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

Cabilan, C. J.; Hines, Sonia; Munday, Judy

doi: 10.1097/NOR.0000000000000264
Research
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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METHODS: Trials registries and databases of published and unpublished literature were extensively searched.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.

C. J. Cabilan, BN, RN, MAppSci (Research) candidate, Clinical Research Nurse, Nursing Research Centre, Mater Health, the Queensland Centre for Evidence Based Nursing and Midwifery: A Collaborating Centre of the Joanna Briggs Institute, Brisbane, Queensland, Australia.

Sonia Hines, MAppSci (Research), Grad Dip Ed (Tertiary & Adult), BN, RN, Cert IV TAE, PhD student, Nurse Researcher, Nursing Research Centre, Mater Health Services, the Queensland Centre for Evidence Based Nursing and Midwifery: A Collaborating Centre of the Joanna Briggs Institute, Brisbane, Queensland, Australia.

Judy Munday, DipEd (Nurs), BA (Hons), RN, Clinical Research Nurse, Nursing Research Centre, Mater Health Services, the Queensland Centre for Evidence Based Nursing and Midwifery: A Collaborating Centre of the Joanna Briggs Institute, Brisbane, Queensland, Australia.

The authors have no conflicts of interest to declare.

© 2016 National Association of Orthopaedic Nurses