Pub Date : 2025-05-17DOI: 10.1016/j.ijotn.2025.101192
Matteo Briguglio , Marialetizia Latella , Claudio Cordani , Stefano Petrillo , Francesco Langella , Riccardo Cecchinato , Pedro Berjano , Fabrizio E. Pregliasco , Robert G. Middleton , Thomas W. Wainwright
The ERAS (Enhanced Recovery After Surgery) guidelines in major orthopaedic surgery do not address the issue of managing excess body weight in patients scheduled for hip and knee replacement or lumbar fusion. This aspect is relevant to practice due to the increasing number of obese individuals and to some evidence suggesting higher complication rates in patients with excess weight. There is a debate on whether obesity defined by the body mass index, i.e. the ratio of weight to squared height, can guide surgical eligibility and whether losing excess weight preoperatively can actually lead to better outcomes. In this practice development article, we explore opposing perspectives on the value of a high BMI as an indicator of increased preoperative risk and discuss the potential consequences of losing weight prior to a major orthopaedic surgery. The aim is to promote a conscious management of individuals with excess body fat based on the patient's overall health rather than BMI alone. In the absence of strong evidence on what is best to do, it is reasonable to suggest that any prehabilitation initiatives should not focus on a rigid weight loss mandate but on a multidisciplinary, multimodal, and personalised approach that does not necessarily include a reduction in body weight.
{"title":"To lose weight or to weight the loss? Insights into the use of the body mass index in preoperative assessment before major orthopaedic surgery","authors":"Matteo Briguglio , Marialetizia Latella , Claudio Cordani , Stefano Petrillo , Francesco Langella , Riccardo Cecchinato , Pedro Berjano , Fabrizio E. Pregliasco , Robert G. Middleton , Thomas W. Wainwright","doi":"10.1016/j.ijotn.2025.101192","DOIUrl":"10.1016/j.ijotn.2025.101192","url":null,"abstract":"<div><div>The ERAS (Enhanced Recovery After Surgery) guidelines in major orthopaedic surgery do not address the issue of managing excess body weight in patients scheduled for hip and knee replacement or lumbar fusion. This aspect is relevant to practice due to the increasing number of obese individuals and to some evidence suggesting higher complication rates in patients with excess weight. There is a debate on whether obesity defined by the body mass index, i.e. the ratio of weight to squared height, can guide surgical eligibility and whether losing excess weight preoperatively can actually lead to better outcomes. In this practice development article, we explore opposing perspectives on the value of a high BMI as an indicator of increased preoperative risk and discuss the potential consequences of losing weight prior to a major orthopaedic surgery. The aim is to promote a conscious management of individuals with excess body fat based on the patient's overall health rather than BMI alone. In the absence of strong evidence on what is best to do, it is reasonable to suggest that any prehabilitation initiatives should not focus on a rigid weight loss mandate but on a multidisciplinary, multimodal, and personalised approach that does not necessarily include a reduction in body weight.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101192"},"PeriodicalIF":1.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-14DOI: 10.1016/j.ijotn.2025.101190
Chenghui Li , Haiyan Gu , Tingting Wang , Qin Xuan , Hong Gao
Objective
To evaluate and summarize the available evidence for secondary fracture prevention of postmenopausal osteoporosis and provide reference for clinical practice.
Methods
UpToDate, BMJ Best Practice, Joanna Briggs Institute, Guidelines International Network, National Guideline Clearing-house, Scottish Intercollegiate Guidelines Network, National Institute for Health and Care Excellence, Yi Mai tong Guidelines Network, the Cochrane Library, PubMed, Web of Science, Embase, SinoMed, CNKI, VIP and Wan Fang database were searched from January 2015 to February 2025. Literature types included clinical decision-making, best practices, guidelines, expert consensus, systematic reviews, evidence summaries and original research.
Results
28 literature were included, including 9 guidelines, 6 expert consensus, 6 systematic reviews and 7 randomized controlled trials. The study summarized 20 pieces of evidence on exercise safety, environmental safety, nutrition safety, medication safety, and health education.
