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Influence of fast-track programs on patient-reported outcomes in total hip and knee replacement (THR/TKR) at Swedish hospitals 2011-2015: an observational study including 51,169 THR and 8,393 TKR operations.
- Source :
-
Acta orthopaedica [Acta Orthop] 2020 Jun; Vol. 91 (3), pp. 306-312. Date of Electronic Publication: 2020 Feb 28. - Publication Year :
- 2020
-
Abstract
- Background and purpose - Fast-track care programs have been broadly introduced at Swedish hospitals in elective total hip and knee replacement (THR/TKR). We studied the influence of fast-track programs on patient-reported outcomes (PROs) 1 year after surgery, by exploring outcome measures registered in the Swedish arthroplasty registers.Patients and methods - Data were obtained from the Swedish Knee and Hip Arthroplasty Registers and included TKR and THR operations 2011-2015 on patients with osteoarthritis. Based on questionnaires concerning the clinical pathway and care programs at Swedish hospitals, the patients were divided in 2 groups depending on whether they had been operated in a fast-track program or not. PROs of the fast-track group were compared with not fast-track using regression analysis. EQ-5D, EQ VAS, Pain VAS, and Satisfaction VAS were analyzed for both THR and TKR operations. The PROMs for TKR also included KOOS.Results - The differences of EQ-5D, EQ VAS, Pain VAS, and Satisfaction VAS 1 year after surgery were small but all in favor of fast-track for both THR and TKR, also in subscales of KOOS for TKR except KOOS QoL. However, the effect sizes as measured by Cohens' d formula were < 0.2 for all PROs, in both THR and TKR.Interpretation - Our results indicate that the fast-track programs may be at least as good as conventional care from the perspective of PROs 1-year postoperatively.
- Subjects :
- Aged
Arthroplasty, Replacement, Hip methods
Arthroplasty, Replacement, Knee methods
Female
Humans
Male
Osteoarthritis, Hip surgery
Osteoarthritis, Knee surgery
Patient Reported Outcome Measures
Patient Satisfaction statistics & numerical data
Surveys and Questionnaires
Sweden
Time Factors
Arthroplasty, Replacement, Hip statistics & numerical data
Arthroplasty, Replacement, Knee statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1745-3682
- Volume :
- 91
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Acta orthopaedica
- Publication Type :
- Academic Journal
- Accession number :
- 32106731
- Full Text :
- https://doi.org/10.1080/17453674.2020.1733375