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

Authors Zomar BO, Sibbald SL, Bickford D, Howard JL, Bryant DM, Marsh JD, Lanting BA

Received 21 November 2019

Accepted for publication 24 January 2020

Published 24 February 2020 Volume 2020:12 Pages 1—8

DOI https://doi.org/10.2147/ORR.S239386

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Clark Hung


Bryn O Zomar, 1–3 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 

1Faculty of Health Sciences, University of Western Ontario, London, ON, Canada; 2London Health Sciences Centre, London, ON, Canada; 3Bone and Joint Institute, University of Western Ontario, London, ON, Canada; 4Southwestern Ontario Stroke Network, London, ON, Canada; 5Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada

Correspondence: Brent A Lanting 339 Windermere Road, Rm B9-003, London, ON N6A 5A5, Canada
Tel +1 519-663-3335
Email brent.lanting@lhsc.on.ca

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: total knee arthroplasty, total hip arthroplasty, outpatient, implementation, barriers


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