Conclusion
The 20 recommended pieces of evidence for secondary fracture prevention of postmenopausal osteoporosis offer an evidence-based guide for nurses. However, cultural factors should be considered before applying these internationally sourced recommendations.
目的评价和总结绝经后骨质疏松症预防继发性骨折的现有证据，为临床实践提供参考。方法检索2015年1月至2025年2月的suptodate、BMJ Best Practice、Joanna Briggs Institute、Guidelines International Network、National Guidelines clearinghouse、Scottish Intercollegiate Guidelines Network、National Institute for Health and Care Excellence、Yi Mai tong Guidelines Network、Cochrane Library、PubMed、Web of Science、Embase、SinoMed、CNKI、VIP和万方数据库。文献类型包括临床决策、最佳实践、指南、专家共识、系统评价、证据摘要和原始研究。结果共纳入文献28篇，其中指南9篇，专家共识6篇，系统评价6篇，随机对照试验7篇。该研究总结了关于运动安全、环境安全、营养安全、药物安全以及健康教育的20项证据。结论20条推荐证据为绝经后骨质疏松症预防继发性骨折提供循证指导。然而，在应用这些国际来源的建议之前，应考虑文化因素。
{"title":"Summary of best evidence for secondary fracture prevention in postmenopausal osteoporosis patients","authors":"Chenghui Li , Haiyan Gu , Tingting Wang , Qin Xuan , Hong Gao","doi":"10.1016/j.ijotn.2025.101190","DOIUrl":"10.1016/j.ijotn.2025.101190","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate and summarize the available evidence for secondary fracture prevention of postmenopausal osteoporosis and provide reference for clinical practice.</div></div><div><h3>Methods</h3><div>UpToDate, BMJ Best Practice, Joanna Briggs Institute, Guidelines International Network, National Guideline Clearing-house, Scottish Intercollegiate Guidelines Network, National Institute for Health and Care Excellence, Yi Mai tong Guidelines Network, the Cochrane Library, PubMed, Web of Science, Embase, SinoMed, CNKI, VIP and Wan Fang database were searched from January 2015 to February 2025. Literature types included clinical decision-making, best practices, guidelines, expert consensus, systematic reviews, evidence summaries and original research.</div></div><div><h3>Results</h3><div>28 literature were included, including 9 guidelines, 6 expert consensus, 6 systematic reviews and 7 randomized controlled trials. The study summarized 20 pieces of evidence on exercise safety, environmental safety, nutrition safety, medication safety, and health education.</div></div><div><h3>Conclusion</h3><div>The 20 recommended pieces of evidence for secondary fracture prevention of postmenopausal osteoporosis offer an evidence-based guide for nurses. However, cultural factors should be considered before applying these internationally sourced recommendations.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101190"},"PeriodicalIF":1.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01DOI: 10.1016/j.ijotn.2025.101189
Ayşegül Kaya İmrek , Meryem Yilmaz
Objective
Total knee arthroplasty is a surgical intervention performed to reduce pain and movement restriction resulting from advanced joint deformity in individuals diagnosed with osteoarthritis, and to improve their quality of life and functionality. Meeting the preoperative educational needs of individuals undergoing total knee arthroplasty positively impacts postoperative recovery, mobilization, and rehabilitation. In this context, this study was conducted to determine the effect of preoperative education on fear of mobilization experienced after surgery in individuals who have undergone total knee arthroplasty.
Materials and methods
This study, was conducted using a single-group pre-test-post-test model, included 36 individuals who underwent total knee arthroplasty. Data were collected preoperatively and postoperatively using a questionnaire, a fear of falling and fall history assessment form, a Visual Analog Scale-10 (VAS-10), and a fall information exchange form.
