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Are we educating patients about postoperative analgesics following orthopaedic surgery? A scoping review
Leah M Chen1, Corinne Mirkazemi1, Felicity C Veal1
1Unit for Medication Outcomes Research & Education (UMORE) School of Pharmacy and Pharmacology, University of Tasmania, Hobart, Australia.
Objectives:
To identify interventions educating patients undergoing orthopaedic surgery about postoperative analgesics and explore their associated outcomes.
Methods:
A scoping review using six databases was conducted. Eligible interventions were delivered to adult patients undergoing open orthopaedic procedures that could be feasibly implemented into any setting. Content, delivery methods and outcomes for interventions were described where available.
Results:
Eleven studies were included. Content and delivery methods differed substantially. Eight studies aimed to reduce postoperative harm by reducing opioid consumption. Studies also explored pain control (n = 6) and patient satisfaction (n = 4). Health literacy was not assessed in any study. Previous surgical or analgesic experience was infrequently reported.
Conclusion:
This is the first scoping review assessing globally adaptable interventions designed to educate orthopaedic patients about postoperative analgesics. A paucity of interventions was found, with a limited range of patient-centred outcomes assessed. Further research is required. Co-designed educational materials with patients is recommended.
Practice Implications:
Despite the unclear benefit, clinicians should consider providing postoperative analgesic education to patients. Well-designed education has the potential to improve quality of life at low cost with low risk. Educational material adapted to local health literacy levels and prior surgical and analgesic experience is recommended to maximise engagement and impact.
