{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:33:19Z","timestamp":1791401599744,"version":"4.3.3"},"reference-count":27,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T00:00:00Z","timestamp":1533081600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","arthroplastyjournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2018,8]]},"DOI":"10.1016\/j.arth.2018.03.012","type":"journal-article","created":{"date-parts":[[2018,3,18]],"date-time":"2018-03-18T20:21:27Z","timestamp":1521404487000},"page":"2616-2622","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":48,"title":["How Fast Should a Total Knee Arthroplasty Be Performed? An Analysis of 140,199 Surgeries"],"prefix":"10.1016","volume":"33","author":[{"given":"Jaiben","family":"George","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilal","family":"Mahmood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assem A.","family":"Sultan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nipun","family":"Sodhi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Mont","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos A.","family":"Higuera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim L.","family":"Stearns","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2018.03.012_bib1","series-title":"Healthcare Cost and Utilization Project (HCUP). Agency for Healthcare Research and Quality","year":"2015"},{"key":"10.1016\/j.arth.2018.03.012_bib2","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.jsurg.2011.08.003","article-title":"Assessing trainee impact on operative time for common general surgical procedures in ACS-NSQIP","volume":"69","author":"Papandria","year":"2012","journal-title":"J\u00a0Surg Educ"},{"key":"10.1016\/j.arth.2018.03.012_bib3","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1016\/j.arth.2015.10.032","article-title":"Morbid obesity and congestive heart failure increase operative time and room time in total hip arthroplasty","volume":"31","author":"Gholson","year":"2016","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.012_bib4","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/j.arth.2012.07.037","article-title":"Higher body mass index leads to longer operative time in total knee arthroplasty","volume":"28","author":"Liabaud","year":"2013","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.012_bib5","first-page":"1262","article-title":"The effects of prolonged low-flow sevoflurane anesthesia on renal and hepatic function","volume":"91","author":"Obata","year":"2000","journal-title":"Anesth Analg"},{"key":"10.1016\/j.arth.2018.03.012_bib6","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.2460\/ajvr.2001.62.1428","article-title":"Cardiopulmonary effects of prolonged anesthesia via propofol-medetomidine infusion in ponies","volume":"62","author":"Bettschart-Wolfensberger","year":"2001","journal-title":"Am J Vet Res"},{"key":"10.1016\/j.arth.2018.03.012_bib7","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1007\/s11999-014-3628-4","article-title":"Does operative time affect infection rate in primary total knee arthroplasty?","volume":"473","author":"Naranje","year":"2015","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2018.03.012_bib8","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1007\/s11420-005-0130-2","article-title":"Prolonged operative time correlates with increased infection rate after total knee arthroplasty","volume":"2","author":"Peersman","year":"2006","journal-title":"HSS J"},{"key":"10.1016\/j.arth.2018.03.012_bib9","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.6061\/clinics\/2012(09)12","article-title":"The influence of tourniquet use and operative time on the incidence of deep vein thrombosis in total knee arthroplasty","volume":"67","author":"Hernandez","year":"2012","journal-title":"Clinics (Sao Paulo)"},{"key":"10.1016\/j.arth.2018.03.012_bib10","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1016\/j.arth.2017.09.048","article-title":"Readmission, reoperation, and complications: total hip vs total knee arthroplasty","volume":"33","author":"George","year":"2018","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.012_bib11","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1016\/j.arth.2016.07.039","article-title":"Predicting functional outcomes after above knee amputation for infected total knee arthroplasty","volume":"32","author":"George","year":"2017","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.012_bib12","doi-asserted-by":"crossref","first-page":"2177","DOI":"10.2106\/JBJS.L.00789","article-title":"Periprosthetic joint infection increases the risk of one-year mortality","volume":"95","author":"Zmistowski","year":"2013","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2018.03.012_bib13","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/S0196-6553(99)70088-X","article-title":"Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee","volume":"27","author":"Mangram","year":"1999","journal-title":"Am J Infect Control"},{"key":"10.1016\/j.arth.2018.03.012_bib14","doi-asserted-by":"crossref","first-page":"152S","DOI":"10.1016\/0002-9343(91)90361-Z","article-title":"Surgical wound infection rates by wound class, operative procedure, and patient risk index. National Nosocomial Infections Surveillance System","volume":"91","author":"Culver","year":"1991","journal-title":"Am J Med"},{"key":"10.1016\/j.arth.2018.03.012_bib15","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1016\/j.arth.2016.12.003","article-title":"Operative time affects short-term complications in total joint arthroplasty","volume":"32","author":"Duchman","year":"2017","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.012_bib16","doi-asserted-by":"crossref","first-page":"20","DOI":"10.2106\/JBJS.M.00018","article-title":"Thirty-day postoperative complications and mortality following total knee arthroplasty","volume":"96","author":"Belmont","year":"2014","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2018.03.012_bib17","series-title":"American College of Surgeons National Surgical Quality Improvement Program","year":"2015"},{"key":"10.1016\/j.arth.2018.03.012_bib18","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1097\/00000658-199810000-00006","article-title":"The Department of Veterans Affairs\u2019 NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA Surgical Quality Improvement Program","volume":"228","author":"Khuri","year":"1998","journal-title":"Ann Surg"},{"key":"10.1016\/j.arth.2018.03.012_bib19","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.arth.2015.06.024","article-title":"The Lawrence D. Dorr Surgical Techniques & Technologies Award: conversion total hip arthroplasty: is it a primary or revision hip arthroplasty","volume":"31","author":"Baghoolizadeh","year":"2016","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.012_bib20","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.2106\/JBJS.N.01016","article-title":"The effect of smoking on short-term complications following total hip and knee arthroplasty","volume":"97","author":"Duchman","year":"2015","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2018.03.012_bib21","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1007\/s11999-016-4868-2","article-title":"The Frank Stinchfield Award: total hip arthroplasty for femoral neck fracture is not a typical DRG 470: a propensity-matched cohort study","volume":"475","author":"Schairer","year":"2017","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2018.03.012_bib22","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1016\/j.jamcollsurg.2014.12.040","article-title":"How slow is too slow? Correlation of operative time to complications: an analysis from the Tennessee Surgical Quality Collaborative","volume":"220","author":"Daley","year":"2015","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.arth.2018.03.012_bib23","series-title":"R: a language and environment for statistical computing","year":"2015"},{"key":"10.1016\/j.arth.2018.03.012_bib24","series-title":"rms: regression modeling strategies. R package version 4.4-0","author":"Harrell","year":"2015"},{"key":"10.1016\/j.arth.2018.03.012_bib25","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.jamcollsurg.2009.09.031","article-title":"Toward robust information: data quality and inter-rater reliability in the American College of Surgeons National Surgical Quality Improvement Program","volume":"210","author":"Shiloach","year":"2010","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.arth.2018.03.012_bib26","doi-asserted-by":"crossref","first-page":"1902","DOI":"10.1016\/j.arth.2017.01.038","article-title":"Quantifying blood loss and transfusion risk after primary vs conversion total hip arthroplasty","volume":"32","author":"Newman","year":"2017","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.012_bib27","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1007\/s00264-006-0096-9","article-title":"Blood loss in total knee arthroplasty: an analysis of risk factors","volume":"31","author":"Prasad","year":"2007","journal-title":"Int Orthop"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540318302523?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540318302523?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,7,20]],"date-time":"2018-07-20T02:44:29Z","timestamp":1532054669000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540318302523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8]]},"references-count":27,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["S0883540318302523"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2018.03.012","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2018,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"How Fast Should a Total Knee Arthroplasty Be Performed? An Analysis of 140,199 Surgeries","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2018.03.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}