Results
The average age of the 36 participants (27 women [75 %]; 9 men [25 %]) was 65.56 ± 4.39 years. The pre-education level of fear was 5.09 ± 1.57, the post-education level of fear was 3.73 ± 0.68, and the level of fear of pre-mobilization was 4.08 ± 0.81. A statistically significant difference was found between the pre-education and post-education level of fear of mobilization (t = 8.324, p = 0.000), between the post-education level and the level of fear before the first mobilization (t = −22.293, p = 0.000). However, it should be noted that fear of mobilization slightly increased during the postoperative first mobilization compared to after education; this may be related to patients' fear of mobilization, pain or anxiety.
Conclusion
The results of this study show that preoperative education provided to individuals undergoing total knee arthroplasty has positive effects on reducing fear of first mobilization experienced after surgery.
目的全膝关节置换术是一种外科干预措施，用于减少诊断为骨关节炎的个体因关节晚期畸形引起的疼痛和活动限制，并改善其生活质量和功能。满足全膝关节置换术患者术前教育需求对患者术后恢复、活动和康复有积极影响。在此背景下，本研究旨在确定术前教育对全膝关节置换术患者术后活动恐惧的影响。材料和方法本研究采用单组前-后-测试模型，包括36例接受全膝关节置换术的患者。术前和术后使用问卷、跌倒恐惧和跌倒史评估表、视觉模拟量表-10 （VAS-10）和跌倒信息交换表收集数据。结果36例参与者平均年龄（女性27例，占75%）；男性9例（25%），65.56±4.39岁。教育前恐惧水平为5.09±1.57，教育后恐惧水平为3.73±0.68，动员前恐惧水平为4.08±0.81。教育前与教育后动员恐惧水平差异有统计学意义（t = 8.324, p = 0.000），教育后与第一次动员前的恐惧水平差异有统计学意义（t = - 22.293, p = 0.000）。然而，需要注意的是，与教育后相比，术后第一次活动时对活动的恐惧略有增加；这可能与患者害怕活动、疼痛或焦虑有关。结论对全膝关节置换术患者进行术前教育对减少术后首次活动的恐惧有积极作用。
{"title":"The effect of preoperative education on fear of first mobilization experienced after total knee arthroplasty in individuals","authors":"Ayşegül Kaya İmrek , Meryem Yilmaz","doi":"10.1016/j.ijotn.2025.101189","DOIUrl":"10.1016/j.ijotn.2025.101189","url":null,"abstract":"<div><h3>Objective</h3><div>Total knee arthroplasty is a surgical intervention performed to reduce pain and movement restriction resulting from advanced joint deformity in individuals diagnosed with osteoarthritis, and to improve their quality of life and functionality. Meeting the preoperative educational needs of individuals undergoing total knee arthroplasty positively impacts postoperative recovery, mobilization, and rehabilitation. In this context, this study was conducted to determine the effect of preoperative education on fear of mobilization experienced after surgery in individuals who have undergone total knee arthroplasty.</div></div><div><h3>Materials and methods</h3><div>This study, was conducted using a single-group pre-test-post-test model, included 36 individuals who underwent total knee arthroplasty. Data were collected preoperatively and postoperatively using a questionnaire, a fear of falling and fall history assessment form, a Visual Analog Scale-10 (VAS-10), and a fall information exchange form.</div></div><div><h3>Results</h3><div>The average age of the 36 participants (27 women [75 %]; 9 men [25 %]) was 65.56 ± 4.39 years. The pre-education level of fear was 5.09 ± 1.57, the post-education level of fear was 3.73 ± 0.68, and the level of fear of pre-mobilization was 4.08 ± 0.81. A statistically significant difference was found between the pre-education and post-education level of fear of mobilization (t = 8.324, p = 0.000), between the post-education level and the level of fear before the first mobilization (t = −22.293, p = 0.000). However, it should be noted that fear of mobilization slightly increased during the postoperative first mobilization compared to after education; this may be related to patients' fear of mobilization, pain or anxiety.</div></div><div><h3>Conclusion</h3><div>The results of this study show that preoperative education provided to individuals undergoing total knee arthroplasty has positive effects on reducing fear of first mobilization experienced after surgery.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101189"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01DOI: 10.1016/j.ijotn.2025.101186
Larissa Sattler , Elizabeth Puze , Kendal Sands , William Talbot
Background
Enhanced Recovery After Surgery (ERAS) protocols represent an evidence-based approach to perioperative care, though evidence from randomized controlled trials in primary hip and knee arthroplasty remains limited.
