Safety, quality & education

Systematic review and narrative description of the outcomes of group preoperative education before elective major surgery

BJA OpenPublished Systematic review and meta-analysis

Authors' conclusion

This review presents a summary of published evidence available for group preoperative education.

Study context

Population
Patients before major elective surgery27 studies
Comparison
Group preoperative education vs baseline or control
Outcome
Patient outcomes
Methodological detailsrandom effects meta-analysis, observational or intervention studies with a baseline group or control arm, 48 different outcomes reported
  • Random effects meta-analysis
  • Observational or intervention studies with a baseline group or control arm
  • 48 different outcomes reported

Pooled result

As reported in the abstract

Mean LOS

Reduction in mean LOS after group education

0.7

days; 95% CI 0.27–1.13

Further pooled results

Postoperative complications after abdominal surgery

OR for postoperative complications after group education
0.56 (95% CI 0.36-0.85)
  • Nine studies

Patient-centred outcomes

Most studies reported a benefit from group education; only postoperative physical impairment, pain, knowledge, activation, preoperative anxiety and some elements of quality of life were statistically significant

Original publication

Systematic review and narrative description of the outcomes of group preoperative education before elective major surgery. BJA Open. Published 22 May 2024. doi:10.1016/j.bjao.2024.100286

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