Content and Delivery of Pre-operative Interventions for Patients Undergoing Total Knee Replacement: a Rapid Review

Overview

Journal Syst Rev

Publisher Biomed Central

Date 2022 Sep 1

PMID 36050795

Authors

Anna M Anderson

Benjamin T Drew

Deborah Antcliff

Anthony C Redmond

Christine Comer

Toby O Smith

Gretl A McHugh

Affiliations

Soon will be listed here.

Abstract

Background: Total knee replacement (TKR) is a common operation typically performed for end-stage knee osteoarthritis. Patients awaiting TKR often have poor health-related quality of life. Approximately 20% of patients experience persistent pain post-TKR. Pre-operative TKR interventions could improve pre- and post-operative outcomes, but future research is required to inform their design. This review aimed to identify and synthesize recent literature on the content and delivery of pre-operative TKR interventions to help guide future research and clinical practice.

Methods: This rapid review included randomized trials of pre-operative TKR interventions ("outcomes studies") and primary studies exploring patients' and/or health professionals' views of pre-operative TKR interventions ("views studies"). Medline, Embase, PsycINFO, CINAHL and the Cochrane Central Register of Controlled Trials were searched for English language studies published between January 2009 and December 2020. Eligible studies' reference lists were screened. Studies were appraised using the Mixed Methods Appraisal Tool. The findings were narratively synthesized using a convergent segregated approach.

Results: From 3263 records identified, 52 studies were included (29 outcomes studies, 21 views studies, two outcomes/views studies). The studies' methodological quality varied but was generally highest in qualitative studies. The outcomes studies investigated education (n=5), exercise (n=20), psychological (n=2), lifestyle (n=1), and/or other interventions (n=5). The views studies addressed education (n=20), exercise (n=3), psychological (n=1), lifestyle (n=4), and/or other interventions (n=1). Only three outcomes studies (two randomized controlled trials (RCTs) and a pilot study) compared the effectiveness of intervention components/delivery approaches. The two RCTs' results suggest that pre-operative TKR exercise interventions are equally effective regardless of whether they include strength or strength plus balance training and whether they are hospital- or home-based. Personal tailoring and using more than one delivery format were associated with improved outcomes and/or perceived as beneficial for multiple intervention types.

Conclusions: Definitive evidence on the optimal design of pre-operative TKR interventions is lacking. Personal tailoring and employing multiple delivery formats appear to be valuable design elements. Preliminary evidence suggests that including balance training and hospital versus home delivery may not be critical design elements for pre-operative TKR exercise interventions.

Systematic Review Registration: PROSPERO CRD42019143248 FUNDER: National Institute for Health and Care Research (ICA-CDRF-2018-04-ST2-006).

Citing Articles

Supporting patients to prepare for total knee replacement: Evidence-, theory- and person-based development of a 'Virtual Knee School' digital intervention.

Anderson A, McHugh G, Comer C, Joseph J, Smith T, Yardley L Health Expect. 2023; 26(6):2549-2570.

PMID: 37606150 PMC: 10632615. DOI: 10.1111/hex.13855.

References

Harden A, Garcia J, Oliver S, Rees R, Shepherd J, Brunton G . Applying systematic review methods to studies of people's views: an example from public health research. J Epidemiol Community Health. 2004; 58(9):794-800. PMC: 1732892. DOI: 10.1136/jech.2003.014829. View

Causey-Upton R, Howell D, Kitzman P, Custer M, Dressler E . Preoperative Education for Total Knee Replacement: A National Survey of Orthopaedic Nurses. Orthop Nurs. 2020; 39(1):23-34. DOI: 10.1097/NOR.0000000000000623. View

Louw A, Diener I, Butler D, Puentedura E . Preoperative education addressing postoperative pain in total joint arthroplasty: review of content and educational delivery methods. Physiother Theory Pract. 2012; 29(3):175-94. DOI: 10.3109/09593985.2012.727527. View

Jahic D, Omerovic D, Tanovic A, Dzankovic F, Campara M . The Effect of Prehabilitation on Postoperative Outcome in Patients Following Primary Total Knee Arthroplasty. Med Arch. 2019; 72(6):439-443. PMC: 6340623. DOI: 10.5455/medarh.2018.72.439-443. View

Anderson A, Comer C, Smith T, Drew B, Pandit H, Antcliff D . Consensus on pre-operative total knee replacement education and prehabilitation recommendations: a UK-based modified Delphi study. BMC Musculoskelet Disord. 2021; 22(1):352. PMC: 8044503. DOI: 10.1186/s12891-021-04160-5. View