Objective
This systematic review aims to synthesize evidence from randomized controlled trials (RCTs) comparing ERAS protocols with standard care for primary hip and knee arthroplasty.
Methods
Four databases were searched following PRISMA guidelines. RCTs comparing ERAS protocols with standard care for primary hip or knee arthroplasty were included. Primary outcome was length of stay (LOS), with secondary outcomes including patient-reported outcomes, functional measures, and complications.
Results
Five RCTs (710 patients) met inclusion criteria. ERAS pathways reduced LOS by an average of 4.7 days compared to standard care. Patients in ERAS protocols demonstrated superior early functional recovery, particularly in the first postoperative week, with improved performance in mobility tests and daily activities. Patient-reported outcomes generally favoured ERAS protocols, though measurement heterogeneity limited synthesis. No studies reported increased complications with ERAS implementation. The role of multidisciplinary teams, particularly nurse coordinators, was identified as an important for protocol success.
Conclusion
This systematic review of RCTs provides strong evidence that ERAS pathways reduce length of stay following primary hip and knee arthroplasty without compromising patient outcomes or safety. While ERAS protocols were associated with improved early functional recovery, heterogeneity in assessment methods limits definitive conclusions.
{"title":"Enhanced recovery pathways improve early outcomes and reduce length of stay in primary hip and knee arthroplasty: A systematic review of randomized controlled trials","authors":"Larissa Sattler , Elizabeth Puze , Kendal Sands , William Talbot","doi":"10.1016/j.ijotn.2025.101186","DOIUrl":"10.1016/j.ijotn.2025.101186","url":null,"abstract":"<div><h3>Background</h3><div>Enhanced Recovery After Surgery (ERAS) protocols represent an evidence-based approach to perioperative care, though evidence from randomized controlled trials in primary hip and knee arthroplasty remains limited.</div></div><div><h3>Objective</h3><div>This systematic review aims to synthesize evidence from randomized controlled trials (RCTs) comparing ERAS protocols with standard care for primary hip and knee arthroplasty.</div></div><div><h3>Methods</h3><div>Four databases were searched following PRISMA guidelines. RCTs comparing ERAS protocols with standard care for primary hip or knee arthroplasty were included. Primary outcome was length of stay (LOS), with secondary outcomes including patient-reported outcomes, functional measures, and complications.</div></div><div><h3>Results</h3><div>Five RCTs (710 patients) met inclusion criteria. ERAS pathways reduced LOS by an average of 4.7 days compared to standard care. Patients in ERAS protocols demonstrated superior early functional recovery, particularly in the first postoperative week, with improved performance in mobility tests and daily activities. Patient-reported outcomes generally favoured ERAS protocols, though measurement heterogeneity limited synthesis. No studies reported increased complications with ERAS implementation. The role of multidisciplinary teams, particularly nurse coordinators, was identified as an important for protocol success.</div></div><div><h3>Conclusion</h3><div>This systematic review of RCTs provides strong evidence that ERAS pathways reduce length of stay following primary hip and knee arthroplasty without compromising patient outcomes or safety. While ERAS protocols were associated with improved early functional recovery, heterogeneity in assessment methods limits definitive conclusions.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101186"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01DOI: 10.1016/j.ijotn.2025.101177
Sari Luthfiyah , Triwiyanto Triwiyanto , Hery Sumasto , Mohammed Ismath
This letter addresses the article "Discharge Transition Experience and Nursing Needs of Elderly Patients with Hip Fracture: A Qualitative Systematic Review" by Chun Huang et al., published in the International Journal of Orthopaedic and Trauma Nursing. The review offers valuable insights into the discharge transition experiences and nursing needs of elderly patients recovering from hip fractures, emphasizing critical aspects of care, such as rehabilitation, emotional well-being, and coordinated discharge planning. However, the review has notable limitations, including its focus on studies from developed countries, exclusion of patients with significant cognitive impairments, and the absence of quantitative data on the effectiveness of nursing interventions. Future research should aim to include a broader range of patient populations, particularly those with cognitive impairments, and consider diverse healthcare systems. Incorporating mixed-methods research and digital health technologies could also enhance the understanding and management of discharge transitions. The letter concludes by appreciating the contributions of the original review and suggesting directions for further research to improve care for elderly hip fracture patients.
