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加拿大门诊全关节置换术的实施情况:我们所处的位置及前进方向

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

作者信息

Zomar Bryn O, Sibbald Shannon L, Bickford Doug, Howard James L, Bryant Dianne M, Marsh Jacquelyn D, Lanting Brent A

机构信息

Faculty of Health Sciences, University of Western Ontario, London, ON, Canada.

London Health Sciences Centre, London, ON, Canada.

出版信息

Orthop Res Rev. 2020 Feb 24;12:1-8. doi: 10.2147/ORR.S239386. eCollection 2020.

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.

摘要

全关节置换术(TJA)是治疗终末期髋膝关节关节炎的成功手术方法。随着时间的推移,这些手术后的住院时间一直在稳步减少,美国在过去20年内引入了门诊手术(手术当天出院)。缩短TJA后的住院时间可以节省成本。加拿大的一些中心已开始采用门诊TJA手术,但我们发现了一些可能限制其实施的障碍。我们总结了目前关于门诊TJA的文献,并讨论了克服当前障碍的潜在解决方案。

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