{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T03:34:30Z","timestamp":1792121670584,"version":"4.4.0"},"reference-count":32,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100013018","name":"Hospital for Special Surgery","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013018","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.arth.2026.03.072","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T06:59:25Z","timestamp":1775026765000},"page":"S66-S73.e1","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"S1","title":["Sleeping Patterns in Patients Undergoing Total Knee Arthroplasty: A Prospective Study Using a Wearable Device"],"prefix":"10.1016","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1853-5516","authenticated-orcid":false,"given":"Alexis G.","family":"Gonzalez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron I.","family":"Weinblatt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranqing","family":"Lan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix C.","family":"Oettl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drake G.","family":"LeBrun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Lyman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason L.","family":"Blevins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth B.","family":"Gausden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven B.","family":"Haas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael L.","family":"Parks","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian P.","family":"Chalmers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2177-5919","authenticated-orcid":false,"given":"Alejandro","family":"Gonzalez Della Valle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2026.03.072_bib1","doi-asserted-by":"crossref","first-page":"2769","DOI":"10.1097\/j.pain.0000000000002977","article-title":"Perioperative insomnia trajectories and functional outcomes after total knee arthroplasty","volume":"164","author":"Hamilton","year":"2023","journal-title":"Pain"},{"key":"10.1016\/j.arth.2026.03.072_bib2","doi-asserted-by":"crossref","first-page":"1291","DOI":"10.1016\/j.arth.2025.08.071","article-title":"Limited efficacy of pharmacological interventions for improving postoperative sleep quality in primary total joint arthroplasty patients: a systematic review and meta-analysis of randomized controlled trials","volume":"41","author":"Namazi","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.072_bib3","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/j.arth.2015.07.044","article-title":"Prospective evaluation of sleep disturbances after total knee arthroplasty","volume":"31","author":"Chen","year":"2016","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.072_bib4","doi-asserted-by":"crossref","first-page":"1989","DOI":"10.1111\/os.13382","article-title":"Preoperative high sleep quality predicts further decrease in length of stay after total joint arthroplasty under enhanced recovery short-stay program: experience in 604 patients from a single team","volume":"14","author":"Ding","year":"2022","journal-title":"Orthop Surg"},{"key":"10.1016\/j.arth.2026.03.072_bib5","doi-asserted-by":"crossref","first-page":"1897","DOI":"10.1016\/j.arth.2015.02.020","article-title":"Sleep quality effects recovery after total knee arthroplasty (TKA) \u2014 a randomized, double-blind, controlled study","volume":"30","author":"Gong","year":"2015","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.072_bib6","doi-asserted-by":"crossref","DOI":"10.1016\/j.smrv.2023.101786","article-title":"The prevalence and risk factors of sleep disturbances in surgical patients: a systematic review and meta-analysis","volume":"69","author":"Butris","year":"2023","journal-title":"Sleep Med Rev"},{"key":"10.1016\/j.arth.2026.03.072_bib7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0318866","article-title":"Sleep disturbances in older surgical patients with and without suspected cognitive impairment: a multicenter cohort study","volume":"20","author":"Butris","year":"2025","journal-title":"PLoS One"},{"key":"10.1016\/j.arth.2026.03.072_bib8","doi-asserted-by":"crossref","first-page":"4715","DOI":"10.1007\/s00402-024-05559-0","article-title":"Evolution and characteristics of nocturnal knee pain after knee arthroplasty","volume":"144","author":"Daxhelet","year":"2024","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.arth.2026.03.072_bib9","article-title":"Sleep management combined with rehabilitation exercise to alleviate chronic pain following total knee arthroplasty: a randomized controlled trial","author":"Han","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.072_bib10","doi-asserted-by":"crossref","first-page":"S15","DOI":"10.1016\/j.arth.2024.01.018","article-title":"The John N. Insall Award: does melatonin improve subjective sleep quality after total knee arthroplasty? A randomized, placebo-controlled trial","volume":"39","author":"LeBrun","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.072_bib11","doi-asserted-by":"crossref","first-page":"e108","DOI":"10.1097\/SLA.0000000000003556","article-title":"Preoperative sedative-hypnotic medication use and adverse postoperative outcomes","volume":"274","author":"Gaulton","year":"2021","journal-title":"Ann Surg"},{"key":"10.1016\/j.arth.2026.03.072_bib12","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1176\/appi.ajp.2020.20071038","article-title":"The risk of overdose with concomitant use of z-drugs and prescription opioids: a population-based cohort study","volume":"178","author":"Szmulewicz","year":"2021","journal-title":"Am J Psychiatry"},{"key":"10.1016\/j.arth.2026.03.072_bib13","doi-asserted-by":"crossref","first-page":"S154","DOI":"10.1016\/j.arth.2024.02.031","article-title":"Does melatonin improve sleep following primary total knee arthroplasty? A randomized, double-blind, placebo-controlled trial","volume":"39","author":"Haider","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.072_bib14","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research","volume":"28","author":"Buysse","year":"1989","journal-title":"Psychiatry