Development of pre-operative knee replacement care recommendations 1.0
Research type
Research Study
Full title
Development of pre-operative total knee replacement education and prehabilitation recommendations: A Delphi study
IRAS ID
259807
Contact name
Anna Anderson
Contact email
Sponsor organisation
University of Leeds
Duration of Study in the UK
0 years, 7 months, 8 days
Research summary
What pre-operative care should be provided to patients waiting for total knee replacement surgery?
Total knee replacement (TKR) is a very commonly performed operation. The number of TKRs undertaken in the UK each year is increasing and is already approximately 100,000. TKR surgery is usually undertaken in older people with knee osteoarthritis, a painful joint condition. Patients waiting for TKR surgery often face long delays whilst experiencing significant pain and difficulty with daily activities. Furthermore, around 17% of patients who have TKR surgery are not satisfied with their knee replacement following surgery.
Providing pre-operative education and exercise therapy can help patients prepare for TKR surgery and improve patients’ recovery following surgery. However, the UK does not have agreed recommendations in this area and current pre-operative TKR care services vary widely. Research and patient feedback suggests these services do not necessarily meet patients’ needs. This study will help address these problems by developing recommendations about what pre-operative education and exercise therapy should be provided to patients waiting for TKR surgery. These recommendations will help to improve the quality of pre-operative TKR care.
We will develop the recommendations using an approach known as a Delphi Consensus Technique. This will involve a group of patient and professionals completing three online questionnaires in order to gain agreement about what pre-operative TKR care recommendations are important. We will recruit participants through social media, professional organisations and Chapel Allerton Orthopaedic Centre, Leeds.
Anna Anderson is funded by a Health Education England (HEE)/National Institute for Health Research (NIHR) Clinical Doctoral Research Fellowship for this research project. This study summary presents independent research funded by the National Institute for Health Research (NIHR). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.
REC name
London - Riverside Research Ethics Committee
REC reference
19/LO/0813
Date of REC Opinion
29 Apr 2019
REC opinion
Favourable Opinion