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

Anderson, Anna M.; Comer, Christine; Smith, Toby O.; Drew, Benjamin T.; Pandit, Hemant; Antcliff, Deborah; Redmond, Anthony C.; McHugh, Gretl A.

doi:10.1186/s12891-021-04160-5

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 item^a	% Important or Very Important rating
Pre-operative total knee replacement education topic item^a	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

N/A Not applicable because the item was not included in Round 1
TKR Total knee replacement
^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’

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ISSN: 1471-2474

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