{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T11:47:13Z","timestamp":1764503233861,"version":"3.46.0"},"reference-count":77,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T00:00:00Z","timestamp":1722902400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients undergoing surgery deserve the best possible peri\u2010operative outcomes. Each stage of the peri\u2010operative patient journey offers opportunities to improve care delivery, with shorter lengths of stay, less complications, reduced costs and better value.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>These opportunities were identified through narrative review of the literature, with consultation and consensus at the hidden pandemic (of postoperative complications) summit 2, July 2023 in Adelaide, Australia<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:bold>Before surgery:<\/jats:bold>\n                      Some patients who receive timely alternative treatments may not need surgery at all. The period of waiting after listing should be a time of preparation. Risk assessment at the time of surgical listing facilitates recognition of need for comorbidity optimisation and identifies those who will most benefit from prehabilitation, particularly frail and deconditioned patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>During surgery<\/jats:title>\n                    <jats:p>During the surgical admission, ERAS programs result in less postoperative complications, shorter length of stay and better patient experience but require agreement between clinicians, and coordinated monitoring of delivery of the elements in the ERAS bundle of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>After surgery<\/jats:title>\n                    <jats:p>At\u2010risk patients need to have the appropriate levels of monitoring for cardiovascular instability, renal impairment or respiratory dysfunction, to facilitate timely, proactive management if they develop. Access to allied health in the early postoperative period is also critical for promoting mobility, and earlier discharge, particularly after joint surgery. Where appropriate, provision of rehabilitation services at home improves patient experience and adds value. The peri\u2010operative patient journey begins and ends with primary care so there is a need for clear communication, documentation, around sharing of responsibility between practitioners at each stage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Identifying and mitigating risk to reduce complications and length of stay in hospital will improve outcomes for patients and deliver the best value for the health system.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.19179","type":"journal-article","created":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T03:39:31Z","timestamp":1722915571000},"page":"1462-1470","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["If the peri\u2010operative patient pathway was right, what would it look like?"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5742-8417","authenticated-orcid":false,"given":"David Allan","family":"Watters","sequence":"first","affiliation":[{"name":"School of Medicine Deakin University  Geelong Victoria Australia"},{"name":"University Hospital Geelong, Barwon Health  Geelong Victoria Australia"},{"name":"Safer Care Victoria  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6637-0029","authenticated-orcid":false,"given":"David A.","family":"Scott","sequence":"additional","affiliation":[{"name":"Safer Care Victoria  Melbourne Victoria Australia"},{"name":"Department of Critical Care University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Anaesthesia and Acute Pain Medicine St. Vincent's Hospital Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4918-8871","authenticated-orcid":false,"given":"Tarik","family":"Sammour","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medical Sciences University of Adelaide  Adelaide South Australia Australia"},{"name":"Department of Surgery Royal Adelaide Hospital  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Harris","sequence":"additional","affiliation":[{"name":"Department of Policy and Research Private HealthCare Australia  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6925-4277","authenticated-orcid":false,"given":"Guy Lawrence","family":"Ludbrook","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medical Sciences University of Adelaide  Adelaide South Australia Australia"},{"name":"Department of Anaesthesia Royal Adelaide Hospital  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2015.04.005"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-028671"},{"key":"e_1_2_10_4_1","unstructured":"Victorian Peri\u2010operative Consultative Council.Annual report2021. [Cited 25 Jan 2024.] Available from URL:https:\/\/www.safercare.vic.gov.au\/best-practice-improvement\/publications\/victorian-peri-operative-consultative-council-annual-report-2021"},{"key":"e_1_2_10_5_1","unstructured":"Victorian Department of Health.Planned Surgery Reform Blueprint. [Cited 25 Jan 2024.] Available from URL:https:\/\/www.health.vic.gov.au\/planned-surgery-reform-blueprint"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH23048"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17744"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17669"},{"key":"e_1_2_10_9_1","unstructured":"ANZCA. Peri\u2010operative care framework. [Cited 25 Jan 2024.] Available from URL:https:\/\/www.anzca.edu.au\/education-training\/peri-operative-medicine-qualification\/the-peri-operative-care-framework"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.19015"},{"key":"e_1_2_10_11_1","unstructured":"National Institute for Health Care Excellence (NICE).Endometriosis: diagnosis and management \u2013 recommendations.2017. Available from URL:https:\/\/www.nice.org.uk\/guidance\/NG73\/chapter\/recommendations"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-021-04912-w"},{"key":"e_1_2_10_13_1","unstructured":"Safer Care Victoria.Best care advice regarding spinal fusion for chronic axial low back pain. Available from URL:https:\/\/www.safercare.vic.gov.au\/clinical-guidance\/non-urgent-elective-surgery\/spinal-fusion-for-chronic-axial-low-back-pain"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000072"},{"volume-title":"Low Back Pain Ad Sciatica in over 16s: Assessment and Management","year":"2016","author":"National Institute for Health Care Excellence","key":"e_1_2_10_15_1"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2019.08.003"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2013.06.003"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH16222"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.6722"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1457496919883812"},{"key":"e_1_2_10_21_1","unstructured":"Independent Hospitals and Aged Care Pricing Authority. [Cited 21 May 2024.] Available from URL:https:\/\/www.ihacpa.gov.au\/sites\/default\/files\/2024-01\/IHACPA-pricing-framework-australian-public-hospital-services-2024-25_1.pdf"},{"key":"e_1_2_10_22_1","unstructured":"Safer Care Victoria.Best care guidance for non urgent elective surgery;2022. [Cited 1 Feb 2024.] Available from URL:https:\/\/www.safercare.vic.gov.au\/best-care-guidance-for-non-urgent-elective-surgery"},{"key":"e_1_2_10_23_1","unstructured":"Centre for Clinical Excellence Queensland.Rookwood Clinical Frailty Scale Dalhousie University Canada. [Cited 25 Jan 2024.] Available from URL:https:\/\/clinicalexcellence.qld.gov.au\/priority-areas\/service-improvement\/improving-quality-safety-and-care-older-queenslanders\/identification"},{"key":"e_1_2_10_24_1","unstructured":"Victorian Department of Health.Cognitive impairment screening. [Cited 25 Jan 2024.] Available from URL:https:\/\/www.health.vic.gov.au\/patient-care\/cognitive-impairment-screening."