Randomized blinded trial of standardized written patient information before total knee arthroplasty

Benedicte Eschalier, Stephane Descamps, Bruno Pereira, Hélène Vaillant-Roussel, Guillaume Girard, Stephane Boisgard, Emmanuel Coudeyre, Benedicte Eschalier, Stephane Descamps, Bruno Pereira, Hélène Vaillant-Roussel, Guillaume Girard, Stephane Boisgard, Emmanuel Coudeyre

Abstract

Background: The effect of patient education before total knee arthroplasty (TKA) is controversial. No consensus exists about the optimal content of educational interventions. In a previous study, we developed and validated an educational booklet on the peri-TKA management of knee osteoarthritis.

Purposes: Our primary purpose was to evaluate the impact of the educational booklet on knowledge among patients awaiting TKA.

Patients and methods: This randomized controlled single-blind trial evaluated standard information by the surgeon with or without delivery of the educational booklet 4-6 weeks before primary noncomplex TKA in patients aged 55-75 years with incapacitating knee osteoarthritis. Patients were enrolled at a French surgical center between June 2011 and January 2012. A patient knowledge score was determined at baseline, on the day before TKA, and 3-6 weeks after TKA, using a self-administered questionnaire developed for our previous study. The assessor was blinded to group assignment.

Results: Of 44 eligible patients, 42 were randomized, 22 to the intervention and 20 to the control group, all of whom were included in the analysis. The groups were comparable at baseline. The intervention was associated with significantly better patient knowledge scores.

Conclusions: An educational booklet improves knowledge among patients awaiting TKA. A study assessing the impact of the booklet combined with a exercise program would be helpful.

Level of evidence: Level I, randomized controlled double-blind trial; see S1 CONSORT Checklist.

Trial registration: clinicaltrials.gov #NCT01747759.

Conflict of interest statement

Competing Interests: There are no patents, products in development or marketed products to declare. This study received funding from SANOFI France. This does not alter our adherence to PLOS ONE policies on sharing data and materials.

Figures

Fig 1. Study flow chart.
Fig 1. Study flow chart.
Fig 2. Changes in knowledge scores over…
Fig 2. Changes in knowledge scores over time.

