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.
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.
Authors: Samantha Jones; Mustafa Alnaib; Michail Kokkinakis; Michael Wilkinson; Alan St Clair Gibson; Deiary Kader Journal: Ann R Coll Surg Engl Date: 2011-01 Impact factor: 1.891
Authors: Kristian Larsen; Torben B Hansen; Per B Thomsen; Terkel Christiansen; Kjeld Søballe Journal: J Bone Joint Surg Am Date: 2009-04 Impact factor: 5.284
Authors: Evan M Graboyes; Dorina Kallogjeri; Jan Zerega; Sara Kukuljan; Linda Neal; Kelsey M Rosenquist; Brian Nussenbaum Journal: JAMA Otolaryngol Head Neck Surg Date: 2017-12-01 Impact factor: 6.223