Outpatient unicompartmental knee arthroplasty: who is afraid of outpatient surgery? View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-03

AUTHORS

Alexander Hoorntje, Koen L. M. Koenraadt, Margreet G. Boevé, Rutger C. I. van Geenen

ABSTRACT

PURPOSE: In recent years, duration of hospitalisation after knee arthroplasty has decreased and fast track and outpatient surgery protocols have been developed. Studies have shown that outpatient surgery is feasible, safe, and cost effective. However, the psychological well-being of patients undergoing outpatient surgery has never been described before. The purpose of this study was to investigate how patients experience outpatient surgery for unicompartmental knee arthroplasty (UKA), examining levels of anxiety and depression, satisfaction, and pain. It was hypothesized that the same-day discharge following UKA would not result in higher levels of anxiety and depression, compared to the standard fast-track surgery. METHODS: This case-controlled study included 20 patients undergoing UKA in an outpatient surgery setting and 20 patients undergoing the standard fast-track procedure. The Hospital Anxiety and Depression Scale (HADS, 0-42, lower is better) and numeric rating scales (NRS, 0-10) for pain and satisfaction were collected preoperatively, on the day of surgery, on the first, second, and seventh postoperative days and after 6 and 12 weeks. The Oxford Knee Score (OKS), the KOOS, EuroQoL-5D, and Net Promoter Score (NPS) were collected preoperatively and 3 months postoperatively. RESULTS: 90% of patients in the outpatient surgery group were discharged on the day of surgery. At the first postoperative day, the median HADS score was significantly lower in the outpatient surgery group compared to the fast-track group (3 vs. 8, p = 0.02), the median NRS satisfaction score was significantly higher in the outpatient surgery group (8 vs. 5, p = 0.03), and no differences existed between both groups for the NRS pain scores. At 3 month follow-up, no significant differences in improvement scores existed between both groups for the HADS, the NRS scores, and for the OKS, KOOS, EuroQoL-5D, and NPS. CONCLUSION: The results of this study emphasize the feasibility of an outpatient surgery pathway in carefully selected UKA patients. The outpatient surgery pathway is safe, and clinical outcome, including levels of anxiety and depression, satisfaction, and pain, was similar in outpatient surgery patients compared to the standard fast-track patients. LEVEL OF EVIDENCE: Case-control study, Level III. More... »

PAGES

759-766

References to SciGraph publications

  • 2009-06. Comparison of Outpatient versus Inpatient Total Knee Arthroplasty in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2009-06. Newer Anesthesia and Rehabilitation Protocols Enable Outpatient Hip Replacement in Selected Patients in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2009-06. The Feasibility and Perioperative Complications of Outpatient Knee Arthroplasty in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2015-08. Do Psychological Factors Predict Poor Outcome in Patients Undergoing TKA? A Systematic Review in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2017-09. Outpatient surgery for unicompartmental knee arthroplasty is effective and safe in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2014-02. Feasibility and safety of performing outpatient unicompartmental knee arthroplasty in INTERNATIONAL ORTHOPAEDICS
  • 2017-09. Patient selection criteria for outpatient joint arthroplasty in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00167-017-4440-y

    DOI

    http://dx.doi.org/10.1007/s00167-017-4440-y

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1083859303

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/28229182


    Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
    Incoming Citations Browse incoming citations for this publication using opencitations.net

    JSON-LD is the canonical representation for SciGraph data.

    TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

    [
      {
        "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
        "about": [
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Clinical Sciences", 
            "type": "DefinedTerm"
          }, 
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Medical and Health Sciences", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Ambulatory Surgical Procedures", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Anxiety", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Arthralgia", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Arthroplasty, Replacement, Knee", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Case-Control Studies", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Depression", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Female", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Humans", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Male", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Middle Aged", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Patient Satisfaction", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Postoperative Period", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Treatment Outcome", 
            "type": "DefinedTerm"
          }
        ], 
        "author": [
          {
            "affiliation": {
              "alternateName": "Amphia Ziekenhuis", 
              "id": "https://www.grid.ac/institutes/grid.413711.1", 
              "name": [
                "Department of Orthopaedic Surgery, Foundation FORCE (Foundation for Orthopaedic Research Care Education), Amphia Hospital, Postbus 90158, 4800 RK, Breda, The Netherlands"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Hoorntje", 
            "givenName": "Alexander", 
            "id": "sg:person.01213025123.72", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01213025123.72"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Amphia Ziekenhuis", 
              "id": "https://www.grid.ac/institutes/grid.413711.1", 
              "name": [
                "Department of Orthopaedic Surgery, Foundation FORCE (Foundation for Orthopaedic Research Care Education), Amphia Hospital, Postbus 90158, 4800 RK, Breda, The Netherlands"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Koenraadt", 
            "givenName": "Koen L. M.", 
            "id": "sg:person.01220571163.25", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01220571163.25"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Amphia Ziekenhuis", 
              "id": "https://www.grid.ac/institutes/grid.413711.1", 
              "name": [
                "Department of Orthopaedic Surgery, Foundation FORCE (Foundation for Orthopaedic Research Care Education), Amphia Hospital, Postbus 90158, 4800 RK, Breda, The Netherlands"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Boev\u00e9", 
            "givenName": "Margreet G.", 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Amphia Ziekenhuis", 
              "id": "https://www.grid.ac/institutes/grid.413711.1", 
              "name": [
                "Department of Orthopaedic Surgery, Foundation FORCE (Foundation for Orthopaedic Research Care Education), Amphia Hospital, Postbus 90158, 4800 RK, Breda, The Netherlands"
              ], 
              "type": "Organization"
            }, 
            "familyName": "van Geenen", 
            "givenName": "Rutger C. I.", 
            "id": "sg:person.011606051007.40", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011606051007.40"
            ], 
            "type": "Person"
          }
        ], 
        "citation": [
          {
            "id": "sg:pub.10.1007/s00167-015-3680-y", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1001736096", 
              "https://doi.org/10.1007/s00167-015-3680-y"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00167-015-3680-y", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1001736096", 
              "https://doi.org/10.1007/s00167-015-3680-y"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1093/bja/aep136", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1005709392"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.3109/17453674.2016.1151292", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1006255204"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1002/14651858.cd003526.pub3", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1007678150"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s11999-015-4234-9", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1008021123", 
              "https://doi.org/10.1007/s11999-015-4234-9"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s11999-015-4234-9", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1008021123", 
              "https://doi.org/10.1007/s11999-015-4234-9"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1007/s11999-015-4234-9", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1008021123"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/s0022-3999(01)00296-3", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1008091244"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.arth.2012.01.009", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1011188851"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1111/j.1600-0447.1983.tb09716.x", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1011377221"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.3109/17453670903035559", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1013332004"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/0168-8510(96)00822-6", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1023757917"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/s0968-0160(13)70006-1", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1028975393"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.arth.2016.06.055", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1031298338"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s11999-009-0736-7", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1031777159", 
              "https://doi.org/10.1007/s11999-009-0736-7"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1007/s11999-009-0736-7", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1031777159"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00264-013-2214-9", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1032747937", 
              "https://doi.org/10.1007/s00264-013-2214-9"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.arth.2013.08.021", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1033763873"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.joca.2013.08.022", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1035034280"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.3109/17453674.2012.700593", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1036718795"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.3109/17453674.2012.657578", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1037293706"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.thromres.2015.12.025", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1038383956"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s11999-009-0730-0", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1041144820", 
