The Impact of Prehabilitation on Postoperative Functional Status, Healthcare Utilization, Pain, and Quality of Life: A Systematic Review

C Cabilan; Sonia Hines; Judy Munday

doi:10.1097/NOR.0000000000000264

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The Impact of Prehabilitation on Postoperative Functional Status, Healthcare Utilization, Pain, and Quality of Life: A Systematic Review

Journal article

Peer reviewed

The Impact of Prehabilitation on Postoperative Functional Status, Healthcare Utilization, Pain, and Quality of Life: A Systematic Review

C Cabilan, Sonia Hines and Judy Munday

Orthopaedic Nursing, Vol.35(4), pp.224-237

2016

DOI: https://doi.org/10.1097/NOR.0000000000000264

PMID: 27441877

Abstract

Health services utilization

Heart surgery

Pain management

Quality of life

Rehabilitation

BACKGROUND: “Preoperative rehabilitation” or prehabilitation has been increasingly studied alongside the deleterious effects of surgery and functional decline. Prehabilitation is the preoperative optimization of physical functionality to enable the individual to maintain a normal level of function during and after surgery. This systematic review evaluates the effectiveness of prehabilitation on functional status, healthcare utilization, quality of life, and pain postoperatively. METHODS: Trials registries and databases of published and unpublished literature were extensively searched. All studies were assessed independently for relevance, eligibility, and quality. Seventeen studies were included in the review: 13 in orthopaedics (mainly knee or hip arthroplasty for osteoarthritis), 2 in abdominal surgery, and 2 in cardiac surgery. FINDINGS: There is no evidence to show that prehabilitation has significant benefits in function, quality of life, and pain; however, it may reduce admission to rehabilitation after knee or hip arthroplasty for osteoarthritis. There is insufficient evidence to make inferences in other surgical populations, notwithstanding initial evidence does not demonstrate advantages.

Details

Title: The Impact of Prehabilitation on Postoperative Functional Status, Healthcare Utilization, Pain, and Quality of Life: A Systematic Review
Authors: C Cabilan (Author) - Mater Health Services
Sonia Hines (Author) - Mater Health Services
Judy Munday (Author) - Mater Health Services
Publication details: Orthopaedic Nursing, Vol.35(4), pp.224-237
Publisher: Lippincott Williams & Wilkins
DOI: 10.1097/NOR.0000000000000264
ISSN: 1542-538X
PMID: 27441877
Organisation Unit: School of Health - Nursing
Language: English
Record Identifier: 99991176902621
Output Type: Journal article