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Table 5 Pre-operative total knee replacement education delivery: 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 delivery itema % Important or Very Important rating
Round 1 (n = 60) Round 2 (n = 57) Round 3 (n = 55)
2.1 Informed by a multidisciplinary team 75 91 96
2.2.1 Informed by members of the orthopaedic surgery team 82 93 95
2.2.2 Informed by members of the nursing team 72 86 95
2.2.3 Informed by members of the physiotherapy team 95 98 100
2.2.4 Informed by members of the occupational therapy team 80 88 85
2.2.5 Informed by members of the social work team 42 42 31
2.3 Informed by patients who have previously had TKR surgery 63 67 73
2.4 Provide examples of other patients’ experiences of TKR surgery 70 77 76
2.5.1 Delivered using face-to-face group sessions 78 89 89
2.5.2 Delivered using face-to-face individual sessions 45 56 56
2.5.3 Delivered using a booklet or other written format 88 98 100
2.5.4 Delivered using a video or DVD 63 65 64
2.5.5 Delivered using a website or other electronic format 72 74 75
2.5.6 Delivered using telephone 25 18 18
2.5.7 Delivered using a PowerPoint presentation 32 23 25
2.6 Delivered using a combination of more than one format 87 93 93
2.7 Delivered through a combination of information provision and an opportunity to actively take part in tasks 78 95 96
2.8 Provide an opportunity for questions to be addressed 97 100 100
2.9 Provide an opportunity for a family member/friend to be involved 80 91 93
2.10 Tailored to each patient’s needs 85 82 91
2.11 Tailored to the right or left knee 13 7 2
2.12 Received separately from patients waiting for other types of surgery 67 75 76
2.13 Delivered within 4 weeks of TKR surgery N/A 79 84
2.14 Delivered in a hospital setting N/A 33 22
2.15 Standardised across the UK N/A 72 80
  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’. Items in italics did not reach consensus in Round 3 and hence were excluded from the final list of recommendations. Items in bold were prioritised as ‘Very important’. Items in plain text were prioritised as ‘Important’
  4. Additional Files 2 and 7 provide the exact wording of each item