CI] 48–49) were eligible for day-case surgery, with a decline from 50% (CI 49–51) in 2010 to 46% (CI 46–47) eligible in 2019. More UKA patients were day-case eligible (55%, CI 54–56) than THA (47%, CI 47–48) and TKA patients (49%, CI 48–49). A maximum of 8.0% (CI 7.4–8.5) of eligible patients were discharged on the day of surgery in 2019. Conclusion: 48% of the Danish hip and knee arthroplasty patients were potential day-case candidates, with a small decline in eligibility from 50% in 2010 to 46% in 2019. Day of surgery discharge among day-case eligible patients peaked at 8% in 2019. Thus, the potential for more day-case surgery seems large. https://actaorthop.org/actao/article/view/40075Arthroplasty Day-case surgeryHipKneeSame day discharge |
| spellingShingle | Christian Bredgaard Jensen Anders Troelsen Nicolai Bang Foss Christian Skovgaard Nielsen Martin Lindberg-Larsen Kirill Gromov Half of all hip and knee arthroplasty patients may be potential day-case candidates: a nationwide register study of 166,730 procedures Acta Orthopaedica Arthroplasty Day-case surgery Hip Knee Same day discharge |
| title | Half of all hip and knee arthroplasty patients may be potential day-case candidates: a nationwide register study of 166,730 procedures |
| title_full | Half of all hip and knee arthroplasty patients may be potential day-case candidates: a nationwide register study of 166,730 procedures |
| title_fullStr | Half of all hip and knee arthroplasty patients may be potential day-case candidates: a nationwide register study of 166,730 procedures |
| title_full_unstemmed | Half of all hip and knee arthroplasty patients may be potential day-case candidates: a nationwide register study of 166,730 procedures |
| title_short | Half of all hip and knee arthroplasty patients may be potential day-case candidates: a nationwide register study of 166,730 procedures |
| title_sort | half of all hip and knee arthroplasty patients may be potential day case candidates a nationwide register study of 166 730 procedures |
| topic | Arthroplasty Day-case surgery Hip Knee Same day discharge |
| url | https://actaorthop.org/actao/article/view/40075 |
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