Pre-operative education prior to elective hip arthroplasty surgery improves postoperative outcome

Moulton, Lawrence Stephen; Evans, Pippa; Starks, Ian; Smith, Tony

doi:10.1007/s00264-015-2754-2

Cited by 88 publications

(79 citation statements)

References 12 publications

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“…Most of these videos are concerned with one to two hip muscle strengthening exercises. Preoperative physiotherapy can be very beneficial for an improvement of pain, daily functioning and hip range of motion [34,38]. However, it remains questionable whether the demonstration of a few exercises alone is sufficient to achieve a tangible benefit.…”

Section: Discussionmentioning

confidence: 99%

YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis

Koller

Waldstein

Schatz

et al. 2016

International Orthopaedics (SICOT)

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Purpose YouTube is increasingly becoming a key source for people to satisfy the need for additional information concerning their medical condition. This study analyses the completeness of accurate information found on YouTube pertaining to hip arthritis. Methods The present study analyzed 133 YouTube videos using the search terms: hip arthritis, hip arthritis symptoms, hip arthritis diagnosis, hip arthritis treatment and hip replacement. Two quality assessment checklists with a scale of 0 to 12 points were developed to evaluate available video content for the diagnosis and the treatment of hip arthritis. Videos were grouped into poor quality (grade 0-3), moderate quality (grade 4-7) and excellent quality (grade 8-12), respectively. Three independent observers assessed all videos using the new grading system and independently scored all videos. Discrepancies regarding the categories were clarified by consensus discussion. For intra-observer reliabilities, grading was performed at two occasions separated by four weeks.Results Eighty-four percent (n = 112) had a poor diagnostic information quality, 14% (n = 19) a moderate quality and only 2% (n = 2) an excellent quality, respectively. In 86% (n = 114), videos provided poor treatment information quality. Eleven percent (n = 15) of videos had a moderate quality and only 3% (n = 4) an excellent quality, respectively. Conclusions The present study demonstrates that YouTube is a poor source for accurate information pertaining to the diagnosis and treatment of hip arthritis. These finding are of high relevance for clinicians as videos are going to become the primary source of information for patients. Therefore, high quality educational videos are needed to further guide patients on the way from the diagnosis of hip arthritis to its proper treatment.

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Section: Discussionmentioning

confidence: 99%

YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis

Koller

Waldstein

Schatz

et al. 2016

International Orthopaedics (SICOT)

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“…More recent evidence has shown that there is an improvement in LOS following preoperative education in arthroplasty cases (Huang, Chen, & Chou, ; Jones et al, ; Louw, Diener, Butler, & Puentedura, ; Yoon et al, ). We recently published data on patients undergoing total hip arthroplasty from our unit (Moulton, Evans, Starks, & Smith, ). This demonstrated that, in this group of patients, there is a significant improvement in patient outcomes following preoperative education.…”

Section: Introductionmentioning

confidence: 99%

Preoperative education prior to elective knee arthroplasty surgery does not change patient outcomes

Moulton

Evans

Starks

et al. 2017

Musculoskeletal Care

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Enhanced recovery programmes have improved outcomes following elective arthroplasty surgery. There are few studies assessing the role of patient education. In our enhanced recovery programme, all patients are offered the chance to attend a preoperative education class. Not all patients attend, enabling a comparison of outcomes. We have published data demonstrating that patients undergoing hip arthroplasty have improved outcomes. In the present article, we present data for total knee arthroplasty. Using a prospectively collected database, we identified all patients undergoing elective primary total knee arthroplasty. Data were assessed to look at patient outcomes. This was analysed using non-parametric tests. Between April 2009 and March 2013, 563 patients underwent elective total knee replacement. A total of 503 attended the class and 60 did not. Patients attending had a reduced length of stay when compared with the non-attenders but this did not reach statistical significance (4.13 days versus 4.57 days; p = 0.118). The spread of length of stay was slightly larger in the group that attended. Our analysis demonstrated that, for these patients, there is no statistically significant difference in length of stay or outcome scores. Therefore, in tougher economic times it may be prudent to focus preoperative education on total hip arthroplasty patients if resources are limited.

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“…Although this author did not follow the participants postoperatively, with the IRB consent she was able to look their hospital length of stay up, which was noted within the electronic medical system [22][23][24][25][26]. Out of the 14 participants, nine of them were cleared from physical therapy in one day.…”

Section: Resultsmentioning

confidence: 99%

Pre-Operative Occupational Therapy for Patients Having Total Hip Replacements

Keaney¹,

Lawdis²

2017

J Community Med Health Educ

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This evidence-based project implemented a pre-operative education class designed by an occupational therapist (OT). In total, 14 participants scheduled for an elective posterior lateral total hip replacement (THR) were recruited. The class focused on post-surgical precautions following a posterior lateral total hip replacement, performing activities of daily living (ADL's) while following specified precautions, and modifying the home as needed to facilitate performance of daily activity. A 15 question Knowledge Inventory (KI) and the Speilberger State Trait Anxiety Inventory (STAI 6) was administered before and immediately after the intervention. Results indicated that participants felt prepared after receiving this intervention, results on the KI significantly improved post intervention and although their anxiety fluctuated prior to and post intervention, they felt the content within the class was important to hear.

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Pre-operative education prior to elective hip arthroplasty surgery improves postoperative outcome

Abstract: Our analysis demonstrates that preoperative education produces significantly shorter lengths of stay and cost savings. There are also effects on mobilisation and outcome scores. Patients should therefore be encouraged to attend these classes.

Cited by 88 publications

References 12 publications

YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis

YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis

Preoperative education prior to elective knee arthroplasty surgery does not change patient outcomes

Pre-Operative Occupational Therapy for Patients Having Total Hip Replacements

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