{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T08:10:09Z","timestamp":1793261409229,"version":"4.5.0"},"reference-count":32,"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"}],"funder":[{"DOI":"10.13039\/100030898","name":"Institut canadien d'information sur la sant\u00e9","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100030898","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000226","name":"Ontario Ministry of Health and Long-Term Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000226","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000142","name":"Arthritis Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000142","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006538","name":"Arthritis Society Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006538","id-type":"DOI","asserted-by":"publisher"}]}],"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.2026.03.077","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T03:06:59Z","timestamp":1775099219000},"page":"S141-S146","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"special_numbering":"S1","title":["Association Between Adoption of Robotic Total Knee Arthroplasty in Canada and Major Surgical Complications"],"prefix":"10.1016","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3783-8205","authenticated-orcid":false,"given":"Daniel","family":"Pincus","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seper","family":"Ekhtiari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johnathan R.","family":"Lex","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emil","family":"Schemitsch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pakpoom","family":"Ruangsomboon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Michael","family":"Paterson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bheeshma","family":"Ravi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2026.03.077_bib1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s11999-009-1119-9","article-title":"Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?","volume":"468","author":"Bourne","year":"2010","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.03.077_bib2","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2106\/JBJS.L.00206","article-title":"Estimating the burden of total knee replacement in the United States","volume":"95","author":"Weinstein","year":"2013","journal-title":"J Bone Joint Surg"},{"key":"10.1016\/j.arth.2026.03.077_bib3","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.3899\/jrheum.170990","article-title":"Rates of total joint replacement in the United States: future projections to 2020\u20132040 using the national Inpatient sample","volume":"46","author":"Singh","year":"2019","journal-title":"J Rheumatol"},{"key":"10.1016\/j.arth.2026.03.077_bib4","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1302\/0301-620X.103B2.BJJ-2020-1050.R1","article-title":"Coronal Plane Alignment of the Knee (CPAK) classification","volume":"103-B","author":"MacDessi","year":"2021","journal-title":"J Bone Jt Surg"},{"key":"10.1016\/j.arth.2026.03.077_bib5","doi-asserted-by":"crossref","first-page":"e1328","DOI":"10.5435\/JAAOS-D-21-00146","article-title":"Robotic-arm\u2013assisted knee arthroplasty associated with favorable In-hospital metrics and exponentially rising adoption compared with manual knee arthroplasty","volume":"29","author":"Emara","year":"2021","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.arth.2026.03.077_bib6","doi-asserted-by":"crossref","DOI":"10.52965\/001c.38435","article-title":"Characteristics and trends of the Most cited clinical orthopaedics and related research articles","volume":"14","author":"Lizardi","year":"2022","journal-title":"Orthop Rev"},{"key":"10.1016\/j.arth.2026.03.077_bib7","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1007\/s11701-024-01949-z","article-title":"Clinical, functional, and radiological outcomes of robotic assisted versus conventional total hip arthroplasty: a systematic review and meta-analysis of randomized controlled trials","volume":"18","author":"Ruangsomboon","year":"2024","journal-title":"J Robotic Surg"},{"key":"10.1016\/j.arth.2026.03.077_bib8","doi-asserted-by":"crossref","first-page":"60","DOI":"10.2340\/17453674.2023.9411","article-title":"Clinical and radiological outcomes of robotic-assisted versus conventional total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials","volume":"94","author":"Ruangsomboon","year":"2023","journal-title":"Acta Orthop"},{"key":"10.1016\/j.arth.2026.03.077_bib9","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.1007\/s00590-023-03798-2","article-title":"Robotic-assisted versus conventional total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials","volume":"34","author":"Alrajeb","year":"2024","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.arth.2026.03.077_bib10","doi-asserted-by":"crossref","first-page":"1972","DOI":"10.1111\/os.13323","article-title":"Early clinical and radiographic outcomes of robot-assisted versus conventional manual total knee arthroplasty: a randomized controlled Study","volume":"14","author":"Xu","year":"2022","journal-title":"Orthop Surg"},{"key":"10.1016\/j.arth.2026.03.077_bib11","doi-asserted-by":"crossref","first-page":"tkac034","DOI":"10.1093\/burnst\/tkac034","article-title":"Robot-assisted surgery in total knee arthroplasty: trauma maker or trauma savior? A prospective, randomized cohort study","volume":"10","author":"Xu","year":"2022","journal-title":"Burns trauma"},{"key":"10.1016\/j.arth.2026.03.077_bib12","doi-asserted-by":"crossref","DOI":"10.1016\/j.artd.2023.101153","article-title":"A bibliometric analysis of the top 100 Most influential studies on robotic arthroplasty","volume":"22","author":"Boddu","year":"2023","journal-title":"Arthroplasty Today"},{"key":"10.1016\/j.arth.2026.03.077_bib13","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/s11999-012-2407-3","article-title":"Robotic-assisted TKA reduces postoperative alignment outliers and improves gap balance compared to conventional TKA","volume":"471","author":"Song","year":"2013","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.03.077_bib14","doi-asserted-by":"crossref","first-page":"2851","DOI":"10.1007\/s00264-021-05179-y","article-title":"Imageless robotic-assisted total knee arthroplasty accurately