Receipt of Pain Management Information Preoperatively Is Associated With Improved Functional Gain After Elective Total Joint Arthroplasty

摘要: Abstract Background Poorly controlled postoperative pain may adversely affect total joint arthroplasty (TJA) patients' outcomes and associated healthcare cost. Understanding effective management after surgery is important to patients, surgeons, hospitals. We evaluated patient-reported receipt of preoperative information in a national prospective cohort evaluating function following elective TJA. Methods Preoperative 2-week 6-month survey data 1609 TJA patients collected between June 2013 December 2014 were analyzed. Data included demographics, medical musculoskeletal comorbidity, operative pain, physical function, mental health. At 2 weeks postoperative, asked if they had received prior surgery, the content that education, strategies. Descriptive statistics performed. Results post-TJA, one-third reported not receiving about management; an additional 11% did find helpful. There no differences preoperatively demographics or clinical profiles those who not. Patients less postoperatively, greater use non-narcotic care strategies, better scores at 6 months postoperatively. No identified education noneducation groups. Conclusion Forty-four percent receive/received unhelpful regarding management, highlighting need for improved patient education. In this sample, lack was with poorer function.