Skip to main content
SpringerLink
Log in

Staying Connected with the Patient after Discharge: Strategies and Resources

  • Chapter
  • First Online:
Outpatient Hip and Knee Replacement

  • 229 Accesses

Abstract

Primary total joint arthroplasty (TJA) cases are increasingly being performed in the outpatient setting. Touted benefits include increased patient satisfaction and cost savings. Post-discharge communication is a crucial element of postoperative care, and reliance on standard, in-person follow-up appointments alone may not be the most effective strategy. While relatively novel in the orthopedic setting, technology-based communication platforms such as telephone calls, web-based assessments, and mobile-based applications have been described in the literature as associated with both lower costs and higher patient satisfaction. These technology-based strategies are therefore an important consideration when designing postoperative care for an outpatient arthroplasty pathway.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Ser A. 2007;89:780–5. https://doi.org/10.2106/JBJS.F.00222.

    Article  Google Scholar 

  2. Huang A, Ryu JJ, Dervin G. Cost savings of outpatient versus standard inpatient total knee arthroplasty. Can J Surg. 2017;60:57–62. https://doi.org/10.1503/cjs.002516.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Bovonratwet P, Webb ML, Ondeck NT, Lukasiewicz AM, Cui JJ, McLynn RP, et al. Definitional differences of ‘outpatient’ versus ‘inpatient’ THA and TKA can affect study outcomes. Clin Orthop Relat Res. 2017;475:2917–25. https://doi.org/10.1007/s11999-017-5236-6.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Bovonratwet P, Ondeck NT, Tyagi V, Nelson SJ, Rubin LE, Grauer JN. Outpatient and Inpatient Unicompartmental Knee Arthroplasty Procedures Have Similar Short-Term Complication Profiles. J Arthroplast. 2017;32(10):2935–40. https://doi.org/10.1016/j.arth.2017.05.018.

    Article  Google Scholar 

  5. Bovonratwet P, Ondeck NT, Nelson SJ, Cui JJ, Webb ML, Grauer JN. Comparison of outpatient vs inpatient total knee arthroplasty: an ACS-NSQIP. Analysis. 2017;32:1773. https://doi.org/10.1016/j.arth.2017.01.043.

    Article  Google Scholar 

  6. Berger RA, Kusuma SK, Sanders SA, Thill ES, Sporer SM. The feasibility and perioperative complications of outpatient knee arthroplasty. Clin Orthop Relat Res. 2009;467:1443–9. https://doi.org/10.1007/s11999-009-0736-7.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Cross MB, Berger R. Feasibility and safety of performing outpatient unicompartmental knee arthroplasty. Int Orthop. 2014;38(2):443–7. https://doi.org/10.1007/s00264-013-2214-9.

    Article  PubMed  Google Scholar 

  8. Sher A, Keswani A, Yao DH, Anderson M, Koenig K, Moucha CS. Predictors of same-day discharge in primary total joint arthroplasty patients and risk factors for post-discharge complications. J Arthroplast. 2017;32:S150–S156.e1. https://doi.org/10.1016/j.arth.2016.12.017.

    Article  Google Scholar 

  9. Courtney PM, Rozell JC, Melnic CM, Lee GC. Who should not undergo short stay hip and knee arthroplasty? Risk factors associated with major medical complications following primary total joint arthroplasty. J Arthroplast. 2015;30:1–4. https://doi.org/10.1016/j.arth.2015.01.056.

    Article  Google Scholar 

  10. Koutras C, Bitsaki M, Koutras G, Nikolaou C, Heep H. Socioeconomic impact of e-health services in major joint replacement: a scoping review. Technol Health Care. 2015;23:809–17. https://doi.org/10.3233/THC-151036.

    Article  PubMed  Google Scholar 

  11. Marsh J, Hoch JS, Bryant D, MacDonald SJ, Naudie D, McCalden R, et al. Economic evaluation of web-based compared with in-person follow-up after total joint arthroplasty. J Bone Joint Surg Am. 2014;96:1910–6. https://doi.org/10.2106/JBJS.M.01558.

    Article  PubMed  Google Scholar 

  12. Hällfors E, Saku SA, Mäkinen TJ, Madanat R. A consultation phone service for patients with total joint arthroplasty may reduce unnecessary emergency department visits. J Arthroplast. 2018;33:650–4. https://doi.org/10.1016/j.arth.2017.10.040.

    Article  Google Scholar 

  13. Wood G, Naudie D, MacDonald S, McCalden R, Bourne R. An electronic clinic for arthroplasty follow-up: a pilot study. Can J Surg. 2011;54:381–6. https://doi.org/10.1503/cjs.028510.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Sharareh B, Schwarzkopf R. Effectiveness of telemedical applications in postoperative follow-up after total joint arthroplasty. J Arthroplast. 2014;29:918–922.e1. https://doi.org/10.1016/j.arth.2013.09.019.

    Article  Google Scholar 

  15. Good DW, Lui DF, Leonard M, Morris S, Mcelwain JP. Skype: a tool for functional assessment in orthopaedic research. J Telemed Telecare. 2012;18:94–8. https://doi.org/10.1258/jtt.2011.110814.

    Article  PubMed  Google Scholar 

  16. Armfield NR, Bradford M, Bradford NK. The clinical use of skype-for which patients, with which problems and in which settings? A snapshot review of the literature. Int J Med Inform. 2015;84:737–42. https://doi.org/10.1016/j.ijmedinf.2015.06.006.

