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Table 4 Pre-operative total knee replacement education topics: Importance ratings summary

From: Consensus on pre-operative total knee replacement education and prehabilitation recommendations: a UK-based modified Delphi study

Pre-operative total knee replacement education topic itema % Important or Very Important rating
Round 1 (n = 60) Round 2 (n = 57) Round 3 (n = 55)
1.1 Anatomy of the knee joint 77 91 95
1.2 Health conditions that may contribute to needing TKR surgery 77 95 91
1.3 Alternative treatment options to TKR surgery 82 91 87
1.4 Purpose of pre-operative rehabilitation 98 98 98
1.5 Patient involvement in their own management 98 100 98
1.6 Goal setting 88 93 96
1.7 Using heat and cold 87 88 85
1.8 Obtaining and using walking aids and other equipment 95 96 95
1.9 Making home preparations 98 98 100
1.10 Arranging social support 88 95 96
1.11 Arranging transport to and from the hospital 82 91 98
1.12 What to expect during the hospital stay 98 100 100
1.13 What a TKR surgical procedure involves 92 89 93
1.14 Risks of TKR surgery and how to minimise them 97 100 100
1.15 Common issues that may occur following TKR surgery which do not need to cause alarm 93 98 100
1.16 Pain expectations 97 100 100
1.17 What to expect following discharge 95 98 100
1.18 Recovery expectations 98 98 98
1.19 Pain management 100 100 100
1.20 Rehabilitation following TKR surgery 100 100 100
1.21 Complementary and alternative therapies 28 21 27
1.22 Returning to daily activities 93 100 98
1.23 Returning to driving and other types of travel 95 96 98
1.24 Returning to sports and leisure activities 90 89 96
1.25 Returning to work 88 95 95
1.26 Physical activity 95 98 100
1.27 Weight management 90 98 100
1.28 Stopping smoking 80 84 85
1.29 Avoiding alcohol misuse 73 82 87
1.30 Optimising management of diabetes N/A 77 82
1.31 Education for other people, such as carers N/A 82 91
1.32 Swelling N/A 98 100
1.33 Organising help if complications occur N/A 100 100
1.34 Returning to a normal walking pattern N/A 93 98
1.35 Emotional well-being N/A 89 93
  1. N/A Not applicable because the item was not included in Round 1
  2. TKR Total knee replacement
  3. a Consensus was defined as at least 70% of respondents rating an item as ‘Important’ or ‘Very important’. The item in italics did not reach consensus in Round 3 and hence was excluded from the final list of recommendations. Items in bold were prioritised as ‘Very important’. Items in plain text were prioritised as ‘Important’