Do Education Programs Reduce Anxiety Before Arthroplasty?
Systematic review finds modest reductions in anxiety and pain, but limited impact on other outcomes
By
Henry Thomas
February 12, 2026
Clinical Scorecard: Do Education Programs Reduce Anxiety Before Arthroplasty?
At a Glance
Category Detail
Condition Anxiety in patients undergoing elective hip or knee arthroplasty
Key Mechanisms Preoperative education interventions
Target Population Adults scheduled for primary hip or knee replacement
Care Setting Preoperative care in elective arthroplasty
Key Highlights
Preoperative education modestly reduced anxiety and postoperative pain. No significant impact on discharge timing, complications, or quality of life. Multi-component educational approaches may benefit high-anxiety patients. Educational interventions included various formats like videos and counseling. Future studies should focus on standardized outcomes and patient subgroup identification.
Guideline-Based Recommendations
Diagnosis
Assess preoperative anxiety levels in patients scheduled for arthroplasty.
Management
Implement targeted preoperative education for patients with higher baseline anxiety.
Monitoring & Follow-up
Evaluate patient engagement with rehabilitation and analgesic use postoperatively.
Risks
Consider potential for postoperative delirium associated with preoperative anxiety.
Patient & Prescribing Data
Adults undergoing elective hip or knee arthroplasty
Preoperative education should be adjunctive and tailored to individual needs.
Clinical Best Practices
Integrate educational tools with enhanced recovery programs. Focus educational efforts on anxious or high-risk patients. Utilize a variety of educational formats to meet diverse patient needs.
References