Res"},{"key":"10.1016\/j.arth.2026.03.072_bib15","doi-asserted-by":"crossref","first-page":"S120","DOI":"10.1016\/j.arth.2023.01.066","article-title":"Sleep disturbances following total knee arthroplasty","volume":"38","author":"Gibian","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.072_bib16","doi-asserted-by":"crossref","first-page":"493","DOI":"10.2147\/NSS.S348795","article-title":"Performance of four commercial wearable sleep-tracking devices tested under unrestricted conditions at home in healthy young adults","volume":"14","author":"Chinoy","year":"2022","journal-title":"Nat Sci Sleep"},{"key":"10.1016\/j.arth.2026.03.072_bib17","doi-asserted-by":"crossref","first-page":"S22","DOI":"10.1016\/j.arth.2024.03.065","article-title":"Engh Excellence in Knee Research Award: remote monitoring of sleep disturbance following total knee arthroplasty: a cautionary note","volume":"39","author":"Gibian","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.072_bib18","doi-asserted-by":"crossref","first-page":"119","DOI":"10.4103\/jfmpc.jfmpc_595_19","article-title":"A sleep disturbance after total knee arthroplasty","volume":"9","author":"Fatah","year":"2020","journal-title":"J Fam Med Prim Care"},{"key":"10.1016\/j.arth.2026.03.072_bib19","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1080\/07420528.2019.1682006","article-title":"Performance assessment of new-generation Fitbit technology in deriving sleep parameters and stages","volume":"37","author":"Haghayegh","year":"2020","journal-title":"Chronobiol Int"},{"key":"10.1016\/j.arth.2026.03.072_bib20","doi-asserted-by":"crossref","first-page":"6532","DOI":"10.3390\/s24206532","article-title":"Accuracy of three commercial wearable devices for sleep tracking in healthy adults","volume":"24","author":"Robbins","year":"2024","journal-title":"Sensors"},{"key":"10.1016\/j.arth.2026.03.072_bib21","doi-asserted-by":"crossref","DOI":"10.1016\/j.smrv.2020.101305","article-title":"The microstructure of REM sleep: why phasic and tonic?","volume":"52","author":"Simor","year":"2020","journal-title":"Sleep Med Rev"},{"key":"10.1016\/j.arth.2026.03.072_bib22","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.1016\/j.arth.2023.12.009","article-title":"Perioperative sleep quality disturbances in total joint arthroplasty is multifactorial","volume":"39","author":"Driesman","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.072_bib23","doi-asserted-by":"crossref","DOI":"10.1111\/jsr.14342","article-title":"The 70 years since the discovery of rapid eye movement sleep: history, electroencephalographic features and unsolved issues","volume":"34","author":"Parrino","year":"2025","journal-title":"J Sleep Res"},{"key":"10.1016\/j.arth.2026.03.072_bib24","doi-asserted-by":"crossref","DOI":"10.1016\/j.neuroimage.2021.118117","article-title":"Cortical and subcortical hemodynamic changes during sleep slow waves in human light sleep","volume":"236","author":"Betta","year":"2021","journal-title":"Neuroimage"},{"key":"10.1016\/j.arth.2026.03.072_bib25","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1016\/j.clinph.2010.01.005","article-title":"Light sleep and sleep time misperception \u2013 relationship to alpha\u2013delta sleep","volume":"121","author":"Martinez","year":"2010","journal-title":"Clin Neurophysiol"},{"key":"10.1016\/j.arth.2026.03.072_bib26","doi-asserted-by":"crossref","first-page":"7680","DOI":"10.1038\/s41598-022-11848-8","article-title":"Epidemiology of accelerometer-based sleep parameters in US school-aged children and adults: NHANES 2011\u20132014","volume":"12","author":"Su","year":"2022","journal-title":"Sci Rep"},{"key":"10.1016\/j.arth.2026.03.072_bib27","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.40788","article-title":"Evaluation of sleep habits and disturbances among US adults, 2017-2020","volume":"5","author":"Di","year":"2022","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.arth.2026.03.072_bib28","doi-asserted-by":"crossref","first-page":"e367","DOI":"10.1161\/CIR.0000000000000444","article-title":"Sleep duration and quality: impact on lifestyle behaviors and cardiometabolic health: a scientific statement from the American Heart Association","volume":"134","author":"St-Onge","year":"2016","journal-title":"Circulation"},{"key":"10.1016\/j.arth.2026.03.072_bib29","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1007\/s40263-023-01020-9","article-title":"Number, duration, and distribution of wake bouts in patients with insomnia disorder: effect of daridorexant and zolpidem","volume":"37","author":"Di Marco","year":"2023","journal-title":"CNS Drugs"},{"key":"10.1016\/j.arth.2026.03.072_bib30","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1111\/j.1365-2869.1992.tb00025.x","article-title":"The duration of REM sleep episodes in normal sleep","volume":"1","author":"BELYAVIN","year":"1992","journal-title":"J Sleep Res"},{"key":"10.1016\/j.arth.2026.03.072_bib31","doi-asserted-by":"crossref","first-page":"573","DOI":"10.5664\/jcsm.11460","article-title":"Performance of consumer wrist-worn sleep tracking devices compared to polysomnography: a meta-analysis","volume":"21","author":"Lee","year":"2025","journal-title":"J Clin Sleep Med"},{"key":"10.1016\/j.arth.2026.03.072_bib32","doi-asserted-by":"crossref","DOI":"10.1016\/j.artd.2024.101383","article-title":"Total joint arthroplasty and sleep: the state of the evidence","volume":"27","author":"Pettit","year":"2024","journal-title":"Arthroplast Today"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326002755?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326002755?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T12:11:52Z","timestamp":1792066312000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540326002755"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":32,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S0883540326002755"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2026.03.072","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Sleeping Patterns in Patients Undergoing Total Knee Arthroplasty: A Prospective Study Using a Wearable Device","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2026.03.072","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}