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Assessment of Outcomes of Inpatient or Clinic-Based vs Home-Based Rehabilitation After Total Knee Arthroplasty A Systematic Review and Meta-analysis
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date:2019.06.06author:

JAMA Investigation 

Physical Medicine and Rehabilitation

April 26, 2019

Assessment of Outcomes of Inpatient or Clinic-Based vs Home-Based Rehabilitation After Total Knee Arthroplasty

A Systematic Review and Meta-analysis

 

Mark A. Buhagiar, PhD, MHM, BAppSc1,2; Justine M. Naylor, PhD, BAppSc2,3,4; Ian A. Harris, MBBS, MMed, PhD, FRACS, FAHMS2,3,4; et al

Wei Xuan, PhD2,5; Sam Adie, BSc, MBBS, MSpMed, MPH, PhD, FRACS2; Adriane Lewin, MSc2,4

Author Affiliations

JAMA Netw Open. 2019;2(4):e192810. doi:10.1001/jamanetworkopen.2019.2810

 

 

Key Points 

Question  Is inpatient or clinic-based rehabilitation associated with superior outcomes after total knee arthroplasty compared with home programs?

Findings  This systematic review and meta-analysis included 5 unique studies involving 752 unique participants comparing clinic- and home-based rehabilitation and 1 study comparing inpatient rehabilitation with a home-based program. Based on low- to moderate-quality evidence, no associations between settings, no clinically important differences for mobility or patient-reported pain and function at 10 and 52 postoperative weeks, and no significant differences in quality of life or range of motion were found.

Meaning  For adults who underwent total knee arthroplasty, clinic or inpatient vs home-based rehabilitation appeared to offer no clinically important advantages.

 

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https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2731681