              "https://doi.org/10.1007/s11999-009-0730-0"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s11999-009-0730-0", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1041144820", 
              "https://doi.org/10.1007/s11999-009-0730-0"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1007/s11999-009-0730-0", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1041144820"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s11999-009-0741-x", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1053019421", 
              "https://doi.org/10.1007/s11999-009-0741-x"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1007/s11999-009-0741-x", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1053019421"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00167-016-4140-z", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1053688538", 
              "https://doi.org/10.1007/s00167-016-4140-z"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00167-016-4140-z", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1053688538", 
              "https://doi.org/10.1007/s00167-016-4140-z"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1302/0301-620x.80b1.7859", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1064885821"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1302/0301-620x.96b5.32434", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1064887611"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.2519/jospt.1998.28.2.88", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1070872313"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1177/175045891602400405", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1078915570"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1177/175045891602400405", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1078915570"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1177/175045891602400405", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1078915570"
            ], 
            "type": "CreativeWork"
          }
        ], 
        "datePublished": "2017-03", 
        "datePublishedReg": "2017-03-01", 
        "description": "PURPOSE: In recent years, duration of hospitalisation after knee arthroplasty has decreased and fast track and outpatient surgery protocols have been developed. Studies have shown that outpatient surgery is feasible, safe, and cost effective. However, the psychological well-being of patients undergoing outpatient surgery has never been described before. The purpose of this study was to investigate how patients experience outpatient surgery for unicompartmental knee arthroplasty (UKA), examining levels of anxiety and depression, satisfaction, and pain. It was hypothesized that the same-day discharge following UKA would not result in higher levels of anxiety and depression, compared to the standard fast-track surgery.\nMETHODS: This case-controlled study included 20 patients undergoing UKA in an outpatient surgery setting and 20 patients undergoing the standard fast-track procedure. The Hospital Anxiety and Depression Scale (HADS, 0-42, lower is better) and numeric rating scales (NRS, 0-10) for pain and satisfaction were collected preoperatively, on the day of surgery, on the first, second, and seventh postoperative days and after 6 and 12\u00a0weeks. The Oxford Knee Score (OKS), the KOOS, EuroQoL-5D, and Net Promoter Score (NPS) were collected preoperatively and 3 months postoperatively.\nRESULTS: 90% of patients in the outpatient surgery group were discharged on the day of surgery. At the first postoperative day, the median HADS score was significantly lower in the outpatient surgery group compared to the fast-track group (3 vs. 8, p\u2009=\u20090.02), the median NRS satisfaction score was significantly higher in the outpatient surgery group (8 vs. 5, p\u2009=\u20090.03), and no differences existed between both groups for the NRS pain scores. At 3 month follow-up, no significant differences in improvement scores existed between both groups for the HADS, the NRS scores, and for the OKS, KOOS, EuroQoL-5D, and NPS.\nCONCLUSION: The results of this study emphasize the feasibility of an outpatient surgery pathway in carefully selected UKA patients. The outpatient surgery pathway is safe, and clinical outcome, including levels of anxiety and depression, satisfaction, and pain, was similar in outpatient surgery patients compared to the standard fast-track patients.\nLEVEL OF EVIDENCE: Case-control study, Level III.", 
        "genre": "research_article", 
        "id": "sg:pub.10.1007/s00167-017-4440-y", 
        "inLanguage": [
          "en"
        ], 
        "isAccessibleForFree": true, 
        "isPartOf": [
          {
            "id": "sg:journal.1104512", 
            "issn": [
              "0942-2056", 
              "1433-7347"
            ], 
            "name": "Knee Surgery, Sports Traumatology, Arthroscopy", 
            "type": "Periodical"
          }, 
          {
            "issueNumber": "3", 
            "type": "PublicationIssue"
          }, 
          {
            "type": "PublicationVolume", 
            "volumeNumber": "25"
          }
        ], 
        "name": "Outpatient unicompartmental knee arthroplasty: who is afraid of outpatient surgery?", 
        "pagination": "759-766", 
        "productId": [
          {
            "name": "readcube_id", 
            "type": "PropertyValue", 
            "value": [
              "807a098f6ca3212e63b597216a26a50271991c9b5dc8ccd4dd163b38332a6d3d"
            ]
          }, 
          {
            "name": "pubmed_id", 
            "type": "PropertyValue", 
            "value": [
              "28229182"
            ]
          }, 
          {
            "name": "nlm_unique_id", 
            "type": "PropertyValue", 
            "value": [
              "9314730"
            ]
          }, 
          {
            "name": "doi", 
            "type": "PropertyValue", 
            "value": [
              "10.1007/s00167-017-4440-y"
            ]
          }, 
          {
            "name": "dimensions_id", 
            "type": "PropertyValue", 
            "value": [
              "pub.1083859303"
            ]
          }
        ], 
        "sameAs": [
          "https://doi.org/10.1007/s00167-017-4440-y", 
          "https://app.dimensions.ai/details/publication/pub.1083859303"
        ], 
        "sdDataset": "articles", 
        "sdDatePublished": "2019-04-11T10:01", 
        "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
        "sdPublisher": {
          "name": "Springer Nature - SN SciGraph project", 
          "type": "Organization"
        }, 
        "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000347_0000000347/records_89819_00000002.jsonl", 
        "type": "ScholarlyArticle", 
        "url": "https://link.springer.com/10.1007%2Fs00167-017-4440-y"
      }
    ]
     

