{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T12:49:53Z","timestamp":1792068593096,"version":"4.4.0"},"reference-count":22,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"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":[[2026,7]]},"DOI":"10.1016\/j.arth.2026.03.074","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T03:06:57Z","timestamp":1775099217000},"page":"S52-S59","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"S1","title":["Oral Dexamethasone Versus Methylprednisolone Taper for Postoperative Pain and Recovery After Total Knee Arthroplasty"],"prefix":"10.1016","volume":"41","author":[{"given":"Erik Y.","family":"Tye","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan M.","family":"Forslund","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roslyn M.","family":"Kackman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alec W.","family":"Shaff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William D.","family":"Bugbee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey M.","family":"Wilde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2026.03.074_bib1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1080\/17453674.2019.1683790","article-title":"Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS\u00ae) society recommendations","volume":"91","author":"Wainwright","year":"2020","journal-title":"Acta Orthop"},{"key":"10.1016\/j.arth.2026.03.074_bib2","doi-asserted-by":"crossref","DOI":"10.1136\/bmj-2021-067325","article-title":"Effect of dexamethasone as an analgesic adjuvant to multimodal pain treatment after total knee arthroplasty: randomised clinical trial","volume":"376","author":"Gasbjerg","year":"2022","journal-title":"BMJ"},{"key":"10.1016\/j.arth.2026.03.074_bib3","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1016\/S1072-7515(02)01491-6","article-title":"Perioperative single-dose glucocorticoid administration: pathophysiologic effects and clinical implications","volume":"195","author":"Holte","year":"2002","journal-title":"J Am Coll Surg"},{"key":"10.1016\/j.arth.2026.03.074_bib4","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1097\/00000539-200001000-00038","article-title":"Dexamethasone for the prevention of postoperative nausea and vomiting: a quantitative systematic review","volume":"90","author":"Henzi","year":"2000","journal-title":"Anesth Analg"},{"key":"10.1016\/j.arth.2026.03.074_bib5","doi-asserted-by":"crossref","first-page":"24:e7134","DOI":"10.1097\/MD.0000000000007134","article-title":"Can intravenous steroid administration reduce postoperative pain scores following total knee arthroplasty?: a meta-analysis","volume":"96","author":"Xing","year":"2017","journal-title":"Medicine (Baltimore)"},{"issue":"8 Suppl","key":"10.1016\/j.arth.2026.03.074_bib6","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.arth.2013.05.041","article-title":"Dexamethasone reduces length of hospitalization and improves postoperative pain and nausea after total joint arthroplasty: a prospective, randomized controlled trial","volume":"28","author":"Backes","year":"2013","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.074_bib7","doi-asserted-by":"crossref","first-page":"2167","DOI":"10.1007\/s00167-019-05449-8","article-title":"Increased postoperative dexamethasone and gabapentin reduces opioid consumption after total knee arthroplasty","volume":"27","author":"Eckhard","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arth.2026.03.074_bib8","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.ijsu.2018.07.009","article-title":"The efficacy and safety of methylprednisolone for pain control after total knee arthroplasty: a meta-analysis of randomized controlled trials","volume":"57","author":"Shen","year":"2018","journal-title":"Int J Surg"},{"key":"10.1016\/j.arth.2026.03.074_bib9","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/0002-9343(77)90233-9","article-title":"Potency and duration of action of glucocorticoids. Effects of hydrocortisone, prednisone and dexamethasone on human pituitary-adrenal function","volume":"63","author":"Meikle","year":"1977","journal-title":"Am J Med"},{"key":"10.1016\/j.arth.2026.03.074_bib10","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1186\/s13018-017-0601-4","article-title":"Perioperative systemic steroid for rapid recovery in total knee and hip arthroplasty: a systematic review and meta-analysis of randomized trials","volume":"12","author":"Yue","year":"2017","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.arth.2026.03.074_bib11","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1016\/j.arth.2015.01.036","article-title":"Perioperative solutions for rapid recovery joint arthroplasty: get ahead and stay ahead","volume":"30","author":"Sculco","year":"2015","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.074_bib12","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1016\/j.arth.2020.10.010","article-title":"Perioperative systemic dexamethasone reduces length of stay in total joint arthroplasty: a systematic review and meta-analysis of randomized controlled trials","volume":"36","author":"Lex","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.074_bib13","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1016\/j.arth.2022.12.033","article-title":"Does prednisone dose affect rates of periprosthetic joint infection following primary total hip and total knee arthroplasty?","volume":"38","author":"Piple","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.074_bib14","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.2026.03.074_bib15","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1007\/s00590-019-02469-5","article-title":"Pre-operative intravenous steroid improves pain and joint mobility after total knee arthroplasty in Chinese population: a double-blind randomized controlled trial","volume":"29","author":"Cheng","year":"2019","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.arth.2026.03.074_bib16","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1055\/s-0038-1636506","article-title":"Multiple low doses of intravenous corticosteroids to improve early rehabilitation in total knee arthroplasty: a randomized clinical trial","volume":"32","author":"Li","year":"2019","journal-title":"J Knee Surg"},{"key":"10.1016\/j.arth.2026.03.074_bib17","doi-asserted-by":"crossref","first-page":"3010","DOI":"10.1007\/s11999-013-3032-5","article-title":"Preemptive low-dose dexamethasone reduces postoperative emesis and pain after tka: a randomized controlled study","volume":"471","author":"Koh","year":"2013","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.03.074_bib18","doi-asserted-by":"crossref","first-page":"3448","DOI":"10.1016\/j.arth.2018.06.031","article-title":"Multiple doses of perioperative dexamethasone further improve clinical outcomes after total knee arthroplasty: a prospective, randomized, controlled study","volume":"33","author":"Xu","year":"2018","journal-title":"J Arthroplasty"},{"issue":"Suppl 7","key":"10.1016\/j.arth.2026.03.074_bib19","article-title":"Rehabilitation protocols following total knee arthroplasty: a review of study designs and outcome measures","volume":"7","author":"Davila Castrodad","year":"2019","journal-title":"Ann Transl Med"},{"key":"10.1016\/j.arth.2026.03.074_bib20","doi-asserted-by":"crossref","first-page":"577","DOI":"10.3109\/17453674.2011.618911","article-title":"Enhanced recovery program for hip and knee replacement reduces death rate","volume":"82","author":"Malviya","year":"2011","journal-title":"Acta Orthop"},{"key":"10.1016\/j.arth.2026.03.074_bib21","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1016\/S0883-5403(05)80068-3","article-title":"Comparative outcomes of total joint arthroplasty","volume":"10","author":"Ritter","year":"1995","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.074_bib22","doi-asserted-by":"crossref","first-page":"1684","DOI":"10.1016\/j.arth.2022.03.043","volume":"37","author":"Hannon","year":"2022","journal-title":"J Arthroplasty"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326002986?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326002986?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T12:08:11Z","timestamp":1792066091000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540326002986"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":22,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S0883540326002986"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2026.03.074","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Oral Dexamethasone Versus Methylprednisolone Taper for Postoperative Pain and Recovery After Total Knee Arthroplasty","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2026.03.074","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}