ReviewCureus2025
Does Pre-Operative Education Reduce Length of Stay and Improve Clinical Outcomes After Elective Orthopaedic Surgery? A Systematic Review and Meta-Analysis.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this review was to assess whether pre-operative patient education can reduce hospital length of stay and improve clinical outcomes for adult patients undergoing elective orthopaedic operations. The study was registered on the NIHR PROSPERO database (ID: CRD42021224356) and conducted according to the PRISMA guidelines. A search of electronic databases in February 2023 found 17 studies. The quality of evidence was assessed using the GRADE approach. A meta-analysis was conducted, and the outcomes were presented as mean difference, standardised mean difference, or a risk ratio. Pre-operative patient education offered benefit with a shorter length of stay by a mean of 0.37 days (n=1,729; 95% CI: -0.65 to -0.09; p=0.01) and these results were corroborated by sensitivity analyses studying RCTs only (MD: 0.42; 95% CI 0.77 to 0.07; p=0.02) and studies deemed to be at low risk of bias (MD: 0.24; 95% CI 0.44 to 0.04; p=0.02). Pre-operative patient education also offered a benefit to patient satisfaction (SMD: 0.43; 95% CI: 0.01 to 0.84; p=0.04) and improved short-term psychological scores (SMD: -0.44; 95% CI: -0.82 to -0.06; p=0.02). It offered no benefit for pain scores, functional scores, frequency of adverse events, and quality of life, and these results failed to reach statistical significance. Pre-operative patient education is associated with a decreased length of hospital stay and improved patient satisfaction and short-term psychological scores.
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What Socratic holds
Registered trials
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.