Do pre- and post- rehabilitation influence hospital length of stay and patient recovery following total hip replacement in the UK?: A systematic scoping review and Delphi study

Rebecca Willis; Rania Edris; Sally Akehurst; Francesco V Ferraro

doi:10.1016/j.ijotn.2025.101209

Do pre- and post- rehabilitation influence hospital length of stay and patient recovery following total hip replacement in the UK? A systematic scoping review and Delphi study

Rebecca Willis
, Rania Edris
, Sally Akehurst
, Francesco V Ferraro

Research output: Contribution to journal › Article › peer-review

Abstract

Pre-operative rehabilitation is an effective means of reducing Length of Stay (LoS), but little evidence is available on its influence on Total Hip Replacement (THR) patients. Hence, a review of UK-based experimental studies to evaluate the effect of physical therapy on LoS was performed. Subsequently, a narrative synthesis was employed to develop a three-round Delphi study targeting UK clinicians. The review and Delphi results showed that patients had higher satisfaction with education clinics, but nurse-led assessment and physiotherapist education were not superior to standard pre-operative practices. The Delphi highlighted the challenges and benefits of (p)rehabilitation and provided suggestions for THR best practices. In conclusion, the study shows that there is a lack of evidence on the effectiveness of (p)rehabilitation on LoS; further research is recommended into education, (p)rehabilitation and patient self-efficacy interventions to enhance THR patients' pathways.

Original language	English
Pages (from-to)	101209
Journal	International journal of orthopaedic and trauma nursing
Volume	58
DOIs	https://doi.org/10.1016/j.ijotn.2025.101209
Publication status	Published - Aug 2025

Keywords

Humans
Arthroplasty, Replacement, Hip/rehabilitation
Delphi Technique
United Kingdom
Length of Stay/statistics & numerical data
Recovery of Function

Access to Document

10.1016/j.ijotn.2025.101209

Cite this

@article{3f99c6a9f2714ee3a55a4d40bd608a65,

title = "Do pre- and post- rehabilitation influence hospital length of stay and patient recovery following total hip replacement in the UK?: A systematic scoping review and Delphi study",

abstract = "Pre-operative rehabilitation is an effective means of reducing Length of Stay (LoS), but little evidence is available on its influence on Total Hip Replacement (THR) patients. Hence, a review of UK-based experimental studies to evaluate the effect of physical therapy on LoS was performed. Subsequently, a narrative synthesis was employed to develop a three-round Delphi study targeting UK clinicians. The review and Delphi results showed that patients had higher satisfaction with education clinics, but nurse-led assessment and physiotherapist education were not superior to standard pre-operative practices. The Delphi highlighted the challenges and benefits of (p)rehabilitation and provided suggestions for THR best practices. In conclusion, the study shows that there is a lack of evidence on the effectiveness of (p)rehabilitation on LoS; further research is recommended into education, (p)rehabilitation and patient self-efficacy interventions to enhance THR patients' pathways.",

keywords = "Humans, Arthroplasty, Replacement, Hip/rehabilitation, Delphi Technique, United Kingdom, Length of Stay/statistics \& numerical data, Recovery of Function",

author = "Rebecca Willis and Rania Edris and Sally Akehurst and Ferraro, \{Francesco V\}",

year = "2025",

month = aug,

doi = "10.1016/j.ijotn.2025.101209",

language = "English",

volume = "58",

pages = "101209",

journal = "International journal of orthopaedic and trauma nursing",

issn = "1878-1292",

publisher = "Elsevier",

}

Do pre- and post- rehabilitation influence hospital length of stay and patient recovery following total hip replacement in the UK? A systematic scoping review and Delphi study. / Willis, Rebecca; Edris, Rania; Akehurst, Sally et al.
In: International journal of orthopaedic and trauma nursing, Vol. 58, 08.2025, p. 101209.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Do pre- and post- rehabilitation influence hospital length of stay and patient recovery following total hip replacement in the UK?

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AU - Willis, Rebecca

AU - Edris, Rania

AU - Akehurst, Sally

AU - Ferraro, Francesco V

PY - 2025/8

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AB - Pre-operative rehabilitation is an effective means of reducing Length of Stay (LoS), but little evidence is available on its influence on Total Hip Replacement (THR) patients. Hence, a review of UK-based experimental studies to evaluate the effect of physical therapy on LoS was performed. Subsequently, a narrative synthesis was employed to develop a three-round Delphi study targeting UK clinicians. The review and Delphi results showed that patients had higher satisfaction with education clinics, but nurse-led assessment and physiotherapist education were not superior to standard pre-operative practices. The Delphi highlighted the challenges and benefits of (p)rehabilitation and provided suggestions for THR best practices. In conclusion, the study shows that there is a lack of evidence on the effectiveness of (p)rehabilitation on LoS; further research is recommended into education, (p)rehabilitation and patient self-efficacy interventions to enhance THR patients' pathways.

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KW - Arthroplasty, Replacement, Hip/rehabilitation

KW - Delphi Technique

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KW - Length of Stay/statistics & numerical data

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