ArticlePerioperative medicine (London, England)2020
Can technology optimise the pre-operative pathway for elective hip and knee replacement surgery: a qualitative study.
Article in Perioperative medicine (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05668312 (Effects of Tele-prehabilitation on Clinical and Muscular Recover in Patients Waiting for Knee Replacement), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Tele-prehabilitation on Clinical and Muscular Recover in Patients Waiting for Knee Replacement: a Randomized Controlled Trial
Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Benefits and Challenges of Remote Patient Monitoring as Perceived by Health Care Practitioners: A Systematic Review.The Permanente journal · 2023Pooled it
- Content and delivery of pre-operative interventions for patients undergoing total knee replacement: a rapid review.Systematic reviews · 2022Pooled it
- First the relationship, then the technology: Healthcare professionals' perceptions on how digital health solutions impact the interaction with patients.PEC innovation · 2026Article
- "I'm a paper and pencil person": a qualitative descriptive study of potential barriers and facilitators to engagement with pre-operative total knee replacement education and prehabilitation digital interventions.BMC musculoskeletal disorders · 2025Article
- Postoperative outcomes among patients evaluated via telemedicine-based preoperative consultations for inguinal hernia care.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Outpatient administration of CAR T-cell therapies using a strategy of no remote monitoring and early CRS intervention.Blood advances · 2024Article
- Adapting Physical Therapy Practice for the "Short-Stay" Total Joint Arthroplasty Patient: A Commentary.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Does Participation in Virtual or In-Person Preoperative Education Relate to Reduced Length of Stay After Total Joint Arthroplasty?HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Supporting patients to prepare for total knee replacement: Evidence-, theory- and person-based development of a 'Virtual Knee School' digital intervention.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Healthy Eating for Elective Major Orthopedic Surgery: Quality, Quantity, and Timing.Journal of multidisciplinary healthcare · 2023Article
- Review
- The Impact of Perioperative Remote Patient Monitoring on Clinical Staff Workflows: Scoping Review.JMIR human factors · 2022Article
- Designing the Optimal Digital Health Intervention for Patients' Use Before and After Elective Orthopedic Surgery: Qualitative Study.Journal of medical Internet research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAn ageing population has resulted in a rise in the number of hip and knee replacement surgeries in the UK. The pre-operative pathway is plagued with issues causing long delays and cancellations. Virtual healthcare technologies have a growing evidence base to help solve these issues. One problem of implementing these technologies is the resistance to change mentality from healthcare professionals. By getting their opinions on the place of these technologies within the pre-operative pathway, a united front can be formed to help deliver change.
methodsSixteen semi-structured interviews were conducted with key stakeholders within the orthopaedic pre-operative pathway at Imperial College Healthcare NHS Trust. General topics included the different technologies that could be used within the pathway, their uses and associated benefits and problems. Interviews were audio-recorded, before being manually transcribed and then analysed to form categories and themes.
resultsVarious uses, benefits and problems were identified by healthcare professionals for each modality of technology. E-forms were seen as a high reward, low-risk intervention. Remote patient monitoring and teleconsultations had their bonuses, but feasibility was a primary concern. Web-based interventions were seen as an intervention of the past, whereas virtual reality was seen as perhaps being ahead of its time. M-health was very positively viewed due to its all-encompassing nature. Digital illiteracy emerged as a consistent problem for most technologies.
conclusionsCurrent literature, the results from this study and technology trends within society highlight both M-health and E-forms as the 2 most promising virtual healthcare technologies for use in the pre-operative pathway for orthopaedics. Areas such as pre-operative assessment, triaging and prehabilitation are prime candidates for virtual intervention. Future research should also consider including patient opinions on any proposed interventions, as well as taking into account barriers to implementation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.