{"title":"Discharge transition experience and nursing needs of elderly patients with hip fracture: A qualitative systematic review [Letter]","authors":"Sari Luthfiyah , Triwiyanto Triwiyanto , Hery Sumasto , Mohammed Ismath","doi":"10.1016/j.ijotn.2025.101177","DOIUrl":"10.1016/j.ijotn.2025.101177","url":null,"abstract":"<div><div>This letter addresses the article \"Discharge Transition Experience and Nursing Needs of Elderly Patients with Hip Fracture: A Qualitative Systematic Review\" by Chun Huang et al., published in the International Journal of Orthopaedic and Trauma Nursing. The review offers valuable insights into the discharge transition experiences and nursing needs of elderly patients recovering from hip fractures, emphasizing critical aspects of care, such as rehabilitation, emotional well-being, and coordinated discharge planning. However, the review has notable limitations, including its focus on studies from developed countries, exclusion of patients with significant cognitive impairments, and the absence of quantitative data on the effectiveness of nursing interventions. Future research should aim to include a broader range of patient populations, particularly those with cognitive impairments, and consider diverse healthcare systems. Incorporating mixed-methods research and digital health technologies could also enhance the understanding and management of discharge transitions. The letter concludes by appreciating the contributions of the original review and suggesting directions for further research to improve care for elderly hip fracture patients.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101177"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01DOI: 10.1016/j.ijotn.2025.101187
Mikkel Nicklas Frandsen , Jesper Mehlsen , Claus Varnum , Martin Lindberg-Larsen , Nicolai Bang Foss , Henrik Kehlet
Introduction
Orthostatic intolerance (OI) is a barrier for early mobilization and same-day discharge after total hip arthroplasty (THA), with an estimated 30 % of patients affected within the first 6 h after surgery. Since repeated mobilization is known to be valuable in non-surgical OI conditions, we aimed to evaluate the feasibility of an early standardized repeated mobilization procedure as treatment of postoperative OI after THA.
Methods
This study was a single-arm, two-center hypothesis-generating feasibility study in patients undergoing THA. At first mobilization 4 h after surgery patients were categorized as having orthostatic tolerance (OT) or OI. Patients with OI underwent an hourly standardized repeated mobilization procedure until achieving OT or reaching 8 h post-surgery.
Results
Of 84 patients screened for OI, 25 (30 %) had OI 4 h postoperatively. Four patients left the study before achieving OT. Of the 21 completing the study per protocol, 16 patients achieved OT at 5 h and the remaining 5 achieved OT at 6 h postoperatively.
Discussion
Early repeated mobilization in patients with postoperative OI was feasible and potentially valuable after THA. This hypothesis-generating study calls for future large-scale studies in surgical patients with OI.
