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. 2014 May 13;2014(5):CD003526. doi: 10.1002/14651858.CD003526.pub3

Comparison 1. Preoperative education for hip replacement versus usual care.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Pain 3   Std. Mean Difference (IV, Random, 95% CI) Subtotals only
1.1 Hip (up to 3 months) 3 227 Std. Mean Difference (IV, Random, 95% CI) ‐0.17 [‐0.47, 0.13]
2 Function 4   Std. Mean Difference (IV, Random, 95% CI) Subtotals only
2.1 Hip (3 to 24 months) 4 177 Std. Mean Difference (IV, Random, 95% CI) ‐0.44 [‐0.93, 0.06]
3 Postoperative anxiety (Spielberger State‐Trait Anxiety Index) 3   Mean Difference (IV, Random, 95% CI) Subtotals only
3.1 Hip (up to 6 weeks postoperatively) 3 264 Mean Difference (IV, Random, 95% CI) ‐2.28 [‐5.68, 1.12]
4 Total number of serious adverse events 2   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
4.1 Hip (any serious postoperative complications) 2 150 Risk Ratio (M‐H, Random, 95% CI) 0.79 [0.19, 3.21]
5 Preoperative anxiety (Spielberger State‐Trait Anxiety Index) 4   Mean Difference (IV, Random, 95% CI) Subtotals only
5.1 Hip 4 333 Mean Difference (IV, Random, 95% CI) ‐5.10 [‐7.17, ‐3.03]
6 Length of hospital stay (days) 7   Mean Difference (IV, Random, 95% CI) Subtotals only
6.1 Hip 7 487 Mean Difference (IV, Random, 95% CI) ‐0.79 [‐1.96, 0.37]
7 Mobility (days to standing or walking) 6   Mean Difference (IV, Random, 95% CI) Subtotals only
7.1 Hip 6 417 Mean Difference (IV, Random, 95% CI) ‐0.12 [‐0.30, 0.07]
8 Range of motion (degrees) 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
8.1 Hip abduction (up to 6 weeks postoperatively) 2 95 Mean Difference (IV, Fixed, 95% CI) ‐1.09 [‐5.35, 3.17]
8.2 Flexion of the hip with flexed knee (up to 6 weeks postoperatively) 1 36 Mean Difference (IV, Fixed, 95% CI) 0.75 [‐7.67, 9.17]
8.3 Flexion of the hip with extended knee (up to 6 weeks postoperatively) 1 36 Mean Difference (IV, Fixed, 95% CI) ‐0.25 [‐9.17, 8.67]
9 Sensitivity analysis: pain 1   Mean Difference (IV, Random, 95% CI) Subtotals only
9.1 Hip (up to 6 weeks postoperatively) 1 100 Mean Difference (IV, Random, 95% CI) ‐7.0 [‐14.85, 0.85]
10 Sensitivity analysis: function 1   Mean Difference (IV, Random, 95% CI) Subtotals only
10.1 Hip (6 months postoperatively) 1 47 Mean Difference (IV, Random, 95% CI) ‐7.0 [‐10.55, ‐3.45]