{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:19:48Z","timestamp":1788844788175,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T00:00:00Z","timestamp":1560816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T00:00:00Z","timestamp":1560816000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T00:00:00Z","timestamp":1560816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T00:00:00Z","timestamp":1560816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine whether operative time is an independent risk factor for 30\u2010day complications after arthroscopic surgical procedures on the knee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The American College of Surgeons National Surgical Quality Improvement Program database was queried between 2005 and 2016 for all arthroscopic knee procedures including lateral release, loose body removal, synovectomy, chondroplasty, microfracture, and meniscectomy. Cases with concomitant procedures were excluded. Correlations between operative time and adverse events were controlled for variables such as age, sex, body mass index, patient comorbidities, and procedure using a multivariate Poisson regression with robust error variance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 78,864 procedures met our inclusion and exclusion criteria. The mean age of patients was 51.0 \u00b1 14.3\u00a0years; mean operative time, 31.2 \u00b1 18.1\u00a0minutes; and mean body mass index, 31.0 \u00b1 7.8. Arthroscopic lateral release (coefficient, 5.8; 95% confidence interval [CI], 4.8\u20106.8;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), removal of loose bodies (coefficient, 4.2; 95% CI, 3.2\u20105.3;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), synovectomy (coefficient, 1.8; 95% CI, 1.2\u20102.3;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), and microfracture (coefficient, 6.5; 95% CI, 5.8\u20107.2;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) had significantly greater durations of surgery in comparison with meniscectomy. The overall rate of adverse events was 1.24%. After we adjusted for demographic characteristics and the procedure, a 15\u2010minute increase in operative duration was associated with an increased risk of transfusion (relative risk [RR], 1.5; 95% CI, 1.3\u20101.8;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), death (RR, 1.6; 95% CI, 1.2\u20102.1;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .005), dehiscence (RR, 1.6; 95% CI, 1.2\u20102.2;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .002), surgical\u2010site infection (RR, 1.3; 95% CI, 1.2\u20101.3;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.001), sepsis (RR, 1.3; 95% CI, 1.2\u20101.4;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), readmission (RR, 1.1; 95% CI, 1.1\u20101.2;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001), and extended length of stay (RR, 1.4; 95% CI, 1.3\u20101.4;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Marginal increases in operative time are associated with an increased risk of adverse events such as surgical\u2010site infection, sepsis, extended length of stay, and readmission. Efforts should be made to maximize surgical efficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective database study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2019.01.059","type":"journal-article","created":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T19:12:12Z","timestamp":1560885132000},"page":"2089-2098","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":49,"title":["Operative Time as an Independent and Modifiable Risk Factor for Short\u2010Term Complications After Knee Arthroscopy"],"prefix":"10.1002","volume":"35","author":[{"given":"Anirudh K.","family":"Gowd","sequence":"first","affiliation":[{"name":"Wake Forest University Baptist Medical Center Winston\u2010Salem North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph N.","family":"Liu","sequence":"additional","affiliation":[{"name":"Loma Linda University Medical Center Loma Linda California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel D.","family":"Bohl","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avinesh","family":"Agarwalla","sequence":"additional","affiliation":[{"name":"Westchester Medical Center Valhalla New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon C.","family":"Cabarcas","sequence":"additional","affiliation":[{"name":"University of South Florida Health Tampa Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon J.","family":"Manderle","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant H.","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Forsythe","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil N.","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Rush University Medical Center Chicago Illinois 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