Perioperative medicine & outcomes
Prehabilitation for Patients Undergoing Orthopedic Surgery: A Systematic Review and Meta-analysis
Authors' conclusion
In this systematic review and meta-analysis of RCTs, moderate-certainty evidence supported prehabilitation over usual care in improving preoperative function and strength in TKR and HRQOL and muscle strength in THR, high-certainty evidence in reducing back pain, and moderate-certainty evidence in improving HRQOL in lumbar surgery. Postoperatively, moderate-certainty evidence supported prehabilitation for function following TKR at 6 weeks and lumbar surgery at 6 months.
Study context
- Population
- Patients undergoing orthopedic surgery
- Participants
- 3,570 patients · 48 randomized clinical trials (RCTs)
- Comparison
- Prehabilitation vs usual care
- Outcome
- Pain, function, muscle strength, and health-related quality of life (HRQOL)
Methodological detailsrandom-effects model, GRADE, PRISMA
- Random-effects model
- GRADE
- PRISMA
Pooled result
As reported in the abstract
Further pooled results
| Outcome | SMD (95% CI) | |
|---|---|---|
| Postoperative function, TKR · 6 weeksModerate certainty | −0.51 (−0.85 to −0.17) | |
| Postoperative function, lumbar surgery · 6 monthsModerate certainty | −2.35 (−3.92 to −0.79) | |
| −4−202Difference (linear scale) |
Other outcomes
- Other differences favoring prehabilitation of low to very low quality of evidence
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Composed by AI from the published abstract and checked against it. How Briefs are made →