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Fast-Track Programs in Total Hip and Knee Replacement at Swedish Hospitals—Influence on 2-Year Risk of Revision and Mortality

Purpose: We aimed to study the influence of fast-track care programs in total hip and total knee replacements (THR and TKR) at Swedish hospitals on the risk of revision and mortality within 2 years after the operation. Methods: Data were collected from the Swedish Hip and Knee Arthroplasty Registers (SHAR and SKAR), including 67,913 THR and 59,268 TKR operations from 2011 to 2015 on patients with osteoarthritis. Operations from 2011 to 2015 Revision and mortality in the fast-track group were compared with non-fast-track using Kaplan–Meier survival analysis and Cox regression analysis with adjustments. Results: The hazard ratio (HR) for revision within 2 years after THR with fast-track was 1.19 (CI: 1.03–1.39), indicating increased risk, whereas no increased risk was found in TKR (HR 0.91; CI: 0.79–1.06). The risk of death within 2 years was estimated with a HR of 0.85 (CI: 0.74–0.97) for TKR and 0.96 (CI: 0.85–1.09) for THR in fast-track hospitals compared to non-fast-track. Conclusions: Fast-track programs at Swedish hospitals were associated with an increased risk of revision in THR but not in TKR, while we found the mortality to be lower (TKR) or similar (THR) as compared to non-fast track.


Introduction
The primary goal of fast-track care programs is to enhance and accelerate recovery after surgery whilst maintaining patient safety [1]. Some publications have reported an increased risk of revision associated with the implementation of a fast-track program in total hip and knee replacement (THR/TKR) [2,3], but it has been assumed that other reasons than the care program may explain the higher revision rate. Other studies have not confirmed an increased risk of revision associated to fast-track in THR and TKR [4,5]. Some uncertainty remains as the control groups have mainly been historical cohorts and the follow-up periods of various length.
The influence of fast-track programs on mortality has also been an issue. It has been concluded that THR is associated with an increased risk of death within 30 days in patients without co-morbidity and age under 60 years due to risks related to surgical intervention, but the long-term mortality is lower in patients after THR compared to a matched population [6]. According to studies from United Kingdom (UK), the mortality rate has been lower within 90 days [7] and 2 years [8] after introduction of fast-track programs in THR and TKR compared to mortality in conventional care programs, but regression analysis with adjustments for confounding factors are lacking.
During the period 2011-2015, the fast-track care concept was implemented at most Swedish hospitals performing THR and TKR [9]. Fast-track programs were defined by the the logistical criteria of admission on the day of surgery, mobilization very early within a few hours after the operation, and discharge as soon as criteria of self-depency and pain control were met. In most other aspects, the treatment protocols were similar in hospitals defined as not fast-track. The median hospital stay during the years 2011-2015 was 3 days in hospitals that had introduced fast-track and 5 days in other hospitals [10]. We aimed to study the influence on revision risk within 2 years after surgery and the mortality within 30 days, 90 days, and 2 years after surgery by analyzing data from the Swedish Hip and Knee Arthroplasty Registers (SHAR and SKAR).

Ethics
The study was in accordance with regulations and relevant guidelines with ethical approval by the Regional Ethical Review Board in Gothenburg, Sweden: Dnr: 2019-00559/1095-18; Exp. 2019-01-10.

Informed Consent
The need of informed consent for this study was waived by the Regional Ethical Review Board in Gothenburg.

Definition of Cohorts
The study was based on a survey of the care programs in elective THR and TKR at Swedish hospitals 2011-2015 [9]. Information of the care program was received from 63 hospitals out of 83 performing THR and 63 of 77 performing TKR during this period. In the beginning of the survey period, about 30% of the hospitals had already introduced fast-track but at the end of 2015 fast-track had been implemented at almost 80% of the hospitals performing elective THR and TKR. The operations at hospitals with a known care process were divided into two groups of THR and two groups of TKR, respectively, depending on if the operations were made after implementation of a fast-track program or not. The definition of fast-track was based on the following criteria: (1) admission on the day of surgery, (2) mobilization within 3-6 h after operation, and (3) functional discharge criteria in practice [11]. According to a survey exploring the care programs of elective joint replacements at Swedish hospitals [9], all hospitals had preoperative oral and written information, spinal anesthesia without opioids was the method of choice for anesthesia, and all hospitals had adopted a regime of multimodal analgesia with some variations of drugs that were used. The main difference between the hospitals that had introduced fast-track and those that had not was the logistic criteria and a shorter length of hospital stay as a consequence of the applied principles. A third cohort consisted of operations at hospitals not responding to the questionnaire about the clinical pathway and care program. This cohort had consequently an unknown care program. In the cohorts of THR and TKR with unknown care program, there were more low-volume and private hospitals.

