Effectiveness and safety of outpatient rehabilitation versus home-based rehabilitation after knee arthroplasty: a systematic review and meta-analysis
Abstract Background Rehabilitation post-knee arthroplasty is integral to regaining knee function and ensuring patients’ overall well-being. The debate over the relative effectiveness and safety of outpatient versus home-based rehabilitation persists. Methods A thorough literature review was conducte...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-04160-2 |
| _version_ | 1797557691083653120 |
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| author | BiXia Zhao Hui Liu Ke Du Wei Zhou Ying Li |
| author_facet | BiXia Zhao Hui Liu Ke Du Wei Zhou Ying Li |
| author_sort | BiXia Zhao |
| collection | DOAJ |
| description | Abstract Background Rehabilitation post-knee arthroplasty is integral to regaining knee function and ensuring patients’ overall well-being. The debate over the relative effectiveness and safety of outpatient versus home-based rehabilitation persists. Methods A thorough literature review was conducted adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines across four databases. Two researchers independently identified eligible studies centering on knee arthroplasty patients undergoing either outpatient or home-based rehabilitation. Study quality was assessed using the Cochrane Collaboration’s risk of bias tool, while continuous outcomes were subject to meta-analyses using Stata 17 software. Results Our analysis identified no significant differences in primary outcomes, including Range of Motion, Western Ontario and McMaster Universities Arthritis Index, Knee Injury and Osteoarthritis Outcome Score, Oxford Knee Score, and the Knee Society Score, between home-based and outpatient rehabilitation across different follow-up points. Adverse reactions, readmission rates, the need for manipulation under anesthesia, reoperation rate, and post-surgery complications were also similar between both groups. Home-based rehabilitation demonstrated cost-effectiveness, resulting in substantial annual savings. Furthermore, quality of life and patient satisfaction were found to be comparable in both rehabilitation methods. Conclusions Home-based rehabilitation post-knee arthroplasty appears as an effective, safe, and cost-efficient alternative to outpatient rehabilitation. Despite these findings, further multicenter, long-term randomized controlled trials are required to validate these findings and provide robust evidence to inform early rehabilitation choices post-knee arthroplasty. |
| first_indexed | 2024-03-10T17:20:14Z |
| format | Article |
| id | doaj.art-59a60e10e36d4d83905645e2c8684138 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-10T17:20:14Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-59a60e10e36d4d83905645e2c86841382023-11-20T10:21:11ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-09-0118111310.1186/s13018-023-04160-2Effectiveness and safety of outpatient rehabilitation versus home-based rehabilitation after knee arthroplasty: a systematic review and meta-analysisBiXia Zhao0Hui Liu1Ke Du2Wei Zhou3Ying Li4Department of Nursing, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South ChinaDepartment of Nursing, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South ChinaDepartment of Supervision Office, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South ChinaDepartment of Emergency, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South ChinaDepartment of Hand and Foot Surgery, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South ChinaAbstract Background Rehabilitation post-knee arthroplasty is integral to regaining knee function and ensuring patients’ overall well-being. The debate over the relative effectiveness and safety of outpatient versus home-based rehabilitation persists. Methods A thorough literature review was conducted adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines across four databases. Two researchers independently identified eligible studies centering on knee arthroplasty patients undergoing either outpatient or home-based rehabilitation. Study quality was assessed using the Cochrane Collaboration’s risk of bias tool, while continuous outcomes were subject to meta-analyses using Stata 17 software. Results Our analysis identified no significant differences in primary outcomes, including Range of Motion, Western Ontario and McMaster Universities Arthritis Index, Knee Injury and Osteoarthritis Outcome Score, Oxford Knee Score, and the Knee Society Score, between home-based and outpatient rehabilitation across different follow-up points. Adverse reactions, readmission rates, the need for manipulation under anesthesia, reoperation rate, and post-surgery complications were also similar between both groups. Home-based rehabilitation demonstrated cost-effectiveness, resulting in substantial annual savings. Furthermore, quality of life and patient satisfaction were found to be comparable in both rehabilitation methods. Conclusions Home-based rehabilitation post-knee arthroplasty appears as an effective, safe, and cost-efficient alternative to outpatient rehabilitation. Despite these findings, further multicenter, long-term randomized controlled trials are required to validate these findings and provide robust evidence to inform early rehabilitation choices post-knee arthroplasty.https://doi.org/10.1186/s13018-023-04160-2Knee arthroplastyRehabilitationOutpatientHome-basedMeta-analysis |
| spellingShingle | BiXia Zhao Hui Liu Ke Du Wei Zhou Ying Li Effectiveness and safety of outpatient rehabilitation versus home-based rehabilitation after knee arthroplasty: a systematic review and meta-analysis Journal of Orthopaedic Surgery and Research Knee arthroplasty Rehabilitation Outpatient Home-based Meta-analysis |
| title | Effectiveness and safety of outpatient rehabilitation versus home-based rehabilitation after knee arthroplasty: a systematic review and meta-analysis |
| title_full | Effectiveness and safety of outpatient rehabilitation versus home-based rehabilitation after knee arthroplasty: a systematic review and meta-analysis |
| title_fullStr | Effectiveness and safety of outpatient rehabilitation versus home-based rehabilitation after knee arthroplasty: a systematic review and meta-analysis |
| title_full_unstemmed | Effectiveness and safety of outpatient rehabilitation versus home-based rehabilitation after knee arthroplasty: a systematic review and meta-analysis |
| title_short | Effectiveness and safety of outpatient rehabilitation versus home-based rehabilitation after knee arthroplasty: a systematic review and meta-analysis |
| title_sort | effectiveness and safety of outpatient rehabilitation versus home based rehabilitation after knee arthroplasty a systematic review and meta analysis |
| topic | Knee arthroplasty Rehabilitation Outpatient Home-based Meta-analysis |
| url | https://doi.org/10.1186/s13018-023-04160-2 |
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