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Improved outcomes after hip and knee replacement had begun before the implementation of the enhanced recovery pathway and successful implementation of this pathway depends on several aspects.

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Andrew Judge 1,2,3,4,*, Andrew Carr 1, Andrew Price 1, Cesar Garriga 1,4, Cyrus Cooper 1,3, Daniel Prieto-Alhambra 1,3,4,5, Fraser Old 6, George Peat 7, Jacqueline Murphy 8, Jose Leal 8, Karen Barker 1, Lydia Underdown 1, Nigel Arden 1,3, Rachael Gooberman-Hill 2, Raymond Fitzpatrick 9, Sarah Drew 2,10, Mark G Pritchard 8

1 National Institute for Health Research Oxford Biomedical Research Centre, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
2 National Institute for Health Research Bristol Biomedical Research Centre, Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
3 Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK
4 Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Nuffield Orthopaedic Centre, University of Oxford, Oxford, UK
5 GREMPAL Research Group, Musculoskeletal Research Unit, Universitat Autònoma de Barcelona, Barcelona, Spain
6 Patient representative, ,
7 Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Keele, UK
8 Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK
9 Nuffield Department of Population Health, University of Oxford, Oxford, UK
10 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
* Corresponding author Email: andrew.judge@bristol.ac.uk

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