    Download the RDF metadata as:  json-ld nt turtle xml License info

    HOW TO GET THIS DATA PROGRAMMATICALLY:

    JSON-LD is a popular format for linked data which is fully compatible with JSON.

    curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00167-017-4440-y'

    N-Triples is a line-based linked data format ideal for batch operations.

    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00167-017-4440-y'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00167-017-4440-y'

    RDF/XML is a standard XML format for linked data.

    curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00167-017-4440-y'


     

    This table displays all metadata directly associated to this object as RDF triples.

    238 TRIPLES      21 PREDICATES      72 URIs      34 LITERALS      22 BLANK NODES

    Subject Predicate Object
    1 sg:pub.10.1007/s00167-017-4440-y schema:about N180c0a1a5dd342a7aaba064590e3b4fc
    2 N28209311a2ca4fa0bcb12bb342c2576a
    3 N2eb7f67ed7594ac0bb2616a417a0a7e1
    4 N5ffe278a79674b3692ad64667f323d05
    5 N629b7612370b4f9ea054eccb72a7fd54
    6 N7e2e418be80f495ca5bb97a59580188a
    7 N80cfe409a48b4975950ff5c949d891ef
    8 N97d8379b8b6649f4ba76e60847ea7026
    9 N9a4938cc487a4e339322c9cae932dafa
    10 Ncdd553227e7e4c7ea446816b363be074
    11 Ne4482cf7f82341c296ca8ccc3eda4ff5
    12 Nf1013f96f8434462a09df4e159c96c36
    13 Nfede17c07c0b4d5484a6b78389e863f1
    14 anzsrc-for:11
    15 anzsrc-for:1103
    16 schema:author N39a4994ef7a74543b751d6f330387122
    17 schema:citation sg:pub.10.1007/s00167-015-3680-y
    18 sg:pub.10.1007/s00167-016-4140-z
    19 sg:pub.10.1007/s00264-013-2214-9
    20 sg:pub.10.1007/s11999-009-0730-0
    21 sg:pub.10.1007/s11999-009-0736-7
    22 sg:pub.10.1007/s11999-009-0741-x
    23 sg:pub.10.1007/s11999-015-4234-9
    24 https://doi.org/10.1002/14651858.cd003526.pub3
    25 https://doi.org/10.1007/s11999-009-0730-0
    26 https://doi.org/10.1007/s11999-009-0736-7
    27 https://doi.org/10.1007/s11999-009-0741-x
    28 https://doi.org/10.1007/s11999-015-4234-9
    29 https://doi.org/10.1016/0168-8510(96)00822-6
    30 https://doi.org/10.1016/j.arth.2012.01.009
    31 https://doi.org/10.1016/j.arth.2013.08.021
    32 https://doi.org/10.1016/j.arth.2016.06.055
    33 https://doi.org/10.1016/j.joca.2013.08.022
    34 https://doi.org/10.1016/j.thromres.2015.12.025
    35 https://doi.org/10.1016/s0022-3999(01)00296-3
    36 https://doi.org/10.1016/s0968-0160(13)70006-1
    37 https://doi.org/10.1093/bja/aep136
    38 https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
    39 https://doi.org/10.1177/175045891602400405
    40 https://doi.org/10.1302/0301-620x.80b1.7859
    41 https://doi.org/10.1302/0301-620x.96b5.32434
    42 https://doi.org/10.2519/jospt.1998.28.2.88
    43 https://doi.org/10.3109/17453670903035559
    44 https://doi.org/10.3109/17453674.2012.657578
    45 https://doi.org/10.3109/17453674.2012.700593
    46 https://doi.org/10.3109/17453674.2016.1151292
    47 schema:datePublished 2017-03
    48 schema:datePublishedReg 2017-03-01