Gstoettner M, Raschner C, Dirnberger E, Leimser H, Krismer M . Preoperative proprioceptive training in patients with total knee arthroplasty. Knee. 2010; 18(4):265-70. DOI: 10.1016/j.knee.2010.05.012. View

Beswick A, Wylde V, Gooberman-Hill R, Blom A, Dieppe P . What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open. 2012; 2(1):e000435. PMC: 3289991. DOI: 10.1136/bmjopen-2011-000435. View

Chen A, Shen T, Bovonratwet P, Pain K, Murphy A, Su E . Total Joint Arthroplasty During the COVID-19 Pandemic: A Scoping Review with Implications for Future Practice. Arthroplast Today. 2021; 8:15-23. PMC: 7836630. DOI: 10.1016/j.artd.2020.12.028. View

Devasenapathy N, Maddison R, Malhotra R, Zodepy S, Sharma S, Belavy D . Preoperative Quadriceps Muscle Strength and Functional Ability Predict Performance-Based Outcomes 6 Months After Total Knee Arthroplasty: A Systematic Review. Phys Ther. 2018; 99(1):46-61. DOI: 10.1093/ptj/pzy118. View

10.

Walls R, McHugh G, OGorman D, Moyna N, OByrne J . Effects of preoperative neuromuscular electrical stimulation on quadriceps strength and functional recovery in total knee arthroplasty. A pilot study. BMC Musculoskelet Disord. 2010; 11:119. PMC: 2896350. DOI: 10.1186/1471-2474-11-119. View

11.

Soeters R, White P, Murray-Weir M, Koltsov J, Alexiades M, Ranawat A . Preoperative Physical Therapy Education Reduces Time to Meet Functional Milestones After Total Joint Arthroplasty. Clin Orthop Relat Res. 2018; 476(1):40-48. PMC: 5919221. DOI: 10.1007/s11999.0000000000000010. View

12.

Jiang Y, Sanchez-Santos M, Judge A, Murray D, Arden N . Predictors of Patient-Reported Pain and Functional Outcomes Over 10 Years After Primary Total Knee Arthroplasty: A Prospective Cohort Study. J Arthroplasty. 2016; 32(1):92-100.e2. PMC: 5178876. DOI: 10.1016/j.arth.2016.06.009. View

13.

Specht K, Kjaersgaard-Andersen P, Pedersen B . Patient experience in fast-track hip and knee arthroplasty--a qualitative study. J Clin Nurs. 2015; 25(5-6):836-45. DOI: 10.1111/jocn.13121. View

14.

Culliton S, Bryant D, MacDonald S, Hibbert K, Chesworth B . Effect of an e-Learning Tool on Expectations and Satisfaction Following Total Knee Arthroplasty: A Randomized Controlled Trial. J Arthroplasty. 2018; 33(7):2153-2158. DOI: 10.1016/j.arth.2018.02.040. View

15.

Abou-Setta A, Jeyaraman M, Attia A, Al-Inany H, Ferri M, Ansari M . Methods for Developing Evidence Reviews in Short Periods of Time: A Scoping Review. PLoS One. 2016; 11(12):e0165903. PMC: 5145149. DOI: 10.1371/journal.pone.0165903. View

16.

Eschalier B, Descamps S, Boisgard S, Pereira B, Lefevre-Colau M, Claus D . Validation of an educational booklet targeted to patients candidate for total knee arthroplasty. Orthop Traumatol Surg Res. 2013; 99(3):313-9. DOI: 10.1016/j.otsr.2013.01.007. View

17.

Granicher P, Stoggl T, Fucentese S, Adelsberger R, Swanenburg J . Preoperative exercise in patients undergoing total knee arthroplasty: a pilot randomized controlled trial. Arch Physiother. 2020; 10:13. PMC: 7405420. DOI: 10.1186/s40945-020-00085-9. View

18.

Durrand J, Singh S, Danjoux G . Prehabilitation. Clin Med (Lond). 2019; 19(6):458-464. PMC: 6899232. DOI: 10.7861/clinmed.2019-0257. View

19.

Eschalier B, Descamps S, Pereira B, Vaillant-Roussel H, Girard G, Boisgard S . Randomized blinded trial of standardized written patient information before total knee arthroplasty. PLoS One. 2017; 12(7):e0178358. PMC: 5497941. DOI: 10.1371/journal.pone.0178358. View

20.

SooHoo N, Lieberman J, Farng E, Park S, Jain S, Ko C . Development of quality of care indicators for patients undergoing total hip or total knee replacement. BMJ Qual Saf. 2011; 20(2):153-7. DOI: 10.1136/bmjqs.2009.032524. View