{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:39:11Z","timestamp":1786984751997,"version":"build-2736575974"},"reference-count":38,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.arth.2025.08.071","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T16:05:39Z","timestamp":1756742739000},"page":"1291-1301.e2","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Limited Efficacy of Pharmacological Interventions for Improving Postoperative Sleep Quality in Primary Total Joint Arthroplasty Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials"],"prefix":"10.1016","volume":"41","author":[{"given":"Negarsadat","family":"Namazi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Salmani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariyan","family":"Ayati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Mehrvar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Poursalehian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sina","family":"Hajiaghajani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2025.08.071_bib1","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/j.arth.2015.07.044","article-title":"Prospective evaluation of sleep disturbances after total knee arthroplasty","volume":"31","author":"Chen","year":"2016","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.071_bib2","doi-asserted-by":"crossref","first-page":"1989","DOI":"10.1111\/os.13382","article-title":"Preoperative high sleep quality predicts further decrease in length of stay after total joint arthroplasty under enhanced recovery short-stay program: experience in 604 patients from a single team","volume":"14","author":"Ding","year":"2022","journal-title":"Orthop Surg"},{"key":"10.1016\/j.arth.2025.08.071_bib3","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1111\/jgs.14685","article-title":"Sleep disruption at home as an independent risk factor for postoperative delirium","volume":"65","author":"Todd","year":"2017","journal-title":"J Am Geriatr Soc"},{"key":"10.1016\/j.arth.2025.08.071_bib4","doi-asserted-by":"crossref","first-page":"1897","DOI":"10.1016\/j.arth.2015.02.020","article-title":"Sleep quality effects recovery after total knee arthroplasty (tka)--a randomized, double-blind, controlled study","volume":"30","author":"Gong","year":"2015","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.071_bib5","doi-asserted-by":"crossref","first-page":"19","DOI":"10.4103\/nah.nah_88_23","article-title":"Application of noise reduction earplugs in patients undergoing total knee arthroplasty: a retrospective study","volume":"26","author":"Wen","year":"2024","journal-title":"Noise Health"},{"key":"10.1016\/j.arth.2025.08.071_bib6","doi-asserted-by":"crossref","first-page":"220","DOI":"10.4103\/nah.nah_32_23","article-title":"Effect of white noise intervention combined with multi-dimensional nursing mode on sleep quality and incidence of nosocomial infection in patients undergoing hip replacement","volume":"25","author":"Tian","year":"2023","journal-title":"Noise Health"},{"key":"10.1016\/j.arth.2025.08.071_bib7","doi-asserted-by":"crossref","first-page":"1763","DOI":"10.1016\/j.arth.2022.03.081","article-title":"Topical cannabidiol (cbd) after total knee arthroplasty does not decrease pain or opioid use: a prospective randomized double-blinded placebo-controlled trial","volume":"37","author":"Haffar","year":"2022","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.071_bib8","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/j.jamcollsurg.2019.05.026","article-title":"Cluster-randomized trial of opiate-sparing analgesia after discharge from elective hip surgery","volume":"229","author":"Fleischman","year":"2019","journal-title":"J Am Coll Surg"},{"key":"10.1016\/j.arth.2025.08.071_bib9","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1155\/2012\/704932","article-title":"Long-acting morphine following hip or knee replacement: a randomized, double-blind, placebo-controlled trial","volume":"17","author":"Musclow","year":"2012","journal-title":"Pain Res Manag"},{"key":"10.1016\/j.arth.2025.08.071_bib10","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1213\/ANE.0b013e3181c4273a","article-title":"Perioperative oral Pregabalin reduces chronic pain after total knee arthroplasty: a prospective, randomized, controlled trial","volume":"110","author":"Buvanendran","year":"2010","journal-title":"Anesth Analg"},{"key":"10.1016\/j.arth.2025.08.071_bib11","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The prisma 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"10.1016\/j.arth.2025.08.071_bib12","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/j.arth.2020.08.018","article-title":"Short-term effects of early postoperative celecoxib administration for pain, sleep quality, and range of motion after total knee arthroplasty: a randomized controlled