    49 schema:description PURPOSE: In recent years, duration of hospitalisation after knee arthroplasty has decreased and fast track and outpatient surgery protocols have been developed. Studies have shown that outpatient surgery is feasible, safe, and cost effective. However, the psychological well-being of patients undergoing outpatient surgery has never been described before. The purpose of this study was to investigate how patients experience outpatient surgery for unicompartmental knee arthroplasty (UKA), examining levels of anxiety and depression, satisfaction, and pain. It was hypothesized that the same-day discharge following UKA would not result in higher levels of anxiety and depression, compared to the standard fast-track surgery. METHODS: This case-controlled study included 20 patients undergoing UKA in an outpatient surgery setting and 20 patients undergoing the standard fast-track procedure. The Hospital Anxiety and Depression Scale (HADS, 0-42, lower is better) and numeric rating scales (NRS, 0-10) for pain and satisfaction were collected preoperatively, on the day of surgery, on the first, second, and seventh postoperative days and after 6 and 12 weeks. The Oxford Knee Score (OKS), the KOOS, EuroQoL-5D, and Net Promoter Score (NPS) were collected preoperatively and 3 months postoperatively. RESULTS: 90% of patients in the outpatient surgery group were discharged on the day of surgery. At the first postoperative day, the median HADS score was significantly lower in the outpatient surgery group compared to the fast-track group (3 vs. 8, p = 0.02), the median NRS satisfaction score was significantly higher in the outpatient surgery group (8 vs. 5, p = 0.03), and no differences existed between both groups for the NRS pain scores. At 3 month follow-up, no significant differences in improvement scores existed between both groups for the HADS, the NRS scores, and for the OKS, KOOS, EuroQoL-5D, and NPS. CONCLUSION: The results of this study emphasize the feasibility of an outpatient surgery pathway in carefully selected UKA patients. The outpatient surgery pathway is safe, and clinical outcome, including levels of anxiety and depression, satisfaction, and pain, was similar in outpatient surgery patients compared to the standard fast-track patients. LEVEL OF EVIDENCE: Case-control study, Level III.
    50 schema:genre research_article
    51 schema:inLanguage en
    52 schema:isAccessibleForFree true
    53 schema:isPartOf Nd58987ba50204669b2af42b5c5f446f3
    54 Nda5d68002ddc4ee4b89d1bf8219b5fd3
    55 sg:journal.1104512
    56 schema:name Outpatient unicompartmental knee arthroplasty: who is afraid of outpatient surgery?
    57 schema:pagination 759-766
    58 schema:productId N06e56fe0ab73499fb7b02d48a98e9e1d
    59 N1d3dbd05ba49412d9d6dff53a9f7aaf1
    60 N74c73f763e2a4a0d881a27ad3db5c572
    61 Nb316786a6f314dff963a25abc2d0762d
    62 Nebb46892633c43c7ae9ece6492ccbedf
    63 schema:sameAs https://app.dimensions.ai/details/publication/pub.1083859303
    64 https://doi.org/10.1007/s00167-017-4440-y
    65 schema:sdDatePublished 2019-04-11T10:01
    66 schema:sdLicense https://scigraph.springernature.com/explorer/license/
    67 schema:sdPublisher Nae42b620417747caaa4c4e4d0f5a04ae
    68 schema:url https://link.springer.com/10.1007%2Fs00167-017-4440-y
    69 sgo:license sg:explorer/license/
    70 sgo:sdDataset articles
    71 rdf:type schema:ScholarlyArticle
    72 N06e56fe0ab73499fb7b02d48a98e9e1d schema:name pubmed_id
    73 schema:value 28229182
    74 rdf:type schema:PropertyValue
    75 N0d351b7eb9db4f5492fc8a55b1ced590 rdf:first sg:person.01220571163.25
    76 rdf:rest Nbb604a00fe394eed9b2204b561806eb9
