Implementation of Outpatient Total Joint Arthroplasty in Canada: Where We are and Where We Need to Go

Total joint arthroplasties (TJA) are successful procedures for the treatment of end-stage hip and knee arthritis. Length of stay in hospitals after these procedures has been steadily decreasing over time, with outpatient procedures (discharge on the same day as surgery) introduced in the US within t...

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Autores principales: Zomar, Bryn O, Sibbald, Shannon L, Bickford, Doug, Howard, James L, Bryant, Dianne M, Marsh, Jacquelyn D, Lanting, Brent A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Commentary
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048947/
https://www.ncbi.nlm.nih.gov/pubmed/32158280
http://dx.doi.org/10.2147/ORR.S239386
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author Zomar, Bryn O
Sibbald, Shannon L
Bickford, Doug
Howard, James L
Bryant, Dianne M
Marsh, Jacquelyn D
Lanting, Brent A
author_facet Zomar, Bryn O
Sibbald, Shannon L
Bickford, Doug
Howard, James L
Bryant, Dianne M
Marsh, Jacquelyn D
Lanting, Brent A
author_sort Zomar, Bryn O
collection PubMed
description Total joint arthroplasties (TJA) are successful procedures for the treatment of end-stage hip and knee arthritis. Length of stay in hospitals after these procedures has been steadily decreasing over time, with outpatient procedures (discharge on the same day as surgery) introduced in the US within the last 20 years. Reducing length of stay after TJA can provide cost savings. Centres in Canada have started to utilize outpatient TJA procedures, but we have identified some barriers that may have limited their implementation. We have summarized the current literature for outpatient TJA and discussed potential solutions for the current barriers.
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spelling pubmed-70489472020-03-10 Implementation of Outpatient Total Joint Arthroplasty in Canada: Where We are and Where We Need to Go Zomar, Bryn O Sibbald, Shannon L Bickford, Doug Howard, James L Bryant, Dianne M Marsh, Jacquelyn D Lanting, Brent A Orthop Res Rev Commentary Total joint arthroplasties (TJA) are successful procedures for the treatment of end-stage hip and knee arthritis. Length of stay in hospitals after these procedures has been steadily decreasing over time, with outpatient procedures (discharge on the same day as surgery) introduced in the US within the last 20 years. Reducing length of stay after TJA can provide cost savings. Centres in Canada have started to utilize outpatient TJA procedures, but we have identified some barriers that may have limited their implementation. We have summarized the current literature for outpatient TJA and discussed potential solutions for the current barriers. Dove 2020-02-24 /pmc/articles/PMC7048947/ /pubmed/32158280 http://dx.doi.org/10.2147/ORR.S239386 Text en © 2020 Zomar et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Commentary
Zomar, Bryn O
Sibbald, Shannon L
Bickford, Doug
Howard, James L
Bryant, Dianne M
Marsh, Jacquelyn D
Lanting, Brent A
Implementation of Outpatient Total Joint Arthroplasty in Canada: Where We are and Where We Need to Go
title Implementation of Outpatient Total Joint Arthroplasty in Canada: Where We are and Where We Need to Go
title_full Implementation of Outpatient Total Joint Arthroplasty in Canada: Where We are and Where We Need to Go
title_fullStr Implementation of Outpatient Total Joint Arthroplasty in Canada: Where We are and Where We Need to Go
title_full_unstemmed Implementation of Outpatient Total Joint Arthroplasty in Canada: Where We are and Where We Need to Go
title_short Implementation of Outpatient Total Joint Arthroplasty in Canada: Where We are and Where We Need to Go
title_sort implementation of outpatient total joint arthroplasty in canada: where we are and where we need to go
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048947/
https://www.ncbi.nlm.nih.gov/pubmed/32158280
http://dx.doi.org/10.2147/ORR.S239386
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