Data Source and Patient Selection
Data were collected from the SHAR and SKAR and included THR operations (Nordic Medico-Statistical Committee classification of surgical procedures codes NFB29, NFB39, NFB49, and NFB62) and TKR operations (NGB29, NGB39, and NGB49) in patients with osteoarthritis in the hip (International Classification of Diseases 10th revision codes M16.0-M16.9) and the knee (M17.0-M17.5) during the period 2011-2015 ( Figure 1). The registers have a national coverage of 100% and the completeness is 96-98% for primary THRs and TKRs. The completeness of revisions is > 90% [12,13]. The data included demographic and procedure-specific variables, date, and main reason for revision and date of death if it occurred within 2 years after the primary joint replacement. Information on deaths is included in the arthroplasty register data by linkage from the Swedish Tax Agency. THRs and TKRs. The completeness of revisions is > 90% [12,13]. The data included demographic and procedure-specific variables, date, and main reason for revision and date of death if it occurred within 2 years after the primary joint replacement. Information on deaths is included in the arthroplasty register data by linkage from the Swedish Tax Agency.

Exposure and Outcome
We investigated the exposure of different care programs (fast-track/non-fast-track) in practice at the time of operation (THR/TKR). The outcomes were revision within 2 years and mortality within 30 days, 90 days, and 2 years after surgery. Revision was defined as a re-operation in which one or more of the implanted components were exchanged, removed, or added.

Statistics and Data Analysis
The Kaplan-Meier method was used to analyze deaths and revisions within 2 years in the fast-track and non-fast-track programs. Furthermore, Cox regression models were used to investigate the risk of revisions within 2 years and mortality within 30 days, 90 days, and 2 years, in the two cohorts. Hazard ratios (HR) together with 95% confidence intervals (CI) are provided. Univariable and multivariable models were explored. In the multivariable model of THR, adjustments were made for age, sex, body mass index (BMI), American Society of Anesthesiologists Physical Status Classification System (ASA class), type of fixation, surgical approach, and year of operation. For TKR, the following factors were assumed to have an impact on mortality: age, sex, BMI, ASA class, and year of operation. In the analysis of revision risk for TKRs, adjustments were also made for the type of fixation (cemented or not cemented) and TKR with or without patella resurfacing.

Cohort Characteristics and Revisions after THR
Overall, the demographics and procedure-specific variables were similar in the three cohorts (Table 1). However, some differences may be pointed out, as slightly more males and operations of patients were classified as ASA I in the fast-track cohort. In the fasttrack group, direct lateral incision and totally or partially uncemented fixations were more frequent than in the non-fast-track group. The resurfacing THRs were excluded from the comparing analysis. The proportion of THRs with a revision within 2 years was 1.3-1.6% respectively in the two cohorts (Table 2). Prosthetic Joint Infection (PJI) or suspected PJI was the most common reason for revision.  The Cox regression analysis with adjustments indicated that the risk of revision within 2 years after the primary THR was approximately 20% higher with fast-track programs compared to not fast-track as the HR was 1.19 (95 CI: 1.03, 1.39) (Figure 3). However, the type of fixation and ASA class were stronger predictors for revision than the care program (Supplementary data, Table S1). The Cox regression analysis with adjustments indicated that the risk of revision within 2 years after the primary THR was approximately 20% higher with fast-track programs compared to not fast-track as the HR was 1.19 (95 CI: 1.03, 1.39) (Figure 3). However, the type of fixation and ASA class were stronger predictors for revision than the care program (Supplementary data, Table S1). igure 2. Kaplan-Meier curves for implant survival (free of revisions) within 2 years after THR and TKR. Y-axis truncated n the diagram. A. Free of revisions after THR; B. Free of revisions after TKR.
The Cox regression analysis with adjustments indicated that the risk of revision within 2 years after the primary THR was approximately 20% higher with fast-track programs compared to not fast-track as the HR was 1.19 (95 CI: 1.03, 1.39) (Figure 3). However, the type of fixation and ASA class were stronger predictors for revision than the care program (Supplementary data, Table S1).

Cohort Characteristics and Revisions after TKR
The demographics were similar in the cohorts of TKR ( Table 1). The revision rate within 2 years was 1.3% in the fast-track cohort compared to 1.6% in the non-fast-track cohort, a difference that was not statistically significant after adjustments ( Table 2). The most common reason for revision was PJI with a slightly lower proportion in the fast-track group. The probability of implant survival after 2 years was 98.6% (95% CI: 98.5, 98.8) in the fast-track group and 98.2% (95% CI: 98.1, 98.4) in the non-fast-track group ( Figure 2B).
The Cox regression analysis indicated that the risk of revision within 2 years was similar in the fast-track and the non-fast-track program with HR 0.91 (95% CI: 0.79, 1.06) ( Figure 3). The Cox regression analysis indicated similar mortality risk after THR with fast-track since the HR was 0.96 (95% CI: 0.85, 1.09) after adjustments. Mortality risk within 2 years after TKR was lower in the fast-track group, HR 0.85 (95% CI: 0.74, 0.97) (Figure 3).