},{"key":"e_1_2_10_25_1","unstructured":"Australian Commission for Safety and Quality in Healthcare.Delirium Clinical Care Standard. [Cited 25 Jan 2024.] Available from URL:https:\/\/www.safetyandquality.gov.au\/our-work\/cognitive-impairment."},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16255"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17946"},{"key":"e_1_2_10_28_1","unstructured":"NZRisk. [Cited 1 Feb 2024.] Available from URL:https:\/\/www.nzrisk.com\/"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11232"},{"key":"e_1_2_10_30_1","unstructured":"Duke Activity Status Index for cardiovascular diseases. [Cited 1 Feb 2024.] Available from URL:https:\/\/qxmd.com\/calculate\/calculator_786\/duke-activity-status-index-dasi"},{"key":"e_1_2_10_31_1","unstructured":"American College of Surgeons. [Cited 1 Feb 2024.] Available from URL:https:\/\/riskcalculator.facs.org\/"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.15-0903"},{"key":"e_1_2_10_33_1","unstructured":"Revised Cardiac Risk index. [Cited 1 Feb 2024.] Available from URL:https:\/\/www.mdcalc.com\/calc\/1739\/revised-cardiac-risk-index-pre-operative-risk"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpa.2020.05.005"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18645"},{"key":"e_1_2_10_36_1","unstructured":"Department of Health Victoria.Planned Surgery Reform Blueprint. [Cited 17 May 2024.] Available from URL:https:\/\/www.health.vic.gov.au\/planned-surgery-reform-blueprint"},{"key":"e_1_2_10_37_1","unstructured":"Transforming surgical waiting lists into preparation opportunities: leveraging multimodal prehabilitation to optimise surgical outcomes."},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.0198"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000006116"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18431"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-023-13265-1"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14507"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40140-021-00505-x"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-023-01474-6"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-080693"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.12096"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.12519"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2019.07.032"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13741-021-00206-3"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.8050"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.45.BJO-2023-0021"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.4174\/astr.2023.104.6.313"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-023-02977-6"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18684"},{"key":"e_1_2_10_55_1","unstructured":"Safer Care Victoria.Victorian guideline for the prevention of venous thromboembolism (VTE) in adult hospitalised patients. [Cited 25 Jan 2024.] Available from URL:https:\/\/www.safercare.vic.gov.au\/sites\/default\/files\/2023-10\/Guideline%20for%20the%20Prevention%20of%20Venous%20Thromboembolism.pdf."},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17599"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X1204000310"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.01.017"},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2020-001278"},{"key":"e_1_2_10_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(23)00538-7"},{"key":"e_1_2_10_61_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.1035"},{"key":"e_1_2_10_62_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000006743"},{"key":"e_1_2_10_63_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13020534"},{"key":"e_1_2_10_64_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja16.01362"},{"key":"e_1_2_10_65_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.1224"},{"key":"e_1_2_10_66_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-023-06142-1"},{"key":"e_1_2_10_67_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-023-03219-5"},{"key":"e_1_2_10_68_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-020-05873-9"},{"key":"e_1_2_10_69_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.5503"},{"key":"e_1_2_10_70_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp0904131"},{"key":"e_1_2_10_71_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16586"},{"volume-title":"Methods for the Economic Evaluation of Health Care Programmes","year":"2015","author":"Drummond MF","key":"e_1_2_10_72_1"},{"key":"e_1_2_10_73_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2018.08.011"},{"key":"e_1_2_10_74_1","unstructured":"NHS England.NHS Standard Contract;2023. [Cited 24 Nov 2023.] Available from URL:https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2023\/03\/31-nhssc-fl-scs-draft-vs-final.pdf"},{"key":"e_1_2_10_75_1","unstructured":"Greater Manchester Cancer.Prehab4Cancer evaluation. [Cited 24 Nov 2023.] Available from URL:https:\/\/wessexcanceralliance.nhs.uk\/wp-content\/uploads\/2022\/01\/GM_Prehab4Cancer_Evaluation_Report_Final.pdf"},{"key":"e_1_2_10_76_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001019"},{"key":"e_1_2_10_77_1","unstructured":"Australian Government.Department of Health and Aged Care. The Prosthesis list. [Cited 21 May 2024.] Available from URL:https:\/\/www.health.gov.au\/topics\/private-health-insurance\/the-prostheses-list"},{"key":"e_1_2_10_78_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0241020"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.19179","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T11:46:14Z","timestamp":1764503174000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.19179"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,6]]},"references-count":77,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/ans.19179"],"URL":"https:\/\/doi.org\/10.1111\/ans.19179","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"type":"print","value":"1445-1433"},{"type":"electronic","value":"1445-2197"}],"subject":[],"published":{"date-parts":[[2024,8,6]]},"assertion":[{"value":"2024-02-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}