{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T14:14:58Z","timestamp":1765808098937,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,8,15]],"date-time":"2022-08-15T00:00:00Z","timestamp":1660521600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>With a stretched healthcare system and elective surgery backlog, measures to improve efficiency and decrease costs associated with surgical procedures need to be prioritized. This study compares the benefits of multi\u2010disciplinary involvement in an enhanced recovery after surgery (ERAS) protocol\u2010led overnight model following total hip replacement (THR) and total knee replacement (TKR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients in each of two private hospitals undergoing THR or TKR were prospectively enrolled. One hospital (Overnight) was fully committed to the ERAS protocol implementation on all levels and formed the treatment group while in the other hospital (control), patients only had the anaesthetic and operative procedure as part of the ERAS protocol but did not follow the perioperative measures of the protocol. Outcomes on hospital length of stay (LOS), inpatient rehabilitation, functional outcomes, satisfaction, adverse events and readmission rates were investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median LOS in the Overnight group was significantly smaller than in the control group (1 vs. 3\u2009days, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.0001). The Overnight group had lower rates of inpatient rehabilitation utilization (4% vs. 41.2%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.0001), similar improvements in functional hip and knee scores and no increased rate of adverse events or readmission. All patients in both groups were satisfied with their treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overnight THR and TKR can safely be performed in the majority of patients, with a multi\u2010disciplinary approach protocol and involvement of all perioperative stakeholders.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.17977","type":"journal-article","created":{"date-parts":[[2022,8,15]],"date-time":"2022-08-15T12:36:34Z","timestamp":1660566994000},"page":"2683-2687","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Overnight joint replacement surgery: a pilot Australian study"],"prefix":"10.1111","volume":"92","author":[{"given":"Sol","family":"Qurashi","sequence":"first","affiliation":[{"name":"Department Of Orthopaedic Surgery Nepean Hospital  Penrith New South Wales Australia"},{"name":"Department Of Orthopaedic Surgery Canterbury Hospital  Campsie New South Wales Australia"},{"name":"The Hip and Knee Clinic Harbourcity Orthopaedics  Sydney New South Wales Australia"},{"name":"School of Medicine University of Notre Dame  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4077-4938","authenticated-orcid":false,"given":"Jason","family":"Chinnappa","sequence":"additional","affiliation":[{"name":"Sydney Orthopaedic and Sports Injury Service  Sydney New South Wales Australia"},{"name":"UNSW Medicine &amp; Health University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam","family":"Aktas","sequence":"additional","affiliation":[{"name":"The Hip and Knee Clinic Harbourcity Orthopaedics  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Majid","family":"Dabboussi","sequence":"additional","affiliation":[{"name":"The Hip and Knee Clinic Harbourcity Orthopaedics  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md Bayzidur","family":"Rahman","sequence":"additional","affiliation":[{"name":"UNSW Medicine &amp; Health University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,8,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2411-9"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2016.8263"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.11.027"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.15663"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-11-00163"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.04.001"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.10.015"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-018-2134-3"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja16.01362"},{"key":"e_1_2_8_11_1","first-page":"283","article-title":"Overnight or short stay joint replacements in the public and private settings: an Australian experience","volume":"11","author":"Qurashi S","year":"2021","journal-title":"Reconstr Rev"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.01231"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-018-0525-5"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-016-4915-z"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.05.018"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.01.043"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.01.003"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22523"},{"key":"e_1_2_8_19_1","unstructured":"Lockdowns to cost more than $20b as economic contraction deepens [internet]. 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