Patient Perceptions Regarding Outpatient Hip and Knee Arthroplasties

The Journal of Arthroplasty
R Michael Meneghini, Mary Ziemba-Davis

Abstract

There has been increasing interest in outpatient total joint arthroplasty (TJA) in the orthopedic community, but how patients feel about outpatient TJA is unknown. The purpose of this study was to understand patient perspectives on hip and knee replacements performed in an outpatient setting. We surveyed 110 consecutive patients scheduled for primary TJA in an academic suburban arthroplasty practice regarding their knowledge and perceptions of outpatient TJA. Questionnaires were administered during preoperative clinic visits before discussion of surgery location, length of stay, and before preoperative joint replacement education. Fifty-seven percent of respondents were female, and 42.7% were aged 65 years or older. Very few patients expected same-day discharge (n = 3) or a one night stay in the hospital (n = 17). Fifty-four percent of patients were expected to stay in the hospital two or more nights. Only 54.5% of patients were aware that outpatient TJA is an option, with 55.3% of men and 31.7% of women reporting that they were comfortable with outpatient TJA (P = .030). In contrast, 61% and 72.8% believed that faster recovery and decreased likelihood of infection are likely advantages of outpatient TJA. Interestingly, 51.9% f...Continue Reading

Citations

Jul 30, 2019·Current Opinion in Anaesthesiology·Jinlei LiEdward R Mariano
Mar 12, 2020·Orthopedic Research and Reviews·Bryn O ZomarBrent A Lanting
Sep 16, 2020·Journal of Orthopaedic Surgery and Research·Vittorio BordoniChristian Candrian
Aug 28, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Vittorio BordoniChristian Candrian
Aug 23, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Ryan D ScullyJ Stuart Melvin
Nov 12, 2020·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Andrew M SchwartzEvan M Schwechter
Dec 4, 2019·The Journal of Rheumatology·Jasvinder A SinghSusan M Goodman
Mar 27, 2021·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Joshua W ThompsonFares S Haddad
Mar 29, 2021·The Journal of Arthroplasty·Nathan H VaradyEric L Smith

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