Implementation and early results of same-day hip and knee replacement in a public hospital without prior same-day surgical experience, a feasibility study - Report - MDSpire
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Feasibility Study on the Introduction and Initial Outcomes of Same-Day Hip and Knee Replacement Surgery in a Public Hospital Lacking Prior Experience

  • By

  • Christoffer C. Jørgensen

  • Thor-Magnus Sveen

  • Brita Johansen

  • Marlene Sander

  • Christian Steen-Hansen

  • Mikkel S. Sundstrup

  • Christian Rothe

  • Kai HW. Lange

  • August 20, 2026

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Feasibility Study on Same-Day Hip and Knee Replacement Surgery Outcomes

Overview

This study evaluates the feasibility and initial outcomes of implementing same-day surgery (SDS) for hip and knee replacements in a public hospital.

Background

Total knee and hip replacements are common procedures that are expected to increase in frequency, placing additional strain on public healthcare systems. Enhanced recovery protocols have improved postoperative recovery, leading to shorter hospital stays without increasing readmission rates.

Data Highlights

No specific numerical data was provided in the source material.

Key Findings

  • 95% of eligible patients were integrated into the SDS pathway.
  • The success rate of the SDS pathway was reported as 21% among all patients.
  • Challenges identified included leadership, resource allocation, and integration into clinical practice.
  • Patient satisfaction was measured using a 10-point Likert Scale.
  • Data collection included both prospective and retrospective methods.

Clinical Implications

Understanding patient satisfaction and outcomes can inform practices in surgical care.

Conclusion

The study reports on the implementation of same-day hip and knee replacement surgery in a public hospital setting, highlighting challenges faced.

Related Resources & Content

  1. Knee Surgery, Sports Traumatology, Arthroscopy, 2017 -- Exploring Outpatient Unicompartmental Knee Arthroplasty: Addressing Concerns About Same-Day Surgery
  2. 2020 -- Does Timely Surgical Intervention Enhance Outcomes for Hip and Knee Periprosthetic Fractures? A Systematic Review and Meta-Analysis
  3. 2025 -- Creation of a straightforward clinical scoring system to assess the risk of adverse events during hospitalization following elective hip arthroplasty: a retrospective analysis in a high-risk patient cohort
  4. No significant differences in postoperative discomfort and adverse effects between traditional and enhanced recovery approaches for total hip arthroplasty with early mobilization
  5. AAHKS Outpatient Position Statement 2024
  6. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery
  7. Guidelines for the Provision of Anaesthesia Services for Day Surgery 2025
  8. Day Surgery | Centre for Perioperative Care
  9. Safety, efficacy and cost-effectiveness of outpatient versus inpatient joint arthroplasty: a systematic review and meta-analysis - PMC
  10. Comparable Outcomes of Total Joint Arthroplasty Performed at Ambulatory Surgery Centers and Hospital Outpatient Departments - PubMed
  11. Day-case hip and knee arthroplasty does not increase healthcare system contacts: a prospective multicenter study in a public healthcare setting - PMC
  12. Patient safety after day-case and non-day-case fast-track hip and knee arthroplasty : a multicentre, prospective cohort study from a public healthcare setting - PubMed
  13. BMC Medicine
  14. Day case hip and knee replacement in England: a population-based cohort study using linked National Joint Registry and Hospital Episode Statistics data - PMC
  15. Reasons and Risk Factors for Same-Day Discharge Following Total Joint Arthroplasty: A Systematic Review - PMC

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