trial","volume":"36","author":"Mammoto","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.071_bib13","doi-asserted-by":"crossref","DOI":"10.1155\/2017\/2310382","article-title":"Gabapentin does not appear to improve postoperative pain and sleep patterns in patients who concomitantly receive regional anesthesia for lower extremity orthopedic surgery: a randomized control trial","volume":"2017","author":"Eloy","year":"2017","journal-title":"Pain Res Manag"},{"key":"10.1016\/j.arth.2025.08.071_bib14","doi-asserted-by":"crossref","first-page":"2438","DOI":"10.1097\/j.pain.0000000000000309","article-title":"Analgesic and sedative effects of perioperative Gabapentin in total knee arthroplasty: a randomized, double-blind, placebo-controlled dose-finding study","volume":"156","author":"Lunn","year":"2015","journal-title":"Pain"},{"key":"10.1016\/j.arth.2025.08.071_bib15","doi-asserted-by":"crossref","first-page":"2411","DOI":"10.1001\/jama.290.18.2411","article-title":"Effects of perioperative administration of a selective cyclooxygenase 2 inhibitor on pain management and recovery of function after knee replacement: a randomized controlled trial","volume":"290","author":"Buvanendran","year":"2003","journal-title":"JAMA"},{"key":"10.1016\/j.arth.2025.08.071_bib16","doi-asserted-by":"crossref","first-page":"S15","DOI":"10.1016\/j.arth.2024.01.018","article-title":"The john n. Insall award: does melatonin improve subjective sleep quality after total knee arthroplasty? A randomized, placebo-controlled trial","volume":"39","author":"LeBrun","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.071_bib17","doi-asserted-by":"crossref","first-page":"S154","DOI":"10.1016\/j.arth.2024.02.031","article-title":"Does melatonin improve sleep following primary total knee arthroplasty? A randomized, double-blind, placebo-controlled trial","volume":"39","author":"Haider","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.071_bib18","doi-asserted-by":"crossref","first-page":"e287","DOI":"10.5435\/JAAOS-D-21-00243","article-title":"Melatonin does not improve sleep quality in a randomized placebo-controlled trial after primary total joint arthroplasty","volume":"30","author":"Clarkson","year":"2022","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.arth.2025.08.071_bib19","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.jagp.2020.05.006","article-title":"Effects of ramelteon on the prevention of postoperative delirium in older patients undergoing orthopedic surgery: the recover randomized controlled trial","volume":"29","author":"Oh","year":"2021","journal-title":"Am J Geriatr Psychiatry"},{"key":"10.1016\/j.arth.2025.08.071_bib20","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.jclinane.2017.03.023","article-title":"The effect of melatonin on early postoperative cognitive decline in elderly patients undergoing hip arthroplasty: a randomized controlled trial","volume":"39","author":"Fan","year":"2017","journal-title":"J Clin Anesth"},{"key":"10.1016\/j.arth.2025.08.071_bib21","doi-asserted-by":"crossref","first-page":"2370","DOI":"10.1016\/j.arth.2015.06.034","article-title":"Impact of melatonin on sleep and pain after total knee arthroplasty under regional anesthesia with sedation: a double-blind, randomized, placebo-controlled pilot study","volume":"30","author":"Kirksey","year":"2015","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.071_bib22","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1111\/aas.14319","article-title":"Prolonged effects of Dexamethasone following total knee arthroplasty: a pre-planned sub-study of the dex-2-tka trial","volume":"68","author":"Derby","year":"2024","journal-title":"Acta Anaesthesiol Scand"},{"key":"10.1016\/j.arth.2025.08.071_bib23","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.artd.2022.03.006","article-title":"Single high-dose systemic methylprednisolone administered preoperatively improves pain control and sleep quality after total hip arthroplasty: a double-blind, randomized controlled trial","volume":"16","author":"Shafiei","year":"2022","journal-title":"Arthroplast Today"},{"key":"10.1016\/j.arth.2025.08.071_bib24","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1093\/bja\/aes345","article-title":"Effect of high-dose preoperative Methylprednisolone on recovery after total hip arthroplasty: a randomized, double-blind, placebo-controlled trial","volume":"110","author":"Lunn","year":"2013","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.arth.2025.08.071_bib25","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1093\/bja\/aeq333","article-title":"Effect of high-dose preoperative Methylprednisolone on pain and recovery after total knee arthroplasty: a randomized, placebo-controlled trial","volume":"106","author":"Lunn","year":"2011","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.arth.2025.08.071_bib26","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2023.1113577","article-title":"A randomized controlled