Mortality
For both THA and TKR, ASA class was shown to have the strongest association with mortality within 2 years (supplementary data, Table S2). The HRs of mortality and revision within 2 years for the fast-track program are visualized in the forest plot ( Figure 3). The mortality within 30 and 90 days was lower in the fast-track group for both THR and TKR, and the estimated HR of death within 90 days was 0.80 (95% CI: 0.55, 1.17) after THR and 0.69 (95% CI: 0.45, 1.07) after TKR (supplementary data, Tables S3 and S4).
For both THA and TKR, ASA class was shown to have the strongest association with mortality within 2 years (supplementary data, Table S2). The HRs of mortality and revision within 2 years for the fast-track program are visualized in the forest plot ( Figure 3). The mortality within 30 and 90 days was lower in the fast-track group for both THR and TKR, and the estimated HR of death within 90 days was 0.80 (95% CI: 0.55, 1.17) after THR and 0.69 (95% CI: 0.45, 1.07) after TKR (supplementary data, Table S3 and S4).

Discussion
The revision rate within 2 years was low in both THR and TKR, but the increased risk of revision after THR in fast-track hospitals raises concerns. Even after adjustments for the strong confounding factors as ASA class, age, and fixation method, there was an increased risk of approximately 20% associated with the fast-track programs. The dominating cause of revision was PJI in all cohorts. Experiences from implementation of fast-track in other countries have pointed out a risk of increased infection and revision rate in the early period for THRs [2,3]. In Denmark, there was an increase of readmissions within 90 days due to infections during the first years after introduction of fast-track in THR and TKR, but later the infection-related readmissions declined and the increased risk could no longer be confirmed [5].
According to the survey of care programs at Swedish hospitals preceding the present study [9], the antibiotic regime did not differ between the care programs. Tranexamic acid was used at all hospitals whereas high-dose systemic glucocorticoids in the preoperative medication were not used routinely in any of the care programs. There were considerable similarities between the fast-track and non-fast-track care programs.
One basic idea in the fast-track philosophy is "first better-then faster" [14]. However, implementation of a new care program with new routines and very short hospital stay is often associated with a demand for increased efficiency and higher tempo, which may be a challenge. In the Netherlands an increased risk of surgical site infections (SSI) after THR and TKR has also been reported that might be associated with the broad-based implementation of fast-track [15]. The authors suggested that the early mobilization may result in suture dehiscence and increased wound leakage, which may consequently increase the risk of SSI. In addition, falls during the first week after THR and TKR are quite common [16], and the early discharge may be a risk factor if wound leakage is provoked by avoidable falls. However, we have not found any increased risk of infection after TKR in the fast-track programs, and the causes of the increased risk of infection in THR remain unclear.
Our results indicate that fast-track programs may be at least as safe as conventional care regarding mortality within 2 years. In TKR, the mortality rate was shown to be even lower with fast-track but the difference was small. The difference in favor of fast-track may be even larger regarding 90-day mortality, but the low number of fatal events within 90 days necessitates large cohorts to confirm a difference that may exist. A trend of declining short-term mortality rate after THR and TKR during the last decades has been reported despite an increased presurgical comorbidity [17].
The implementation of fast-track in THR and TKR has been associated with an additional decrease in short-and medium-term mortality rate [8,18], but adjustments for confounding factors are lacking in previous studies. According to studies from Denmark, the incidences of myocardial infarction (MI) [19] and thromboembolic events (TEE) [20] were lower in fast-track settings compared to a large nationwide retrospective cohort study exploring the risk of cardiovascular events and deaths after THR and TKR [21]. The concept of fast-track, which aims to reduce surgical stress and minimize organ dysfunction, may contribute to the decreased mortality, but about one third of the deaths during the first 90-postoperative days were not considered to be related to surgery [22].

Strengths and Limitations
The study explores the association between a nationwide implementation of fast-track and the risk of revision and mortality after THR and TKR in Sweden with a high completeness and quality of register data for revision and death. Adjustments for demographic and procedure-specific variables have been made to assess the influence of care programs during the period of broad-based implementation of fast-track. A limitation of the study is that re-operations, not defined as revision, were not included due to inconsequently reporting to the registers. Furthermore, it is a challenge to interpret and compare the results as fast-track is defined by the care principles and variations may occur between different contexts how the care principles are applied. Another limitation is that the care process is complex, and potentially confounding factors not included in our study may influence the outcome. We have to be careful about claiming an existing causal influence of the care program.

Conclusions
The low mortality within 2 years after both THR and TKR indicate that the procedures are safe independently of care program. The fast-track program had even a lower risk of death within 2 years after TKR, whereas no difference was seen after THR compared to the non-fast-track program. However, implementation of fast-track programs in elective THR and TKR at Swedish hospitals was associated with an increased risk of revision within 2 years in THR but not in TKR. The reason of revision within 2 years was mainly infection, and the cause may be multifactorial, but the demonstrated increased risk of revision necessitates attention to potential weaknesses in the clinical pathway and perioperative routines.
Supplementary Materials: The following are available online at https://www.mdpi.com/article/ 10.3390/jcm10081680/s1, Table S1: Multivariable cox regression analysis of revision for any reason within 2 years after THR and TKR. Table S2: Multivariable cox regression analysis of death within 2 years after THR and TKR.

Institutional Review Board Statement:
The study was in accordance with the Declaration of Helsinki with ethical approval by the Regional Ethical Review Board in Gothenburg, Sweden.

Informed Consent Statement:
The need of informed consent for this study was waived by the Regional Ethical Review Board in Gothenburg.