References

    1. Viton JM, Atlani L, Mesure S, Franceschi JP, Massion J, Delarque A, et al. Reorganization of equilibrium and movement control strategies in patients with knee arthritis. Scand J Rehabil Med. 1999;31:43–8.
    1. Kurtz S, Ong KL, Schmier J, Mowat F, Saleh K, Dybvik E, et al. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89:780–5. doi:
    1. Fortin PR, Clarke AE, Joseph L, Liang MH, Tanzer M, Ferland D et al. Outcomes of total hip and knee replacement: preoperative functional status predicts outcomes at six months after surgery. Arthritis Rheum. 1999;42:1722–8. doi:
    1. Coudeyre E, Jardin C, Givron P, Ribinik P, Revel M, Rannou F. Could preoperative rehabilitation modify postoperative outcomes after total hip and knee arthroplasty? Elaboration of French clinical practice guidelines. Ann Readapt Med Phys. 2007;50,189–197. doi:
    1. Wallis JA, Taylor NF. Pre-operative interventions (non-surgical and non-pharmacological) for patients with hip or knee osteoarthritis awaiting joint replacement surgery—a systematic review and meta-analysis. Osteoarthritis Cartilage. 2011;19:1381–95. doi:
    1. Beaupre LA, Lier D, Davies DM, Johnston DB. The effect of a preoperative exercise and education program on functional recovery, health related quality of life, and health service utilization following primary total knee arthroplasty. J Rheumatol. 2004;31:1166–73.
    1. Nuñez M, Nuñez E, Segur JM, Macule F, Quinto L, Hernandez MV, et al. The effect of an educational program to improve health-related quality of life in patients with osteoarthritis on waiting list for total knee replacement: a randomized study. Osteoarthritis Cartilage. 2006;14:279–85. doi:
    1. Huang SW, Chen PH, Chou YH. Effects of a preoperative simplified home rehabilitation education program on length of stay of total knee arthroplasty patients. Orthop Traumatol Surg Res. 2012;98:259–264. doi:
    1. Coudeyre E, Jardin C, Givron P, Ribinik P, Revel M, Rannou F. [Patient re-education before hip or knee arthroplasty]. Ann Readapt Med Phys. 2007; 50:179–88. doi:
    1. Burton AK, Waddell G, Tillotson KM, Summerton N.Information and advice to patients with back pain can have a positive effect. A randomized controlled trial of a novel educational booklet in primary care. Spine. 1999;24:2484–91.
    1. McClune T, Burton AK, Waddell G. Evaluation of an evidence based patient educational booklet for management of whiplash associated disorders. Emerg Med J 2003;20:1–4.
    1. Eschalier B, Descamps S, Boisgard S, Pereira B, Lefevre-Colau MM, Claus D, et al. Validation of an educational booklet targeted to patients candidate for total knee arthroplasty. Orthop Traumatol Surg Res.2013;99:313–319. doi:
    1. Oldmeadow LB, McBurney H, Robertson VJ. Predicting risk of extended inpatient rehabilitation after hip or knee arthroplasty. J Arthroplasty 2003;18:775–9.
    1. Coudeyre E, Descamps S, Intyre JM, Boisgard S, Poiraudeau S, Lefevre-Colau MM. Translation and French cultural adaptation of a decision making tool for patients orientation after total hip or knee arthroplasty. Ann Phys Rehabil Med.2009;52,694–703. doi:
    1. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15:1833–40.
    1. Faucher M, Poiraudeau S, Lefevre-Colau MM, Rannou F, Fermanian J, Revel M. Assessment of the test-retest reliability and construct validity of a modified WOMAC index in knee osteoarthritis. Joint Bone Spine. 2004;71:121–7. doi:
    1. Suri P, Morgenroth DC, Hunter DJ. Epidemiology of osteoarthritis and associated comorbidities. PM R. 2012;4:S10–9. doi:
    1. Semanik PA, Chang RW, Dunlop DD. Aerobic activity in prevention and symptom control of osteoarthritis. PM R. 2012;4:S37–44. doi:
    1. Beswick AD, Wylde V, Gooberman-Hill R, Blom A, Dieppe P. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open. 2012;22;2.
    1. Mancuso CA, Graziano S, Briskie LM, Peterson MG, Pellicci PM, Salvati EA, et al. Randomized trials to modify patients’ preoperative expectations of hip and knee arthroplasties. Clin Orthop Relat Res 2008;466:424–31. doi:
    1. Benhamou M, Baron G, Dalichampt M, Boutron I, Alami S, Rannou F, et al. Development and validation of a questionnaire assessing fears and beliefs of patients with knee osteoarthritis: The Knee Osteoarthritis Fears and Beliefs Questionnaire (KOFBeQ). PLoS One. 2013;8:e53886 doi:
    1. Coudeyre E, Sanchez K, Rannou F, Poiraudeau S, Lefevre-Colau MM. Impact of self-care programs for lower limb osteoarthritis and influence of patients’ beliefs. Ann Phys Rehabil Med.2010;53:434–450. doi:
    1. Heuts PH, Vlaeyen JW, Roelofs J, de Bie RA, Aretz K, van Weel C, et al. Pain-related fear and daily functioning in patients with osteoarthritis. Pain 2004;110:228–35. doi:
    1. Coudeyre E, Poiraudeau S, Revel M, Kahan A, Drapé JL, Ravaud P. Beneficial effects of information leaflets before spinal steroid injection. Joint Bone Spine 2002;69:597–603.
    1. Jackson C, Lindsay S. Reducing anxiety in new dental patients by means of leaflets. Br Dent J. 19959;179:163–7.
    1. Luo YY. Effects of written plus oral information vs. oral information alone on precolonoscopy anxiety. J Clin Nurs. 2012.
    1. Spencer C, Franck LS. Giving parents written information about children's anesthesia: are setting and timing important? Paediatr Anaesth. 2005;15:547–53. doi:
    1. Coudeyre E, Jardin C, Givron P, Ribinik P, Revel M, Rannou F, et al. Is there predictive criteria for transfer of patients to a rehabilitation ward after hip and knee total arthroplasty? Elaboration of French clinical practice guidelines. Ann Readapt Med Phys. 2007;50:327–36; 317–26. doi:

Source: PubMed

스폰서 및 공동 작업자

건강 상태

약물 개입

3
구독하다