study of a psycho-behavioral intervention combined with a non-benzodiazepine to improve perioperative sleep quality in patients undergoing knee arthroplasty","volume":"10","author":"Jing","year":"2023","journal-title":"Front Surg"},{"key":"10.1016\/j.arth.2025.08.071_bib27","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1186\/s13018-019-1327-2","article-title":"Prospective randomized controlled study on improving sleep quality and impact of Zolpidem after total hip arthroplasty","volume":"14","author":"Shakya","year":"2019","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.arth.2025.08.071_bib28","doi-asserted-by":"crossref","first-page":"321","DOI":"10.5664\/jcsm.3540","article-title":"Postoperative sleep disturbances after zolpidem treatment in fast-track hip and knee replacement","volume":"10","author":"Krenk","year":"2014","journal-title":"J Clin Sleep Med"},{"key":"10.1016\/j.arth.2025.08.071_bib29","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1155\/2009\/817837","article-title":"Transdermal nitroglycerin as an adjuvant to patient-controlled morphine analgesia after total knee arthroplasty","volume":"14","author":"Orbach-Zinger","year":"2009","journal-title":"Pain Res Manag"},{"key":"10.1016\/j.arth.2025.08.071_bib30","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/0304-3959(93)90166-M","article-title":"Low-dose amitriptyline as an adjunct to opioids for postoperative orthopedic pain - a placebo-controlled trial","volume":"52","author":"Kerrick","year":"1993","journal-title":"Pain"},{"key":"10.1016\/j.arth.2025.08.071_bib31","doi-asserted-by":"crossref","DOI":"10.3389\/fphar.2023.1223746","article-title":"Intranasal dexmedetomidine improves postoperative sleep quality in older patients with chronic insomnia: a randomized double-blind controlled trial","volume":"14","author":"Wu","year":"2023","journal-title":"Front Pharmacol"},{"key":"10.1016\/j.arth.2025.08.071_bib32","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1136\/bmj.39489.470347.AD","article-title":"Grade: an emerging consensus on rating quality of evidence and strength of recommendations","volume":"336","author":"Guyatt","year":"2008","journal-title":"BMJ"},{"key":"10.1016\/j.arth.2025.08.071_bib33","doi-asserted-by":"crossref","first-page":"2937","DOI":"10.1016\/j.arth.2019.07.023","article-title":"A one-question patient-reported outcome measure is comparable to multiple-question measures in total knee arthroplasty patients","volume":"34","author":"Austin","year":"2019","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.071_bib34","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.arth.2023.08.008","article-title":"Immediate postoperative zolpidem use increases risk of falls and implant complication rates following total hip arthroplasty: a retrospective case-control analysis","volume":"39","author":"Mekkawy","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.071_bib35","doi-asserted-by":"crossref","first-page":"1322","DOI":"10.1016\/j.arth.2020.10.058","article-title":"Impact of postoperative zolpidem use on primary total knee arthroplasty: a retrospective matched-controlled analysis of a private insurance database","volume":"36","author":"Ardeljan","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.071_bib36","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s00415-020-10381-w","article-title":"Effect of melatonin supplementation on sleep quality: a systematic review and meta-analysis of randomized controlled trials","volume":"269","author":"Fatemeh","year":"2022","journal-title":"J Neurol"},{"key":"10.1016\/j.arth.2025.08.071_bib37","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1503\/cmaj.1041606","article-title":"Rofecoxib (vioxx) voluntarily withdrawn from market","volume":"171","author":"Sibbald","year":"2004","journal-title":"CMAJ"},{"key":"10.1016\/j.arth.2025.08.071_bib38","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1111\/j.1365-2125.2006.02680.x","article-title":"Drugs for sleep disorders: mechanisms and therapeutic prospects","volume":"61","author":"Szabadi","year":"2006","journal-title":"Br J Clin Pharmacol"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540325011416?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540325011416?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T19:30:14Z","timestamp":1774294214000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540325011416"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":38,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S0883540325011416"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2025.08.071","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Limited Efficacy of Pharmacological Interventions for Improving Postoperative Sleep Quality in Primary Total Joint Arthroplasty Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2025.08.071","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}