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The Effectiveness of Psychosocial Interventions as Adjuncts to Orthopaedic Surgery : A Systematic Review Protocol

Kekecs, Zoltan LU ; Szeverenyi, Csenge; Johnson, Alisa; Elkins, Gary; Csernatony, Zoltan and Varga, Katalin (2017) In Musculoskeletal Care 15(1). p.69-78
Abstract

Aims: Pain and anxiety are commonly reported among those undergoing orthopaedic surgery. Improvement in anxiety and pain control might be achieved by supplementing standard care with psychological interventions. However, the effectiveness of adjunctive psychosocial interventions in anxiety and pain control have not been addressed sufficiently by previous systematic reviews in orthopaedic surgeries. The present study aimed to assess the effectiveness of adjunctive psychosocial techniques to improve perioperative clinical care in orthopaedic surgery, to identify the most effective intervention types and to evaluate potential moderators. Methods: We will perform a systematic review and meta-analysis to address the study aims. PubMed,... (More)

Aims: Pain and anxiety are commonly reported among those undergoing orthopaedic surgery. Improvement in anxiety and pain control might be achieved by supplementing standard care with psychological interventions. However, the effectiveness of adjunctive psychosocial interventions in anxiety and pain control have not been addressed sufficiently by previous systematic reviews in orthopaedic surgeries. The present study aimed to assess the effectiveness of adjunctive psychosocial techniques to improve perioperative clinical care in orthopaedic surgery, to identify the most effective intervention types and to evaluate potential moderators. Methods: We will perform a systematic review and meta-analysis to address the study aims. PubMed, PsycINFO, CINAHL and ProQuest Dissertations & Theses will be searched between 1980 and 2015. Prospective controlled clinical trials completed in adults, contrasting standard care and standard care supplemented with psychosocial methods, will be eligible for inclusion. Effectiveness will be assessed through the outcomes of postoperative pain intensity, analgesic requirement, perioperative anxiety, quality of life and postoperative recovery. The results of a random-effect meta-analysis will be reported. To aid implementation of best practice, moderating effects of the type and timing of psychosocial intervention, type of surgical intervention and type of anaesthesia will be evaluated through meta-regression. Sensitivity analyses and subgroup contrasts will follow as necessary. Discussion: Recommendations will be made to improve medical care in orthopaedic procedures. The quality of evidence will be rated using GRADE criteria.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
orthopaedic surgery, prospective controlled trials, psychological interventions, patient education
in
Musculoskeletal Care
volume
15
issue
1
pages
10 pages
publisher
John Wiley & Sons
external identifiers
  • scopus:84963656333
ISSN
1478-2189
DOI
10.1002/msc.1142
language
English
LU publication?
no
id
8235c2ea-a651-462f-9008-22b05b48fba4
date added to LUP
2017-03-27 15:44:59
date last changed
2018-01-07 11:57:06
@article{8235c2ea-a651-462f-9008-22b05b48fba4,
  abstract     = {<p>Aims: Pain and anxiety are commonly reported among those undergoing orthopaedic surgery. Improvement in anxiety and pain control might be achieved by supplementing standard care with psychological interventions. However, the effectiveness of adjunctive psychosocial interventions in anxiety and pain control have not been addressed sufficiently by previous systematic reviews in orthopaedic surgeries. The present study aimed to assess the effectiveness of adjunctive psychosocial techniques to improve perioperative clinical care in orthopaedic surgery, to identify the most effective intervention types and to evaluate potential moderators. Methods: We will perform a systematic review and meta-analysis to address the study aims. PubMed, PsycINFO, CINAHL and ProQuest Dissertations &amp; Theses will be searched between 1980 and 2015. Prospective controlled clinical trials completed in adults, contrasting standard care and standard care supplemented with psychosocial methods, will be eligible for inclusion. Effectiveness will be assessed through the outcomes of postoperative pain intensity, analgesic requirement, perioperative anxiety, quality of life and postoperative recovery. The results of a random-effect meta-analysis will be reported. To aid implementation of best practice, moderating effects of the type and timing of psychosocial intervention, type of surgical intervention and type of anaesthesia will be evaluated through meta-regression. Sensitivity analyses and subgroup contrasts will follow as necessary. Discussion: Recommendations will be made to improve medical care in orthopaedic procedures. The quality of evidence will be rated using GRADE criteria.</p>},
  author       = {Kekecs, Zoltan and Szeverenyi, Csenge and Johnson, Alisa and Elkins, Gary and Csernatony, Zoltan and Varga, Katalin},
  issn         = {1478-2189},
  keyword      = {orthopaedic surgery,prospective controlled trials,psychological interventions, patient education},
  language     = {eng},
  month        = {03},
  number       = {1},
  pages        = {69--78},
  publisher    = {John Wiley & Sons},
  series       = {Musculoskeletal Care},
  title        = {The Effectiveness of Psychosocial Interventions as Adjuncts to Orthopaedic Surgery : A Systematic Review Protocol},
  url          = {http://dx.doi.org/10.1002/msc.1142},
  volume       = {15},
  year         = {2017},
}