The Effectiveness of Psychosocial Interventions as Adjuncts to Orthopaedic Surgery: A Systematic Review Protocol

Abstract

Recommendations will be made to improve medical care in orthopaedic procedures. The quality of evidence will be rated using GRADE criteria. Copyright © 2016 John Wiley & Sons, Ltd.

The Use of Adjunct Psychosocial Interventions Can Decrease Postoperative Pain and Improve the Quality of Clinical Care in Orthopedic Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

“…Study protocol was determined and published a priori. 82 Reporting is based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines (Supplement 1).…”

“…Based on a preliminary literature search and previous meta-analysis, 76 the following psychological interventions were included in this review: patient education, cognitive or behavioral interventions, relaxation techniques, hypnosis, therapeutic suggestion interventions, and emotion-focused interventions (more details are available in the published protocol 82 ). Patient education interventions provide information regarding the surgical procedure or the recovery and may reduce pain and anxiety by preparing the patient cognitively for the surgical experience.…”

“…Measurements were recorded for every reported time point up to 1 month after surgery for pain and anxiety and 6 months after surgery for quality of life and recovery (Table 1). Time ranges of interest for recovery outcome were modified from the protocol 82 (ie, the first 3 months after surgery were divided into 2 time periods: 1 to 14 days and 15 days to 3 months after surgery), to distinguish better between recovery during and after hospitalization.…”

“…Based on a-priori power analysis, 82 meta-analyses and sensitivity analyses were performed if at least 4 studies contributed to the pooled effect size and total pooled samples 300.…”

“…Corrected Hedges' g (g), 64 a standardized mean difference measure, was used as a measure of effect size. Effect sizes were calculated using means and standard deviations where possible; otherwise, effect sizes were derived from test statistics (for details see protocol 82 ). The main hypothesis tests were performed using the effect size of psychosocial interventions in general.…”