    77 N180c0a1a5dd342a7aaba064590e3b4fc schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    78 schema:name Patient Satisfaction
    79 rdf:type schema:DefinedTerm
    80 N1d3dbd05ba49412d9d6dff53a9f7aaf1 schema:name dimensions_id
    81 schema:value pub.1083859303
    82 rdf:type schema:PropertyValue
    83 N28209311a2ca4fa0bcb12bb342c2576a schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    84 schema:name Humans
    85 rdf:type schema:DefinedTerm
    86 N2eb7f67ed7594ac0bb2616a417a0a7e1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    87 schema:name Arthralgia
    88 rdf:type schema:DefinedTerm
    89 N39a4994ef7a74543b751d6f330387122 rdf:first sg:person.01213025123.72
    90 rdf:rest N0d351b7eb9db4f5492fc8a55b1ced590
    91 N3fce0fa5ae414734958bf96cad715a74 schema:affiliation https://www.grid.ac/institutes/grid.413711.1
    92 schema:familyName Boevé
    93 schema:givenName Margreet G.
    94 rdf:type schema:Person
    95 N5ffe278a79674b3692ad64667f323d05 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    96 schema:name Depression
    97 rdf:type schema:DefinedTerm
    98 N629b7612370b4f9ea054eccb72a7fd54 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    99 schema:name Treatment Outcome
    100 rdf:type schema:DefinedTerm
    101 N74c73f763e2a4a0d881a27ad3db5c572 schema:name doi
    102 schema:value 10.1007/s00167-017-4440-y
    103 rdf:type schema:PropertyValue
    104 N7e2e418be80f495ca5bb97a59580188a schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    105 schema:name Anxiety
    106 rdf:type schema:DefinedTerm
    107 N80cfe409a48b4975950ff5c949d891ef schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    108 schema:name Male
    109 rdf:type schema:DefinedTerm
    110 N97d8379b8b6649f4ba76e60847ea7026 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    111 schema:name Case-Control Studies
    112 rdf:type schema:DefinedTerm
    113 N9a4938cc487a4e339322c9cae932dafa schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    114 schema:name Postoperative Period
    115 rdf:type schema:DefinedTerm
    116 Nae42b620417747caaa4c4e4d0f5a04ae schema:name Springer Nature - SN SciGraph project
    117 rdf:type schema:Organization
    118 Nb316786a6f314dff963a25abc2d0762d schema:name nlm_unique_id
    119 schema:value 9314730
    120 rdf:type schema:PropertyValue
    121 Nbb604a00fe394eed9b2204b561806eb9 rdf:first N3fce0fa5ae414734958bf96cad715a74
    122 rdf:rest Ncbeb786d89504b4f800b55d317a8597a
    123 Ncbeb786d89504b4f800b55d317a8597a rdf:first sg:person.011606051007.40
    124 rdf:rest rdf:nil
    125 Ncdd553227e7e4c7ea446816b363be074 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    126 schema:name Female
    127 rdf:type schema:DefinedTerm
    128 Nd58987ba50204669b2af42b5c5f446f3 schema:issueNumber 3
    129 rdf:type schema:PublicationIssue
    130 Nda5d68002ddc4ee4b89d1bf8219b5fd3 schema:volumeNumber 25
    131 rdf:type schema:PublicationVolume
    132 Ne4482cf7f82341c296ca8ccc3eda4ff5 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    133 schema:name Middle Aged
    134 rdf:type schema:DefinedTerm
    135 Nebb46892633c43c7ae9ece6492ccbedf schema:name readcube_id
    136 schema:value 807a098f6ca3212e63b597216a26a50271991c9b5dc8ccd4dd163b38332a6d3d
    137 rdf:type schema:PropertyValue
    138 Nf1013f96f8434462a09df4e159c96c36 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    139 schema:name Arthroplasty, Replacement, Knee
