Exploring patient and staff attitudes to day-case arthroplasty
Research type
Research Study
Full title
Exploring patient and staff attitudes to day-case elbow and shoulder arthroplasty
IRAS ID
346700
Contact name
Chris Peach
Contact email
Sponsor organisation
Manchester Foundation Trust
Duration of Study in the UK
0 years, 6 months, 30 days
Research summary
Integrity of the elbow and shoulder joints is crucial for a wide range of upper limb movements. Shoulder and elbow arthroplasty is a common surgical procedure which aims to address debilitating conditions of the joints, including severe arthritis, fractures, and irreparable rotator cuff tears. These procedures aims to alleviate pain, restore function, and improve overall quality of life for individuals suffering from shoulder and elbow joint pathology.
For decades, the historical standard for such cases was multiple weeks of hospitalization. Advancements in surgical techniques, implant design, and perioperative management have significantly improved the outcomes of shoulder and elbow arthroplasty procedures over the years, as well as reduced the average length of stay to a few days. However, challenges such as implant longevity, complications such as infection, loosening, and instability, as well as postoperative rehabilitation, remain areas of ongoing research and refinement.
Shoulder and elbow arthroplasty remain inpatient procedures at Manchester Foundation Trust (MFT), however, research in other joint replacement procedures, notably hip and knee arthroplasties, has shown promise for outpatient pathways, displaying reductions in complication rates and opioid consumption and an increase in patient satisfaction.
Although a relatively large database of research exists which looks at patient experiences with day case arthroplasty procedures, particularly hip and knee arthroplasty, there appears to be a lack of information in relation to patient, and especially staff, attitudes and perceptions towards same day discharges following shoulder and elbow arthroplasties. This study aims to explore this, with the aim of assessing the suitability of the development of an outpatient shoulder and elbow arthroplasty pathway at MFT.REC name
East Midlands - Nottingham 2 Research Ethics Committee
REC reference
24/EM/0287
Date of REC Opinion
7 Jan 2025
REC opinion
Favourable Opinion