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Pre-operative education prior to elective hip arthroplasty surgery improves postoperative outcome
Purpose Enhanced recovery programmes have improved outcomes following elective arthroplasty surgery. There are few studies assessing the role of patient education. We therefore assessed the outcomes for patients treated at our unit. Methods In our enhanced recovery programme, all patients are offere...
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| Published in: | International orthopaedics 2015-08, Vol.39 (8), p.1483-1486 |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c480t-9d93336a58795451fef9622068d8636e706755c1597c4305a7d670823a449ec93 |
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| cites | cdi_FETCH-LOGICAL-c480t-9d93336a58795451fef9622068d8636e706755c1597c4305a7d670823a449ec93 |
| container_end_page | 1486 |
| container_issue | 8 |
| container_start_page | 1483 |
| container_title | International orthopaedics |
| container_volume | 39 |
| creator | Moulton, Lawrence S. Evans, Peter A. Starks, Ian Smith, Tony |
| description | Purpose
Enhanced recovery programmes have improved outcomes following elective arthroplasty surgery. There are few studies assessing the role of patient education. We therefore assessed the outcomes for patients treated at our unit.
Methods
In our enhanced recovery programme, all patients are offered the chance to attend a pre-operative education class. Not all patients attend, thus allowing comparison of outcomes using our prospectively collected database.
Results
Between April 2009 and March 2013, 318 patients underwent elective total hip replacement (THR): 233 attended the class, and 85 did not. Patients attending had a significantly reduced length of stay when compared with nonattenders (3.53 vs 4.27 days,
p
= 0.046). This produced cost savings of >£10,000 per year.
Conclusion
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. |
| doi_str_mv | 10.1007/s00264-015-2754-2 |
| format | article |
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Enhanced recovery programmes have improved outcomes following elective arthroplasty surgery. There are few studies assessing the role of patient education. We therefore assessed the outcomes for patients treated at our unit.
Methods
In our enhanced recovery programme, all patients are offered the chance to attend a pre-operative education class. Not all patients attend, thus allowing comparison of outcomes using our prospectively collected database.
Results
Between April 2009 and March 2013, 318 patients underwent elective total hip replacement (THR): 233 attended the class, and 85 did not. Patients attending had a significantly reduced length of stay when compared with nonattenders (3.53 vs 4.27 days,
p
= 0.046). This produced cost savings of >£10,000 per year.
Conclusion
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.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-015-2754-2</identifier><identifier>PMID: 25862634</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Arthroplasty, Replacement, Hip - economics ; Arthroplasty, Replacement, Hip - rehabilitation ; Cost Savings ; Elective Surgical Procedures ; Female ; Humans ; Length of Stay ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Orthopedics ; Patient Education as Topic ; Preoperative Period</subject><ispartof>International orthopaedics, 2015-08, Vol.39 (8), p.1483-1486</ispartof><rights>SICOT aisbl 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-9d93336a58795451fef9622068d8636e706755c1597c4305a7d670823a449ec93</citedby><cites>FETCH-LOGICAL-c480t-9d93336a58795451fef9622068d8636e706755c1597c4305a7d670823a449ec93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25862634$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moulton, Lawrence S.</creatorcontrib><creatorcontrib>Evans, Peter A.</creatorcontrib><creatorcontrib>Starks, Ian</creatorcontrib><creatorcontrib>Smith, Tony</creatorcontrib><title>Pre-operative education prior to elective hip arthroplasty surgery improves postoperative outcome</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
Enhanced recovery programmes have improved outcomes following elective arthroplasty surgery. There are few studies assessing the role of patient education. We therefore assessed the outcomes for patients treated at our unit.
Methods
In our enhanced recovery programme, all patients are offered the chance to attend a pre-operative education class. Not all patients attend, thus allowing comparison of outcomes using our prospectively collected database.
Results
Between April 2009 and March 2013, 318 patients underwent elective total hip replacement (THR): 233 attended the class, and 85 did not. Patients attending had a significantly reduced length of stay when compared with nonattenders (3.53 vs 4.27 days,
p
= 0.046). This produced cost savings of >£10,000 per year.
