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. 2020 Feb 24:12:1-8.
doi: 10.2147/ORR.S239386. eCollection 2020.

Implementation of Outpatient Total Joint Arthroplasty in Canada: Where We are and Where We Need to Go

Bryn O Zomar  1   2   3 , Shannon L Sibbald  1 , Doug Bickford  4 , James L Howard  2   5 , Dianne M Bryant  1   3 , Jacquelyn D Marsh  1   3 , Brent A Lanting  2   3   5
Affiliations

Implementation of Outpatient Total Joint Arthroplasty in Canada: Where We are and Where We Need to Go

Bryn O Zomar et al. Orthop Res Rev. .

Abstract

Total joint arthroplasties (TJA) are successful procedures for the treatment of end-stage hip and knee arthritis. Length of stay in hospitals after these procedures has been steadily decreasing over time, with outpatient procedures (discharge on the same day as surgery) introduced in the US within the last 20 years. Reducing length of stay after TJA can provide cost savings. Centres in Canada have started to utilize outpatient TJA procedures, but we have identified some barriers that may have limited their implementation. We have summarized the current literature for outpatient TJA and discussed potential solutions for the current barriers.

Keywords: barriers; implementation; outpatient; total hip arthroplasty; total knee arthroplasty.

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Conflict of interest statement

Dr. Brent Lanting has a role with Health Quality Ontario helping to set up the outpatient care pathway. Dr. Brent Lanting reports grants from PSI Foundation, personal fees and institutional support from DePuy, Smith & Nephew and Stryker, outside the submitted work. Dr. James Howard reports personal fees and institutional support from Stryker and Smith & Nephew, grants, personal fees, and institutional support from DePuy, personal fees from Intellijoint, and institutional support from Zimmer and Microport, outside the submitted work. The authors report no other relevant conflicts of interest in this work.

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