    140 rdf:type schema:DefinedTerm
    141 Nfede17c07c0b4d5484a6b78389e863f1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    142 schema:name Ambulatory Surgical Procedures
    143 rdf:type schema:DefinedTerm
    144 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
    145 schema:name Medical and Health Sciences
    146 rdf:type schema:DefinedTerm
    147 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
    148 schema:name Clinical Sciences
    149 rdf:type schema:DefinedTerm
    150 sg:journal.1104512 schema:issn 0942-2056
    151 1433-7347
    152 schema:name Knee Surgery, Sports Traumatology, Arthroscopy
    153 rdf:type schema:Periodical
    154 sg:person.011606051007.40 schema:affiliation https://www.grid.ac/institutes/grid.413711.1
    155 schema:familyName van Geenen
    156 schema:givenName Rutger C. I.
    157 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011606051007.40
    158 rdf:type schema:Person
    159 sg:person.01213025123.72 schema:affiliation https://www.grid.ac/institutes/grid.413711.1
    160 schema:familyName Hoorntje
    161 schema:givenName Alexander
    162 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01213025123.72
    163 rdf:type schema:Person
    164 sg:person.01220571163.25 schema:affiliation https://www.grid.ac/institutes/grid.413711.1
    165 schema:familyName Koenraadt
    166 schema:givenName Koen L. M.
    167 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01220571163.25
    168 rdf:type schema:Person
    169 sg:pub.10.1007/s00167-015-3680-y schema:sameAs https://app.dimensions.ai/details/publication/pub.1001736096
    170 https://doi.org/10.1007/s00167-015-3680-y
    171 rdf:type schema:CreativeWork
    172 sg:pub.10.1007/s00167-016-4140-z schema:sameAs https://app.dimensions.ai/details/publication/pub.1053688538
    173 https://doi.org/10.1007/s00167-016-4140-z
    174 rdf:type schema:CreativeWork
    175 sg:pub.10.1007/s00264-013-2214-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032747937
    176 https://doi.org/10.1007/s00264-013-2214-9
    177 rdf:type schema:CreativeWork
    178 sg:pub.10.1007/s11999-009-0730-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041144820
    179 https://doi.org/10.1007/s11999-009-0730-0
    180 rdf:type schema:CreativeWork
    181 sg:pub.10.1007/s11999-009-0736-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1031777159
    182 https://doi.org/10.1007/s11999-009-0736-7
    183 rdf:type schema:CreativeWork
    184 sg:pub.10.1007/s11999-009-0741-x schema:sameAs https://app.dimensions.ai/details/publication/pub.1053019421
    185 https://doi.org/10.1007/s11999-009-0741-x
    186 rdf:type schema:CreativeWork
    187 sg:pub.10.1007/s11999-015-4234-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008021123
    188 https://doi.org/10.1007/s11999-015-4234-9
    189 rdf:type schema:CreativeWork
    190 https://doi.org/10.1002/14651858.cd003526.pub3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007678150
    191 rdf:type schema:CreativeWork
    192 https://doi.org/10.1007/s11999-009-0730-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041144820
    193 rdf:type schema:CreativeWork
    194 https://doi.org/10.1007/s11999-009-0736-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1031777159
    195 rdf:type schema:CreativeWork
    196 https://doi.org/10.1007/s11999-009-0741-x schema:sameAs https://app.dimensions.ai/details/publication/pub.1053019421