Conclusion
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.</description><subject>Adult</subject><subject>Aged</subject><subject>Arthroplasty, Replacement, Hip - economics</subject><subject>Arthroplasty, Replacement, Hip - rehabilitation</subject><subject>Cost Savings</subject><subject>Elective Surgical Procedures</subject><subject>Female</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Patient Education as Topic</subject><subject>Preoperative Period</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp9kEtPwzAQhC0EoqXwA7igHLkY_HZ8RBUvqRIc4GwZZ0NTJXWwE6T-e1xa4MZpV9qZ0c6H0DklV5QQfZ0IYUpgQiVmWgrMDtCUCs6wpEYeoinhgmKmjJygk5RWhFCtSnqMJkyWiikupsg9R8Chh-iG5hMKqEaft7Au-tiEWAyhgBb8923Z9IWLwzKGvnVp2BRpjO8QN0XT9TF8Qir6kIa_rDAOPnRwio5q1yY4288Zer27fZk_4MXT_eP8ZoG9KMmATWU458rJUhspJK2hNooxosqqVFyBJkpL6ak02gtOpNOV0qRk3AlhwBs-Q5e73PzMxwhpsF2TPLStW0MYk6XKlEYaw0iW0p3Ux5BShNrmtp2LG0uJ3ZK1O7I2k7VbspZlz8U-fnzroPp1_KDMArYTpHxaZzB2Fca4zpX_Sf0Cs52ETg</recordid><startdate>20150801</startdate><enddate>20150801</enddate><creator>Moulton, Lawrence S.</creator><creator>Evans, Peter A.</creator><creator>Starks, Ian</creator><creator>Smith, Tony</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150801</creationdate><title>Pre-operative education prior to elective hip arthroplasty surgery improves postoperative outcome</title><author>Moulton, Lawrence S. ; Evans, Peter A. ; Starks, Ian ; Smith, Tony</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-9d93336a58795451fef9622068d8636e706755c1597c4305a7d670823a449ec93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arthroplasty, Replacement, Hip - economics</topic><topic>Arthroplasty, Replacement, Hip - rehabilitation</topic><topic>Cost Savings</topic><topic>Elective Surgical Procedures</topic><topic>Female</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Patient Education as Topic</topic><topic>Preoperative Period</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moulton, Lawrence S.</creatorcontrib><creatorcontrib>Evans, Peter A.</creatorcontrib><creatorcontrib>Starks, Ian</creatorcontrib><creatorcontrib>Smith, Tony</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moulton, Lawrence S.</au><au>Evans, Peter A.</au><au>Starks, Ian</au><au>Smith, Tony</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pre-operative education prior to elective hip arthroplasty surgery improves postoperative outcome</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2015-08-01</date><risdate>2015</risdate><volume>39</volume><issue>8</issue><spage>1483</spage><epage>1486</epage><pages>1483-1486</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
Enhanced recovery programmes have improved outcomes following elective arthroplasty surgery. There are few studies assessing the role of patient education. We therefore assessed the outcomes for patients treated at our unit.
Methods
In our enhanced recovery programme, all patients are offered the chance to attend a pre-operative education class. Not all patients attend, thus allowing comparison of outcomes using our prospectively collected database.
Results
Between April 2009 and March 2013, 318 patients underwent elective total hip replacement (THR): 233 attended the class, and 85 did not. Patients attending had a significantly reduced length of stay when compared with nonattenders (3.53 vs 4.27 days,
p
= 0.046). This produced cost savings of >£10,000 per year.
Conclusion
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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25862634</pmid><doi>10.1007/s00264-015-2754-2</doi><tpages>4</tpages></addata></record> |
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| ispartof | International orthopaedics, 2015-08, Vol.39 (8), p.1483-1486 |
| issn | 0341-2695 1432-5195 |
| language | eng |
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| source | Springer Link |
| subjects | Adult Aged Arthroplasty, Replacement, Hip - economics Arthroplasty, Replacement, Hip - rehabilitation Cost Savings Elective Surgical Procedures Female Humans Length of Stay Male Medicine Medicine & Public Health Middle Aged Original Paper Orthopedics Patient Education as Topic Preoperative Period |
| title | Pre-operative education prior to elective hip arthroplasty surgery improves postoperative outcome |
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