Evidence map›Paper›PMID 39666971›Full record

SynthesisJournal of medical Internet research2024

Effects of Prehabilitation With Advanced Technologies in Patients With Musculoskeletal Diseases Waiting for Surgery: Systematic Review and Meta-Analysis.

Stefania Guida, Jacopo Antonino Vitale, Eva Swinnen, David Beckwée, Silvia Bargeri, Federico Pennestrì, Greta Castellini, Silvia Gianola

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Stefania GuidaUnità di Epidemiologia Clinica, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.ORCID 0000-0002-1809-061X
Jacopo Antonino VitaleSpine Center, Schulthess Klinik, Zurich, Switzerland.ORCID 0000-0002-7537-079X
Eva SwinnenRehabilitation Research Group (RERE), Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussel, Belgium.ORCID 0000-0002-3771-9479
David BeckwéeRehabilitation Research Group (RERE), Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussel, Belgium.ORCID 0000-0001-9951-9993
Silvia BargeriUnità di Epidemiologia Clinica, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.ORCID 0000-0002-3489-6429
Federico PennestrìDirezione Scientifica, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.ORCID 0000-0001-9969-9955
Greta Castellini *Unità di Epidemiologia Clinica, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.ORCID 0000-0002-3345-8187
Silvia Gianola *Unità di Epidemiologia Clinica, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.ORCID 0000-0003-3770-0011

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrehabilitation delivered with advanced technologies represents a great chance for patients to optimize pre- and postoperative outcomes, reduce costs, and overcome travel-related barriers.

objectiveWe aim to evaluate the effects of prehabilitation delivered with advanced technologies on clinically relevant outcomes among patients affected by musculoskeletal diseases and waiting for surgery.

methodsWe searched the PubMed, EMBASE, Cochrane Library, PEDro, and CINAHL databases up to February 2, 2023. ClinicalTrials.gov was also searched for registered protocols. Randomized controlled trials and nonrandomized intervention studies with adult participants of both sexes, affected by any musculoskeletal disease, and undergoing prehabilitation with advanced technologies or standard care were included. Study selection, data extraction, and critical appraisal were conducted in duplicate. Data were pooled for meta-analysis using random-effects models. Certainty of evidence was assessed for the primary outcome with the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system. The primary outcome was function. Secondary outcomes were pain, strength, risk of fall, autonomy in the activities of daily living, patient satisfaction, health-related quality of life, adverse events, and adherence to treatment.

resultsSix studies (7 reports), focusing on patients undergoing total knee or hip arthroplasty and primary meniscal tear and spine surgery were included. We found different prehabilitation programs: mindfulness-based stress reduction, exercise, education, or a combination thereof. Prehabilitation delivered with advanced technologies proved to be more effective in improving function in candidates for knee or hip replacement (Western Ontario McMaster Osteoarthritis Index "function" subscale before surgery: mean difference [MD] -7.45, 95% CI -10.71 to -4.19; I

conclusionsPrehabilitation delivered with advanced technologies may be better than standard care in improving pre- and postoperative function among candidates for knee or hip arthroplasty. No quantitative results have been achieved on spine surgery candidates or other musculoskeletal diseases.

trial registrationPROSPERO CRD42022345811; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=345811.

Indexed as

Musculoskeletal DiseasesPreoperative ExerciseFemaleHumansMalePreoperative CareQuality of LifeRandomized Controlled Trials as TopicTreatment Outcomeadvanced technologieselective surgeryjoint arthroplastymobile healthmusculoskeletal diseasespatient outcomespostoperative functionprehabilitation

Identifiers

PMID39666971
PMCPMC11671784

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.