{"title":"Feasibility of repeated early mobilization in orthostatic intolerance after total hip arthroplasty","authors":"Mikkel Nicklas Frandsen , Jesper Mehlsen , Claus Varnum , Martin Lindberg-Larsen , Nicolai Bang Foss , Henrik Kehlet","doi":"10.1016/j.ijotn.2025.101187","DOIUrl":"10.1016/j.ijotn.2025.101187","url":null,"abstract":"<div><h3>Introduction</h3><div>Orthostatic intolerance (OI) is a barrier for early mobilization and same-day discharge after total hip arthroplasty (THA), with an estimated 30 % of patients affected within the first 6 h after surgery. Since repeated mobilization is known to be valuable in non-surgical OI conditions, we aimed to evaluate the feasibility of an early standardized repeated mobilization procedure as treatment of postoperative OI after THA.</div></div><div><h3>Methods</h3><div>This study was a single-arm, two-center hypothesis-generating feasibility study in patients undergoing THA. At first mobilization 4 h after surgery patients were categorized as having orthostatic tolerance (OT) or OI. Patients with OI underwent an hourly standardized repeated mobilization procedure until achieving OT or reaching 8 h post-surgery.</div></div><div><h3>Results</h3><div>Of 84 patients screened for OI, 25 (30 %) had OI 4 h postoperatively. Four patients left the study before achieving OT. Of the 21 completing the study per protocol, 16 patients achieved OT at 5 h and the remaining 5 achieved OT at 6 h postoperatively.</div></div><div><h3>Discussion</h3><div>Early repeated mobilization in patients with postoperative OI was feasible and potentially valuable after THA. This hypothesis-generating study calls for future large-scale studies in surgical patients with OI.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101187"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01DOI: 10.1016/j.ijotn.2025.101188
Mikkel Nicklas Frandsen , Jesper Mehlsen , Claus Varnum , Martin Lindberg-Larsen , Nicolai Bang Foss , Henrik Kehlet
{"title":"Corrigendum to “Feasibility of repeated early mobilization in orthostatic intolerance after total hip arthroplasty” [International J. Orthopaedic Trauma Nurs. 57 (2025) 101187]","authors":"Mikkel Nicklas Frandsen , Jesper Mehlsen , Claus Varnum , Martin Lindberg-Larsen , Nicolai Bang Foss , Henrik Kehlet","doi":"10.1016/j.ijotn.2025.101188","DOIUrl":"10.1016/j.ijotn.2025.101188","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101188"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01DOI: 10.1016/j.ijotn.2025.101184
Lingli Peng , Chun Huang
{"title":"Ijotn 101184:Response letter to comment letter of YJOON-D-24-00130","authors":"Lingli Peng , Chun Huang","doi":"10.1016/j.ijotn.2025.101184","DOIUrl":"10.1016/j.ijotn.2025.101184","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101184"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-23DOI: 10.1016/j.ijotn.2025.101185
Heba Khalil , Abedalmajeed Shajrawi , Fatma Refaat Ahmed , Wegdan Bani-Issa , Nabeel Al-Yateem , Loai Abu Shahrour , Alham Al-Sharman , Muhammad Arsyad Subu , Richard Mottershead , Ahmed Mohammad Al-Smadi , Khalil Yousef
Background
Quality of Recovery (QoR) is a multidimensional construct that includes physical, psychological, and functional domains and is a key indicator of surgical outcomes. Better QoR is linked to shorter hospital stays, fewer complications, and greater patient satisfaction.
Purpose
This study evaluates the QoR of postoperative orthopedic patients in Jordan, focusing on the impact of pain, pain management, and emotional distress on recovery.
Methods
A cross-sectional study was conducted with 300 postoperative orthopedic patients within 24 h of surgery. Data included demographic and clinical information, preoperative and postoperative pain, and patient-reported outcomes using the Depression Anxiety and Stress Scale (DASS), Pain Catastrophizing Scale (PCS), and the Quality of Recovery-40 (QoR-40) questionnaire. Statistical analyses included t-tests, ANOVA, correlation, and linear regression.
Results
The mean QoR-40 score was 156.48 ± 19.65, with 61 % reporting a "good recovery", 36.7 % an "excellent recovery", and 2.6 % a "poor recovery". Higher preoperative and postoperative pain correlated with lower QoR scores (r = −0.26 and −0.46, p < 0.001). Greater opioid consumption in the first 24 h post-surgery correlated with better recovery (B = 0.28, p = 0.00). Emotional distress, particularly pain catastrophizing (B = −0.22, p = 0.01) and stress (B = −0.48, p = 0.00), was associated with a negative impact on QoR. Additionally, nonsmokers, married individuals, unemployed patients, and those undergoing arthroscopy reported better recovery (p < 0.001).
