Does preoperative rehabilitation for patients planning to undergo joint replacement surgery improve outcomes? A systematic review and meta-analysis of randomised controlled trials

この研究はハイインパクトの可能性があります。 OEのAI駆動型ハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文が持つ可能性の高い影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することが可能になり、読者は将来の診療を形成する可能性が最も高い論文に集中することができます。

22 randomized controlled trials (1492 patients) were included in this meta-analysis and systematic review to assess the clinical effectiveness of pre-operative rehabilitation (inclusive of physiotherapy and exercise regimens) performed prior to total joint arthroplasty. Pooled results, when compared with patients who did not receive pre-operative therapy, demonstrated that prehabilitation offered patients a statistically significant improvement in postoperative pain and function in the short-term, however, these differences were deemed to be clinically marginal and were based on low-quality evidence (GRADE). Additional outcomes of interest, including activities of daily living, quality of life, and length of hospital stay were clinically comparable throughout reported follow-up periods.