{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:15:12Z","timestamp":1777929312844,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100009727","name":"Hospital Research Foundation","doi-asserted-by":"publisher","award":["2021\/57-QA25315"],"award-info":[{"award-number":["2021\/57-QA25315"]}],"id":[{"id":"10.13039\/100009727","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to evaluate the clinical and financial outcomes of the My PreHab Program (MPP), a digitally delivered, patient-led prehabilitation initiative for patients undergoing elective hip or knee arthroplasty across two metropolitan hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An observational cohort study of MPP participants compared to a standard care group (SCG). MPP participants were invited via text message to complete a Health Assessment Questionnaire (HAQ) and received tailored health information on modifiable risk factors. For analysis, demographic data, length of stay (h = hours), hospital-acquired complications, readmission rates and hospital costings were collected from hospital records and the digital platform\u2019s website.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A 24-h reduction in length of stay was observed in MPP participants compared to the SCG (MPP: 107\u00a0h vs SCG: 131\u00a0h,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = &lt;0.001). The average cost of an admission for MPP participants was $2,251.85 less than SCG. MPP participants rated the program as acceptable (3.6\/5), appropriate (3.6\/5), and feasible (3.8\/5).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MPP demonstrated promising results, specifically by reducing length of stay and hospital costs. These findings support broader implementation of digitally delivered, self-administered prehabilitation programs as an effective, affordable strategy in elective surgery pathways.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536261440630","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T07:29:32Z","timestamp":1777015772000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A \u2018light touch\u2019 digitally delivered, self-administered, prehabilitation pathway was acceptable to consumers and improved surgical outcomes for elective hip and knee replacements"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3981-2222","authenticated-orcid":false,"given":"Anastasia D.","family":"Westin","sequence":"first","affiliation":[{"name":"Central Adelaide Local Health Network"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9939-5599","authenticated-orcid":false,"given":"Eleanor","family":"Bills","sequence":"additional","affiliation":[{"name":"Central Adelaide Local Health Network"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne L. J.","family":"Burke","sequence":"additional","affiliation":[{"name":"Central Adelaide Local Health Network"},{"name":"The University of Adelaide"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn L.","family":"Collins","sequence":"additional","affiliation":[{"name":"Central Adelaide Local Health Network"},{"name":"The University of Adelaide"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane M.","family":"Andrews","sequence":"additional","affiliation":[{"name":"Central Adelaide Local Health Network"},{"name":"The University of Adelaide"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/21548331.2024.2435802"},{"key":"e_1_3_5_3_2","volume-title":"Elective surgery","author":"Australian Institute of Health and Welfare","year":"2024","unstructured":"Australian Institute of Health and Welfare. Elective surgery, 2024. Retrieved from: https:\/\/www.aihw.gov.au\/hospitals\/topics\/elective-surgery"},{"key":"e_1_3_5_4_2","volume-title":"Health expenditure","author":"Australian Institute of Health and Welfare","year":"2024","unstructured":"Australian Institute of Health and Welfare. Health expenditure, 2024. Retrieved from: https:\/\/www.aihw.gov.au\/reports\/health-welfare-expenditure\/health-expenditure"},{"key":"e_1_3_5_5_2","volume-title":"Health - budget resources","author":"Parliament of Australia","year":"2024","unstructured":"Parliament of Australia. Health - budget resources. Health - Budget Resources, 2024. https:\/\/www.aph.gov.au\/About_Parliament\/Parliamentary_departments\/Parliamentary_Library\/Budget\/reviews\/2024-25\/Health"},{"key":"e_1_3_5_6_2","volume-title":"As Victoria\u2019s surgery waitlist grows, so do concerns over a \u201chidden\u201d queue","author":"Cann G","year":"2025","unstructured":"Cann G. As Victoria\u2019s surgery waitlist grows, so do concerns over a \u201chidden\u201d queue. ABC News, 2025. https:\/\/www.abc.net.au\/news\/2025-03-31\/victoria-planned-surgery-elective-waitlist-health-hospital\/105090042"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14502"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2015.07.003"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2023.1054894"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2023.107302"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpa.2016.04.002"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2025.103543"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-07989-1"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536261440630","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10225536261440630","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536261440630","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:33:40Z","timestamp":1777678420000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10225536261440630"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/10225536261440630"],"URL":"https:\/\/doi.org\/10.1177\/10225536261440630","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"10225536261440630"}}