Benefits of implementation of preoperative education classes for hip and knee arthroplasty

Introduction: Optimal patient outcomes after orthopaedic surgery rely on cooperative efforts of patients as well as performance of the care team. The purpose of this project was to design and implement a preoperative education class for patients to meet patient expectations, reduce anxiety regarding surgery, and reduce postoperative phone calls. Methods: This study implemented cross-sectional questionnaires and chart reviews for patients in an orthopaedic group in Florida. Enrollment in a preoperative education class was optional for all patients undergoing partial or total primary or revision knee or hip arthroplasty. There were two groups of participants (n(1)=50, n(2)=50). The joint education group completed the class and provided feedback, while the comparison group elected not to take the class. Postoperative phone calls from both groups were compared. Variables included gender, diagnosis of depression and/or anxiety, and availability of a support group. Results: The average numbers of phone calls to the office were 2.84 and 5.67 between surgery and the first postoperative visit (x=25.18 days and x=20.12 days) in the joint education group and the comparison group, respectively. Statistical analysis revealed P=0.011. Ninety percent of participants reported reduction in anxiety regarding surgery regardless of diagnosis of anxiety or depression. Conclusions: The preoperative education class resulted in alleviation of surgery-related anxiety. The number of patient phone calls to the office were fewer in the joint education group compared with the comparison group, which suggested better understanding about anticipated postoperative experience. The class provided benefits for patients, healthcare providers, and the clinic.