restores the radiological alignment with a short learning curve: a randomized controlled trial","volume":"45","author":"Thiengwittayaporn","year":"2021","journal-title":"Int Orthop (SICOT)"},{"key":"10.1016\/j.arth.2026.03.077_bib15","doi-asserted-by":"crossref","DOI":"10.1016\/j.artd.2024.101389","article-title":"Total knee arthroplasty WithRobotic and augmented reality guidance: a hierarchical task analysis","volume":"27","author":"Koucheki","year":"2024","journal-title":"Arthroplasty Today"},{"key":"10.1016\/j.arth.2026.03.077_bib16","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.arth.2023.08.007","article-title":"Does computer navigation or robotic assistance affect the risk of periprosthetic joint infection in primary total knee arthroplasty? A propensity score-matched cohort analysis","volume":"39","author":"LaValva","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.077_bib17","doi-asserted-by":"crossref","first-page":"e20.00091","DOI":"10.2106\/JBJS.RVW.20.00091","article-title":"Periprosthetic fractures through tracking pin sites following computer navigated and robotic total and unicompartmental knee arthroplasty: a systematic review","volume":"9","author":"Smith","year":"2021","journal-title":"JBJS Rev"},{"key":"10.1016\/j.arth.2026.03.077_bib18","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/S0895-4356(96)00368-X","article-title":"Accuracy of administrative data for assessing outcomes after knee replacement surgery","volume":"50","author":"Hawker","year":"1997","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.arth.2026.03.077_bib19","doi-asserted-by":"crossref","first-page":"160","DOI":"10.24095\/hpcdp.33.3.06","article-title":"Identifying cases of congestive heart failure from administrative data: a validation study using primary care patient records","volume":"33","author":"Schultz","year":"2013","journal-title":"Chronic Dis Injuries Can"},{"key":"10.1016\/j.arth.2026.03.077_bib20","doi-asserted-by":"crossref","first-page":"512","DOI":"10.2337\/diacare.25.3.512","article-title":"Diabetes in Ontario: determination of prevalence and incidence using a validated administrative data algorithm","volume":"25","author":"Hux","year":"2002","journal-title":"Diabetes Care"},{"key":"10.1016\/j.arth.2026.03.077_bib21","first-page":"e18","article-title":"Accuracy of administrative databases in identifying patients with hypertension","volume":"1","author":"Tu","year":"2007","journal-title":"Open Med"},{"key":"10.1016\/j.arth.2026.03.077_bib22","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1080\/15412550903140865","article-title":"Identifying individuals with physcian diagnosed COPD in health administrative databases","volume":"6","author":"Gershon","year":"2009","journal-title":"Chronic Obstruct Pulm Dis"},{"key":"10.1016\/j.arth.2026.03.077_bib23","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/0895-4356(92)90133-8","article-title":"Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases","volume":"45","author":"Deyo","year":"1992","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.arth.2026.03.077_bib24","author":"Weiner"},{"key":"10.1016\/j.arth.2026.03.077_bib25","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1007\/BF03404286","article-title":"The Nature of increased Hospital use in poor neighbourhoods: findings from a Canadian inner City","volume":"91","author":"Glazier","year":"2000","journal-title":"Can J Public Health"},{"key":"10.1016\/j.arth.2026.03.077_bib26","doi-asserted-by":"crossref","first-page":"3284","DOI":"10.1136\/bmj.g3284","article-title":"Relation between surgeon volume and risk of complications after total hip arthroplasty: propensity score matched cohort study","volume":"348","author":"Ravi","year":"2014","journal-title":"BMJ"},{"key":"10.1016\/j.arth.2026.03.077_bib27","doi-asserted-by":"crossref","first-page":"1994","DOI":"10.1001\/jama.2017.17606","article-title":"Association between wait time and 30-Day mortality in adults undergoing hip fracture surgery","volume":"318","author":"Pincus","year":"2017","journal-title":"JAMA"},{"key":"10.1016\/j.arth.2026.03.077_bib28","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1080\/00273171.2011.568786","article-title":"An introduction to propensity Score methods for reducing the effects of confounding in observational studies","volume":"46","author":"Austin","year":"2011","journal-title":"Multivariate Behav Res"},{"key":"10.1016\/j.arth.2026.03.077_bib29","doi-asserted-by":"crossref","first-page":"3083","DOI":"10.1002\/sim.3697","article-title":"Balance diagnostics for comparing the distribution of baseline covariates between treatment groups in propensity-score matched samples","volume":"28","author":"Austin","year":"2009","journal-title":"Stat Med"},{"key":"10.1016\/j.arth.2026.03.077_bib30","doi-asserted-by":"crossref","first-page":"1064","DOI":"10.2307\/2533444","article-title":"Robust variance estimation for the case-cohort design","volume":"50","author":"Barlow","year":"1994","journal-title":"Biometrics"},{"key":"10.1016\/j.arth.2026.03.077_bib31","doi-asserted-by":"crossref","first-page":"168","DOI":"10.5435\/JAAOS-D-21-00309","article-title":"The cost-effectiveness of robotic-assisted versus manual total knee arthroplasty: a markov model\u2013based evaluation","volume":"30","author":"Rajan","year":"2022","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.arth.2026.03.077_bib32","first-page":"329","article-title":"Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial","volume":"391","author":"Beard","year":"2018","journal-title":"Lancet (British edition)"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326003013?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326003013?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T12:10:50Z","timestamp":1792066250000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540326003013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":32,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S0883540326003013"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2026.03.077","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":"Association Between Adoption of Robotic Total Knee Arthroplasty in Canada and Major Surgical Complications","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2026.03.077","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"}]}}