Effect of preoperative education of patients before hip or knee replacement surgery: A systematic review

Dogu Aydin, Jakob Klit, Henrik Husted, Anders Troelsen, Steffen Jacobsen



Total hip (THA) and knee arthroplasty (TKA) are standard procedures for treatment of end stage osteoarthritis, and much is done to optimize results. It is usually hypothesized that education of patients before surgery reduces anxiety, secures more realistic patient expectations and enhances postoperative outcomes.


To determine whether results reported in the literature proves an effect of preoperative education on postoperative outcomes in replacement surgery patients regarding anxiety, pain, length of hospital stay, patient satisfaction, postoperative complications, mobility, and expectations.


One reviewer searched the PubMed database in autumn 2012 and identified qualified studies. Three reviewers assessed the studies regarding inclusion criteria [lidt uforståeligt, umiddelbart]. Randomized studies of preoperative education (written, verbal and/or audio visual) given by health professionals to patients were included.


Seven studies involving 677 participants met the inclusion criteria. Two studies involved patients undergoing THA replacement, while five studies involved patients undergoing both THA and TKA
replacement surgery. Mean number of participants was 180 (range 35 to 320) and mean age ranged from 58-71 years.
TidsskriftDanish Medical Journal
StatusUdgivet - 2013