Do preoperative interventions affect patient satisfaction or expectation fulfilment following total hip arthroplasty? A systematic review

Key Points

1. Preoperative education and exercise are associated with higher medium-term satisfaction and improved function following Total hip arthroplasty.

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BACKGROUND & OBJECTIVE

Total hip arthroplasty (THA) is a highly effective and increasingly common treatment for hip osteoarthritis (OA), with procedures projected to double in several countries over the next 30 years. While preoperative interventions like education and exercise are routinely implemented to prepare patients, their impact on patient satisfaction, a key metric of patient-centered, value-based care, remains poorly understood. Previous research has often combined hip and knee data, leaving a significant gap in specific evidence for THA cohorts (1).

The primary objective of this systematic review was to determine whether preoperative non-pharmacological interventions are associated with improved patient satisfaction or expectation fulfillment in adults undergoing primary THA compared with usual care or no intervention.

Total hip arthroplasty is a highly effective and increasingly common treatment for hip osteoarthritis, with procedures projected to double in several countries over the next 30 years.

Preoperative programs may be especially beneficial for patients at a higher risk of postoperative dissatisfaction, such as those with a higher BMI or poorer preoperative health status.

METHODS

• This review followed PRISMA guidelines and was prospectively registered on PROSPERO. The authors searched five major databases (MEDLINE, EMBASE, Cochrane, CINAHL, and Sports Discus) from inception to May 2023.

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