Conclusion
Findings highlight the importance of integrated physical and emotional management strategies to optimize QoR, reduce complications, and enhance patient satisfaction.
康复质量（QoR）是一个多维结构，包括身体、心理和功能领域，是手术结果的关键指标。更好的QoR与更短的住院时间、更少的并发症和更高的患者满意度有关。目的本研究评估约旦骨科术后患者的QoR，重点关注疼痛、疼痛管理和情绪困扰对康复的影响。方法对300例骨科术后24 h内患者进行横断面研究。数据包括人口统计学和临床信息、术前和术后疼痛、患者报告的抑郁、焦虑和压力量表（DASS）、疼痛灾难量表（PCS）和恢复质量40 （QoR-40）问卷。统计分析包括t检验、方差分析、相关分析和线性回归。结果QoR-40平均评分为156.48±19.65，其中“良好”为61%，“极好”为36.7%，“较差”为2.6%。术前和术后较高的疼痛与较低的QoR评分相关(r = - 0.26和- 0.46,p <；0.001)。术后24 h阿片类药物用量越大，恢复越好（B = 0.28, p = 0.00）。情绪困扰，特别是疼痛灾难化（B = - 0.22, p = 0.01）和压力（B = - 0.48, p = 0.00）与QoR的负面影响相关。此外，不吸烟者、已婚人士、失业患者和接受关节镜检查的患者报告恢复较好(p <；0.001)。结论综合身心管理策略对优化QoR、减少并发症、提高患者满意度具有重要意义。
{"title":"Postoperative recovery in orthopedic surgery: Exploring the roles of pain intensity, opioid consumption, pain catastrophizing, and emotional distress","authors":"Heba Khalil , Abedalmajeed Shajrawi , Fatma Refaat Ahmed , Wegdan Bani-Issa , Nabeel Al-Yateem , Loai Abu Shahrour , Alham Al-Sharman , Muhammad Arsyad Subu , Richard Mottershead , Ahmed Mohammad Al-Smadi , Khalil Yousef","doi":"10.1016/j.ijotn.2025.101185","DOIUrl":"10.1016/j.ijotn.2025.101185","url":null,"abstract":"<div><h3>Background</h3><div>Quality of Recovery (QoR) is a multidimensional construct that includes physical, psychological, and functional domains and is a key indicator of surgical outcomes. Better QoR is linked to shorter hospital stays, fewer complications, and greater patient satisfaction.</div></div><div><h3>Purpose</h3><div>This study evaluates the QoR of postoperative orthopedic patients in Jordan, focusing on the impact of pain, pain management, and emotional distress on recovery.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 300 postoperative orthopedic patients within 24 h of surgery. Data included demographic and clinical information, preoperative and postoperative pain, and patient-reported outcomes using the Depression Anxiety and Stress Scale (DASS), Pain Catastrophizing Scale (PCS), and the Quality of Recovery-40 (QoR-40) questionnaire. Statistical analyses included t-tests, ANOVA, correlation, and linear regression.</div></div><div><h3>Results</h3><div>The mean QoR-40 score was 156.48 ± 19.65, with 61 % reporting a \"good recovery\", 36.7 % an \"excellent recovery\", and 2.6 % a \"poor recovery\". Higher preoperative and postoperative pain correlated with lower QoR scores (r = −0.26 and −0.46, p < 0.001). Greater opioid consumption in the first 24 h post-surgery correlated with better recovery (B = 0.28, p = 0.00). Emotional distress, particularly pain catastrophizing (B = −0.22, p = 0.01) and stress (B = −0.48, p = 0.00), was associated with a negative impact on QoR. Additionally, nonsmokers, married individuals, unemployed patients, and those undergoing arthroscopy reported better recovery (p < 0.001).</div></div><div><h3>Conclusion</h3><div>Findings highlight the importance of integrated physical and emotional management strategies to optimize QoR, reduce complications, and enhance patient satisfaction.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101185"},"PeriodicalIF":1.5,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Military and law enforcement personnel face an increased risk of chronic low back pain (CLBP), yet evidence on the outcomes of surgical treatment in these high-risk groups remains limited. This study aims to evaluate the effect of spinal fusion on quality of life (QOL), disability, and mental health in military and law enforcement personnel with CLBP.
