Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
June 14, 2022Open Access

Preoperative interventions including exercise, education, smoking cessation, and psychological support improved clinical and psychological outcomes for patients awaiting elective surgery.

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Surgical waiting times reached record highs during the COVID-19 pandemic, prompting a need to identify innovations supporting waiting patients to inform policy addressing elective surgical backlogs.

Do preoperative interventions (exercise, education, smoking cessation, psychological) improve outcomes for patients on elective surgical waiting lists?

Population

Patients on elective surgical waiting lists across 48 systematic reviews

Comparison

Innovations to support patients awaiting surgery vs standard care

Design

Rapid review of systematic reviews

Key result

Preoperative interventions including exercise, education, smoking cessation, and psychological support improved clinical and psychological outcomes for patients awaiting elective surgery.

Authors

COChukwudi OkoliePublic Health WalesRRRocío RodríguezUniversidad de MurciaAWAlesha WalePublic Health Wales

Discussion

Loading...

Member takes

Overview

Supports preoperative optimization for elective surgery patients on waiting lists; extends evidence for multimodal prehabilitation.

Study Design

Type

Systematic Review

Structured PICO

Do preoperative interventions (exercise, education, smoking cessation, psychological) improve outcomes for patients on elective surgical waiting lists?

P
Population
A rapid review of 48 systematic reviews evaluating preoperative interventions for patients awaiting elective surgery.
I
Intervention
Preoperative interventions including exercise, education, smoking cessation, and psychological interventions.

Preoperative interventions such as exercise, education, and psychological support offer benefits to patients experiencing prolonged waits for elective surgery.

Limitations

  • Most available evidence is derived from orthopaedic surgery reviews which may limit generalisability.
  • Primary studies included in the reviews mainly had small sample sizes, varied by surgical type, and often had issues regarding blinding.
  • Limited data provided on socio-demographic characteristics of patients.
  • No evidence relating to the use of social prescribing or other community-centred approaches.
  • It is unclear what impact the pandemic could have on the conduct or effectiveness of these interventions.
  • Most available evidence is derived from orthopaedic surgery reviews which may limit generalisability
  • Lack of understanding on how various patient subgroups (underserved, minority ethnic, deprived, lower educational attainments) respond to interventions
  • Unclear what impact the pandemic and associated restrictions could have on the conduct or effectiveness of these interventions

Cite This Study

Okolie et al. (2022) conducted a systematic review in Patients on elective surgical waiting lists. Preoperative interventions (exercise, education, psychological, smoking cessation) vs. Usual care was evaluated on Preoperative and postoperative clinical and psychological outcomes. Preoperative interventions including exercise, education, smoking cessation, and psychological support improved clinical and psychological outcomes for patients awaiting elective surgery.

synapsesocial.com/papers/6a9f9ee326b4e28929efd00ahttps://doi.org/10.1101/2022.06.10.22276151
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The effectiveness of preoperative education interventions on improving perioperative outcomes of adult patients undergoing cardiac surgery: a systematic review and meta-analysis2021 · 66 citations
  2. 2Prehabilitation exercise therapy before abdominal aortic aneurysm repair2020 · 3 citations
  3. 3Effectiveness of preoperative breathing exercise interventions in patients undergoing cardiac surgery: A systematic review2021 · 26 citations
  4. 4Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia2016 · 372 citations
  5. 5The Effect of Preoperative Education on Psychological, Clinical and Economic Outcomes in Elective Spinal Surgery: A Systematic Review2019 · 95 citations