Key interventions and outcomes in joint arthroplasty clinical pathways: a systematic review

Herck, Pieter Van; Vanhaecht, Kris; Deneckere, Svin; Bellemans, Johan; Panella, Massimiliano; Barbieri, A; Sermeus, Walter

doi:10.1111/j.1365-2753.2008.01111.x

Cited by 77 publications

(46 citation statements)

References 44 publications

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“…A large cohort study of 6000 patients, comparing an ER arthroplasty cohort to a traditional control found that ER patients can reduce length of stay (LOS) and need for blood transfusion [15] . Others have corroborated these findings [12][13][14][15][16][17][18][19][20] . Other advantages include reduction of both 30-day incidence of myocardial ischaemic events (p = 0.03) and 30-day mortality (p = 0.03) [15] .…”

Section: Methodssupporting

confidence: 68%

“…Furthermore the use of a clinical pathway curtails unnecessary investigation. Three studies reported a statistically significant decrease in the cumulative number of gratuitous tests [13] . A multidisciplinary pre-operative assessment clinic, in which patients are assessed by an anaesthetic-led team, can limit unplanned intensive care unit (ICU) admissions, and reduce LOS on high dependency unit (HDU) and ICU, as well as decreasing mortality rates, for complex orthopaedic surgery patients [52] .…”

Section: Methodsmentioning

confidence: 99%

“…Arthroplasty surgery, in terms of diagnosis and treatment, is fertile ground for such a pathway. Clinical pathways can improve the process, limiting needless investigations, with a corresponding decrease in expenditure ranging from $800 -$3000 [13] . The review aims to provide an evidence based insight into the concept of the North American perioperative surgical home (PSH) and to compare and contrast it with the European enhanced recovery (ER) pathway in TKA/THA.…”

Section: Editorialmentioning

confidence: 99%

See 2 more Smart Citations

The Perioperative Surgical Home and Enhanced Recovery After Surgery: Perspectives from Two Continents

Mirza

Yasen

Oussedik

et al. 2017

International Journal of Orthopaedics

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Section: Methodssupporting

confidence: 68%

Section: Methodsmentioning

confidence: 99%

Section: Editorialmentioning

confidence: 99%

See 1 more Smart Citation

The Perioperative Surgical Home and Enhanced Recovery After Surgery: Perspectives from Two Continents

Mirza

Yasen

Oussedik

et al. 2017

International Journal of Orthopaedics

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“…First, physiotherapists, like other orthopaedic clinicians, are involved in surveillance and monitoring of patients following joint arthroplasty. 15,16 As well as assessing clinical outcomes, this can involve assessment of radiological measurement scores, including the progression of osteoarthritic changes and osteolysis or joint loosening; the JPOS can be used to assess the former. Second, physiotherapists are now involved in triaging patients for surgical management.…”

Section: Discussionmentioning

confidence: 99%

Reliability of the Jones Patellofemoral Osteoarthritis Score for Radiological Assessment of Patellofemoral Degenerative Changes: Comparing a Physiotherapist to Doctors

Smith

Kang

Rover

et al. 2012

Physiotherapy Canada

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Purpose: Radiological measurement scores are used by orthopaedic physiotherapists in triage and surveillance of patients with degenerative changes of the tibiofemoral and patellofemoral joints. The purpose of this study was to estimate the intra-and inter-observer reliability of a radiological measurement score to assess patellofemoral joint osteoarthritis, the Jones Patellofemoral Osteoarthritis Score (JPOS), with an orthopaedic physiotherapist and three grades of junior surgeons/doctors. Methods: A total of 390 skyline X-rays of the patellofemoral joint were reviewed on 2 occasions, 4 weeks apart, by an orthopaedic physiotherapist, 2 orthopaedic surgeons, and an orthopaedic doctor. Intra-and inter-observer reliability of the JPOS was calculated using a weighted kappa analysis. Results: The results indicated that while there was good overall intra-observer agreement for this measurement score for all assessors, inter-observer reliability was generally poor between the orthopaedic physiotherapist and the orthopaedic surgeons/doctor. Conclusion: Our findings call into question the use of the JPOS by orthopaedic physiotherapists working in triage or orthopaedic surveillance programmes with other orthopaedic clinicians.Key Words: patella; radiography; physical therapy; reliability of results. RÉ SUMÉObjectif : Les mesures radiologiques sont utilisé es par les physiothé rapeutes orthopé diques pour le triage et la surveillance des patients qui vivent des changements dé gé né ratifs à l'articulation fé morotibiale et à l'articulation patellofé morale. L'objectif de cette é tude é tait d'estimer, avec un physiothé rapeute orthopé dique et trois caté gories de chirurgiens et mé decins novices, la fiabilité intra et interobservateur d'une mesure radiologique pour l'é valuation de l'arthrose patellofé morale à l'aide de l'é chelle d'arthrose patellofé morale de Jones (JPOS). Mé thode : Au total, 390 incidences fé moropatellaires ont é té examiné es en deux occasions, à quatre semaines d'intervalle, par un physiothé rapeute orthopé dique, par deux chirurgiens orthopé diques et par un orthopé diste. La fiabilité intra et interobservateur de la JPOS a é té calculé e à l'aide du coefficient Kappa pondé ré . Ré sultats : Les ré sultats ont indiqué que bien que tous les é valuateurs é taient plutô t d'accord avec cette é chelle de mesure, la fiabilité interobservateur é tait gé né ralement faible entre les physiothé rapeutes orthopé diques et les chirurgiens orthopé diques et orthopé distes. Conclusion : Nos conclusions remettent en questions l'utilisation due la JPOS par les physiothé rapeutes orthopé diques qui travaillent au triage ou dans des programmes de surveillance orthopé dique avec d'autres cliniciens en orthopé die.Osteoarthritis (OA) of the knee joint is a common disorder that is functionally disabling. 1,2 Although OA of the tibiofemoral joint is more common, patellofemoral OA is an important cause of disability for a large number of patients. 3,4 With the evolution of health care and growing demands on ho...

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“…Ved artrose i hofte-og kneledd er leddprotesekirurgi en godt dokumentert behandlingsmetode som på sikt fremmer smertelindring, bedret funksjonsevne og livskvalitet (1,2). Inngrepet medfører samtidig sterke postoperative smerter, og opptreningen krever optimal smertebehandling (3,4).…”

Section: Bakgrunnunclassified

Pasienters erfaringer med postoperativ smertebehandling ved hofte- og kneprotesekirurgi

Sjøveian¹,

Leegaard²

2015

Sykepleien

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Key interventions and outcomes in joint arthroplasty clinical pathways: a systematic review

Cited by 77 publications

References 44 publications

The Perioperative Surgical Home and Enhanced Recovery After Surgery: Perspectives from Two Continents

The Perioperative Surgical Home and Enhanced Recovery After Surgery: Perspectives from Two Continents

Reliability of the Jones Patellofemoral Osteoarthritis Score for Radiological Assessment of Patellofemoral Degenerative Changes: Comparing a Physiotherapist to Doctors

Pasienters erfaringer med postoperativ smertebehandling ved hofte- og kneprotesekirurgi

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