    197 rdf:type schema:CreativeWork
    198 https://doi.org/10.1007/s11999-015-4234-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008021123
    199 rdf:type schema:CreativeWork
    200 https://doi.org/10.1016/0168-8510(96)00822-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023757917
    201 rdf:type schema:CreativeWork
    202 https://doi.org/10.1016/j.arth.2012.01.009 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011188851
    203 rdf:type schema:CreativeWork
    204 https://doi.org/10.1016/j.arth.2013.08.021 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033763873
    205 rdf:type schema:CreativeWork
    206 https://doi.org/10.1016/j.arth.2016.06.055 schema:sameAs https://app.dimensions.ai/details/publication/pub.1031298338
    207 rdf:type schema:CreativeWork
    208 https://doi.org/10.1016/j.joca.2013.08.022 schema:sameAs https://app.dimensions.ai/details/publication/pub.1035034280
    209 rdf:type schema:CreativeWork
    210 https://doi.org/10.1016/j.thromres.2015.12.025 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038383956
    211 rdf:type schema:CreativeWork
    212 https://doi.org/10.1016/s0022-3999(01)00296-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008091244
    213 rdf:type schema:CreativeWork
    214 https://doi.org/10.1016/s0968-0160(13)70006-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028975393
    215 rdf:type schema:CreativeWork
    216 https://doi.org/10.1093/bja/aep136 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005709392
    217 rdf:type schema:CreativeWork
    218 https://doi.org/10.1111/j.1600-0447.1983.tb09716.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1011377221
    219 rdf:type schema:CreativeWork
    220 https://doi.org/10.1177/175045891602400405 schema:sameAs https://app.dimensions.ai/details/publication/pub.1078915570
    221 rdf:type schema:CreativeWork
    222 https://doi.org/10.1302/0301-620x.80b1.7859 schema:sameAs https://app.dimensions.ai/details/publication/pub.1064885821
    223 rdf:type schema:CreativeWork
    224 https://doi.org/10.1302/0301-620x.96b5.32434 schema:sameAs https://app.dimensions.ai/details/publication/pub.1064887611
    225 rdf:type schema:CreativeWork
    226 https://doi.org/10.2519/jospt.1998.28.2.88 schema:sameAs https://app.dimensions.ai/details/publication/pub.1070872313
    227 rdf:type schema:CreativeWork
    228 https://doi.org/10.3109/17453670903035559 schema:sameAs https://app.dimensions.ai/details/publication/pub.1013332004
    229 rdf:type schema:CreativeWork
    230 https://doi.org/10.3109/17453674.2012.657578 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037293706
    231 rdf:type schema:CreativeWork
    232 https://doi.org/10.3109/17453674.2012.700593 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036718795
    233 rdf:type schema:CreativeWork
    234 https://doi.org/10.3109/17453674.2016.1151292 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006255204
    235 rdf:type schema:CreativeWork
    236 https://www.grid.ac/institutes/grid.413711.1 schema:alternateName Amphia Ziekenhuis
    237 schema:name Department of Orthopaedic Surgery, Foundation FORCE (Foundation for Orthopaedic Research Care Education), Amphia Hospital, Postbus 90158, 4800 RK, Breda, The Netherlands
    238 rdf:type schema:Organization
     




    Preview window. Press ESC to close (or click here)


    ...