Cochrane · systematic review · CD003526
Preoperative education for hip or knee replacement
McDonald, S, Page, MJ, Beringer, K, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
8
No studies
6
Included studies
NR
No studies 6 · 42.9%Ungraded 0 · 0%Very low 1 · 7.1%Low 7 · 50%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Preoperative education versus usual care for hip replacement
Population: hip replacement
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain Visual analogue scale. Scale from: 0 to 10 (lower scores indicate less pain). Preoperative education vs usual care | no estimate extracted | 3 studies · 227 participants | Low Downgraded: risk of bias, inconsistency |
Function WOMAC function (Likert scale version). Scale from: 0 to 68 (lower scores indicate better function). Preoperative education vs usual care | no estimate extracted | 4 studies · 177 participants | Low Downgraded: risk of bias, inconsistency |
Health‐related quality of life Preoperative education vs usual care | no estimate extracted | NR | No studies |
Global assessment of treatment success Preoperative education vs usual care | no estimate extracted | NR | No studies |
Postoperative anxiety Spielberger State‐Trait Anxiety Index. Scale from: 20 to 80 (lower scores indicated less anxiety). Preoperative education vs usual care | no estimate extracted | 3 studies · 264 participants | Low Downgraded: risk of bias, inconsistency |
Total number of serious adverse events (infection, thrombosis, other serious adverse events) Preoperative education vs usual care | RR 0.79 [0.19, 3.21] | 2 studies · 150 participants | Very low Downgraded: risk of bias, inconsistency |
Re‐operation rate Preoperative education vs usual care | no estimate extracted | NR | No studies |
Preoperative education versus usual care for knee replacement
Population: people with knee replacement
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain WOMAC pain. Scale from: 0 to 100 (lower scores indicate less pain). Preoperative education vs usual care | no estimate extracted | 1 study · 109 participants | Low Downgraded: risk of bias |
Function WOMAC function. Scale from: 0 to 100 (lower scores indicate better function). Preoperative education vs usual care | no estimate extracted | 1 study · 109 participants | Low Downgraded: risk of bias |
Health‐related quality of life SF‐36 Physical Component Score. Scale from: 0 to 100 (higher scores indicate better quality of life). Preoperative education vs usual care | no estimate extracted | 1 study · 109 participants | Low Downgraded: risk of bias |
Global assessment of treatment success Preoperative education vs usual care | no estimate extracted | NR | No studies |
Postoperative anxiety Preoperative education vs usual care | no estimate extracted | NR | No studies |
Total number of serious adverse events (infection, thrombosis, other serious adverse events Preoperative education vs usual care | RR 0.69 [0.29, 1.66] | 1 study · 115 participants | Low Downgraded: risk of bias |
Re‐operation rate Preoperative education vs usual care | no estimate extracted | NR | No studies |