A student-led prehabilitation intervention for orthopaedic patients
Research type
Research Study
Full title
BoneFit: A Student-Led Multimodal Prehabilitation Service for Orthopaedic Surgical Patients in Hull: A Non-Randomised Pilot Feasibility Study.
IRAS ID
332551
Contact name
Lee Ingle
Contact email
Sponsor organisation
University of Hull
Duration of Study in the UK
3 years, 4 months, 27 days
Research summary
Kingston-upon-Hull is a port city in the north east of England. The city has some of the poorest health outcomes in the country. We would like to help improve some of these outcomes by being able to help prepare our local people for hip and knee surgery more effectively so they recover more quickly and leave hospital earlier.
Due to the global pandemic. surgical procedures in our local Trust (Hull University Teaching Hospitals; HUTH) were cancelled regularly leading to increased waiting list delays. Current waiting times for orthopaedic (bone) surgery in our centre are approximately 18 months. This means that more and more patients are continuing to decondition as they wait for their surgery.
In the UK, 'prehabilitation' is a treatment package designed to help prepare individuals for the physical and mental insult of surgery. Being able to 'optimise' an individual prior to surgery is likely to lead to improved patient outcomes and should save the NHS money by reducing the length of hospital stay, complications and readmission rates. Prehabilitation interventions have evolved over the years becoming multimodal in nature. Interventions typically include exercise, nutrition, and psychological support delivered by a multidisciplinary team.
Currently, there are no prehabilitation pathways for any surgical intervention offered by HUTH and we know that local patients who undertake surgery have poorer recoveries than other patients who receive the same surgery in more affluent parts of the country. We wish to develop a partnership between HUTH and the University of Hull who already run a sports injuries clinic. Our vision is to turn surgical waiting list times (currently 18 months) into surgical preparation lists where we can 'optimise' our patients.
We will monitor physical, quality of life, and psychological wellbeing, as well as clinical outcomes both before and following surgery in a group of surgical patients who receive our BoneFit programme. We will compare these outcomes to a group of people who do not receive any intervention.
REC name
London - London Bridge Research Ethics Committee
REC reference
24/PR/0092
Date of REC Opinion
1 Mar 2024
REC opinion
Further Information Favourable Opinion