Methods
The study included 39 patients who underwent spinal fusion for CLBP. Quality of life, disability, and mental health were assessed using the 36-Item Short Form Survey (SF-36), Oswestry Disability Index (ODI), and Depression-Anxiety-Stress Scale (DASS-21), respectively. Patients completed the questionnaires preoperatively and two years postoperatively. The primary outcome was the change in scores after surgery. Subgroup analyses were conducted based on sex, marital status, education level, smoking, alcohol consumption, and employment sector.
Results
Significant improvements were observed in seven of eight SF-36 subscales: Physical Health Role Limitation (p = 0.005), Emotional Health Role Limitation (p = 0.008), Energy (p = 0.004), Emotional Well-Being (p = 0.006), Social Function (p = 0.004), Physical Pain (p < 0.001), and General Health (p = 0.005). Physical (p = 0.002) and mental health components (p = 0.002) also improved. ODI decreased significantly (p = 0.014). Finally, improvement was observed only for the stress subcategory of the DASS-21 (p = 0.033). In subgroup analysis, Married patients showed greater improvements in emotional health (p = 0.008), while patients with lower educational levels experienced greater relief in physical pain (p = 0.028) and functionality (p = 0.010).
Conclusions
Spinal fusion in military and law enforcement personnel with CLBP led to significant improvements in QOL and disability, though mental health benefits are more limited.
{"title":"Effect of surgical treatment on mental health, disability and quality of life in active military and law enforcement personnel with non-specific chronic low back pain: A retrospective study","authors":"Christos Karampalis , Stavros Stamiris , Athanasios Sarridimitriou , Dimitrios Stamiris , Elissavet Anestiadou , Panagiotis Kakoulidis , Pavlos Sarafis , Christiana Chatzianestiadou , Pavlos Christodoulou , Vasileios Vrangalas , Maria Malliarou","doi":"10.1016/j.ijotn.2025.101183","DOIUrl":"10.1016/j.ijotn.2025.101183","url":null,"abstract":"<div><h3>Background</h3><div>Military and law enforcement personnel face an increased risk of chronic low back pain (CLBP), yet evidence on the outcomes of surgical treatment in these high-risk groups remains limited. This study aims to evaluate the effect of spinal fusion on quality of life (QOL), disability, and mental health in military and law enforcement personnel with CLBP.</div></div><div><h3>Methods</h3><div>The study included 39 patients who underwent spinal fusion for CLBP. Quality of life, disability, and mental health were assessed using the 36-Item Short Form Survey (SF-36), Oswestry Disability Index (ODI), and Depression-Anxiety-Stress Scale (DASS-21), respectively. Patients completed the questionnaires preoperatively and two years postoperatively. The primary outcome was the change in scores after surgery. Subgroup analyses were conducted based on sex, marital status, education level, smoking, alcohol consumption, and employment sector.</div></div><div><h3>Results</h3><div>Significant improvements were observed in seven of eight SF-36 subscales: Physical Health Role Limitation (p = 0.005), Emotional Health Role Limitation (p = 0.008), Energy (p = 0.004), Emotional Well-Being (p = 0.006), Social Function (p = 0.004), Physical Pain (p < 0.001), and General Health (p = 0.005). Physical (p = 0.002) and mental health components (p = 0.002) also improved. ODI decreased significantly (p = 0.014). Finally, improvement was observed only for the stress subcategory of the DASS-21 (p = 0.033). In subgroup analysis, Married patients showed greater improvements in emotional health (p = 0.008), while patients with lower educational levels experienced greater relief in physical pain (p = 0.028) and functionality (p = 0.010).</div></div><div><h3>Conclusions</h3><div>Spinal fusion in military and law enforcement personnel with CLBP led to significant improvements in QOL and disability, though mental health benefits are more limited.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101183"},"PeriodicalIF":1.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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