    Article  PubMed  Google Scholar 

  17. Bitsaki M, Koutras G, Heep H, Koutras C. Cost-effective mobile-based healthcare system for managing total joint arthroplasty follow-up. Healthc Inform Res. 2017;23:67. https://doi.org/10.4258/hir.2017.23.1.67.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Rosner BI, Gottlieb M, Anderson WN. Effectiveness of an automated digital remote guidance and telemonitoring platform on costs, readmissions, and complications after hip and knee arthroplasties. J Arthroplast. 2017;33(4):988–996.e4. https://doi.org/10.1016/j.arth.2017.11.036.

    Article  Google Scholar 

  19. Zhang J, Dushaj K, Rasquinha VJ, Scuderi GR, Hepinstall MS. Monitoring surgical incision sites in orthopedic patients using an online physician-patient messaging platform. J Arthroplast. 2019;34:1897–900. https://doi.org/10.1016/j.arth.2019.05.003.

    Article  Google Scholar 

  20. Russell TG, Buttrum P, Wootton R, Jull GA. Internet-based outpatient telerehabilitation for patients following total knee arthroplasty: a randomized controlled trial. J Bone Joint Surg A. 2011;93:113–20. https://doi.org/10.2106/JBJS.I.01375.

    Article  Google Scholar 

  21. Moffet H, Tousignant M, Nadeau S, Mérette C, Boissy P, Corriveau H, et al. In-home telerehabilitation compared with faceto-face rehabilitation after total knee arthroplasty: a noninferiority randomized controlled trial. J Bone Joint Surg Am. 2015;97:1129–41. https://doi.org/10.2106/JBJS.N.01066.

    Article  PubMed  Google Scholar 

  22. Jiang S, Xiang J, Gao X, Guo K, Liu B. The comparison of telerehabilitation and face-to-face rehabilitation after total knee arthroplasty: a systematic review and meta-analysis. J Telemed Telecare. 2018;24:257–62. https://doi.org/10.1177/1357633X16686748.

    Article  PubMed  Google Scholar 

  23. Fisher C, Biehl E, Titmuss MP, Schwartz R, Gantha CS. HSS@home, physical therapist-led telehealth care navigation for arthroplasty patients: a retrospective case series. HSS J. 2019;15:226–33. https://doi.org/10.1007/s11420-019-09714-x.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Chughtai M, Kelly J, Newman J, Sultan A, Khlopas A, Sodhi N, et al. The role of virtual rehabilitation in total and unicompartmental knee arthroplasty. J Knee Surg. 2019;32:105–10. https://doi.org/10.1055/s-0038-1637018.

    Article  PubMed  Google Scholar 

  25. Cabana F, Boissy P, Tousignant M, Moffet H, Corriveau H, Dumais R. Interrater agreement between telerehabilitation and face-to-face clinical outcome measurements for total knee arthroplasty. Telemed J E Health. 2010;16:293–8. https://doi.org/10.1089/tmj.2009.0106.

    Article  PubMed  Google Scholar 

  26. Shukla H, Nair S, Thakker D. Role of telerehabilitation in patients following total knee arthroplasty: evidence from a systematic literature review and meta-analysis. J Telemed Telecare. 2017;23:339–46. https://doi.org/10.1177/1357633X16628996.

    Article  CAS  PubMed  Google Scholar 

  27. Klement MR, Rondon AJ, McEntee RM, Kheir M, Austin MS. Web-based, self-directed physical therapy after total hip arthroplasty is safe and effective for most, but not all patients. J Arthroplast. 2019;34:513–6. https://doi.org/10.1016/j.arth.2018.10.032.

    Article  Google Scholar 

  28. Klement MR, Rondon AJ, McEntee RM, Greenky MR, Austin MS. Web-based, self-directed physical therapy after Total knee arthroplasty is safe and effective for most, but not all, patients. J Arthroplast. 2019;34:S178–82. https://doi.org/10.1016/j.arth.2018.11.040.

    Article  Google Scholar 

  29. Plate JF, Ryan SP, Bergen MA, Hong CS, Attarian DE, Seyler TM. Utilization of an electronic patient portal following total joint arthroplasty does not decrease readmissions. J Arthroplast. 2019;34:211–4. https://doi.org/10.1016/j.arth.2018.11.002.

    Article  Google Scholar 

  30. Papas PV, Kim SJ, Ulcoq S, Cushner FD, Scuderi GR. The utilization of an internet-based patient portal and its impact on surgical outcomes in the TOTAL joint arthroplasty patient population. Orthop Proc. 2018;100-B:62. https://doi.org/10.1302/1358-992X.2018.12.062.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Adult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA

    Tony S. Shen, Patawut Bovonratwet & Michael P. Ast

Authors
  1. Tony S. Shen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Patawut Bovonratwet
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michael P. Ast
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michael P. Ast .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Indiana University School of Medicine, Indiana Joint Replacement Institute, Indianapolis, IN, USA

    R. Michael Meneghini

  2. Department of Orthopedic Surgery, Indiana University Health, Fishers, IN, USA

    Leonard T. Buller

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Shen, T.S., Bovonratwet, P., Ast, M.P. (2023). Staying Connected with the Patient after Discharge: Strategies and Resources. In: Meneghini, R.M., Buller, L.T. (eds) Outpatient Hip and Knee Replacement. Springer, Cham. https://doi.org/10.1007/978-3-031-27037-6_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-27037-6_13

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-27036-9

  • Online ISBN: 978-3-031-27037-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation