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Influence of fast-t...
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Berg, UrbanGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics,Sahlgrenska Academy
(author)
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
- Article/chapterEnglish2020
Publisher, publication year, extent ...
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2020-02-28
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Medical Journals Sweden AB,2020
Numbers
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LIBRIS-ID:oai:gup.ub.gu.se/291167
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https://gup.ub.gu.se/publication/291167URI
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https://doi.org/10.1080/17453674.2020.1733375DOI
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https://lup.lub.lu.se/record/8c44d509-04f5-4115-ad3e-192c7c02e5c7URI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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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.
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W-Dahl, AnnetteLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Swedish Knee Arthroplasty Register(Swepub:lu)ort-aw-
(author)
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Rolfson, Ola,1973Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics,Sahlgrenska Academy,Swedish Hip Arthroplasty Register,Sahlgrenska University Hospital(Swepub:gu)xrolol
(author)
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Naucler, E.Swedish Hip Arthroplasty Register
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Sundberg, MartinLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Forskningsgruppen för höft- och knäproteskirurgi,Forskargrupper vid Lunds universitet,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,The Hip and Knee Joint Arthroplasty Research Group,Lund University Research Groups,Swedish Knee Arthroplasty Register(Swepub:lu)med-msu
(author)
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Nilsdotter, AnnaGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics,Sahlgrenska University Hospital,Sahlgrenska Academy(Swepub:lu)ort-ani
(author)
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Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för ortopedi
(creator_code:org_t)
Related titles
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In:Acta Orthopaedica: Medical Journals Sweden AB91:3, s. 306-3121745-36741745-3682
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