{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T10:46:48Z","timestamp":1782902808889,"version":"3.54.5"},"reference-count":17,"publisher":"Royal College of Surgeons of England","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2026,7]]},"abstract":"\n Introduction<\/jats:title>\n Patient education programmes prior to hip and knee arthroplasty reduce anxiety and create realistic expectations. We describe a \u2018virtual joint school\u2019 (VJS) model and analyse patient feedback and environmental impact.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Eligible patients first viewed online educational videos, and then attended an interactive virtual session during which knowledge was reinforced. Each session was attended by eight to ten patients along with a relative or friend, and was hosted by a multidisciplinary team consisting of nurses, physiotherapists, occupational therapists and a former patient who provided personal insight. Feedback was obtained prospectively using an electronic questionnaire, and travel savings were calculated using Python software.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n From July 2022 to February 2023, 267 patients attended the VJS; of whom 117 (44%) responded to the questionnaire. Among them, 87% found the pre-learning videos helpful and comprehensible, 92% felt their concerns were adequately addressed, 96% felt they had sufficient opportunity to ask questions and 96% were happy with the level of confidentiality involved. Although 83% felt they received sufficient support from the health board to access the virtual session, 63% also took support from family\/friends to attend it. Only 15% felt they would have preferred a face-to-face format. By having \u2018virtual\u2019 sessions, each patient saved, on average, 38 miles and 62min of travel (10,070 miles and 274h saved for 267 patients). Each VJS session produced 0.32kg of CO\n 2<\/jats:sub>\n compared with 110kg of CO\n 2<\/jats:sub>\n per face-to-face session.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Virtual joint schools are acceptable to patients and reduce the carbon footprint of healthcare. We recommend their implementation at other arthroplasty centres.<\/jats:p>\n <\/jats:sec>","DOI":"10.1308\/rcsann.2025.0080","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T10:08:42Z","timestamp":1768903722000},"page":"444-448","source":"Crossref","is-referenced-by-count":0,"title":["Virtual joint school prior to hip and knee arthroplasty: patient feedback and carbon footprint savings"],"prefix":"10.1308","volume":"108","author":[{"given":"D","family":"Pinto","sequence":"first","affiliation":[{"name":"Hywel Dda University Health Board","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Clarke","sequence":"additional","affiliation":[{"name":"University Hospitals of North Midlands NHS Trust","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Ganapathi","sequence":"additional","affiliation":[{"name":"Betsi Cadwaladr University Health Board","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"171","reference":[{"key":"C1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-017-9417-4"},{"key":"C2","doi-asserted-by":"publisher","DOI":"10.1097\/BCO.0000000000000959"},{"key":"C3","doi-asserted-by":"publisher","DOI":"10.1097\/NOR.0000000000000814"},{"key":"C4","doi-asserted-by":"publisher","DOI":"10.1308\/003588410X12771863936765"},{"key":"C5","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-2602"},{"key":"C6","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.8050"},{"key":"C7","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.45.BJO-2023-0021"},{"key":"C8","unstructured":"El-Boghdadly K, Lockwood S, Crawshaw A\n et al.\n Preoperative assessment and optimisation for adult surgery, including consideration of COVID-19 and its implications. https:\/\/cpoc.org.uk\/sites\/cpoc\/files\/documents\/2021-06\/Preoperative assessment and optimisation guidance.pdf."},{"key":"C9","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2014.12.022"},{"key":"C10","doi-asserted-by":"publisher","DOI":"10.1016\/j.artd.2023.101187"},{"key":"C11","doi-asserted-by":"publisher","DOI":"10.1016\/j.artd.2023.101254"},{"key":"C12","unstructured":"National Health Service (NHS). Delivering a \u2018net zero\u2019 National Health Service. https:\/\/www.england.nhs.uk\/greenernhs\/publication\/delivering-a-net-zero-national-health-service\/ (cited April 2024)."},{"key":"C13","doi-asserted-by":"publisher","DOI":"10.7861\/fhj.2020-0080"},{"key":"C14","doi-asserted-by":"publisher","DOI":"10.2196\/ijmr.4295"},{"key":"C15","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13855"},{"key":"C16","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-07989-1"},{"key":"C17","unstructured":"National Health Service (NHS). NHS Long term plan chapter 5: Digitally-enabled care will go mainstream across the NHS. https:\/\/www.longtermplan.nhs.uk\/online-version\/chapter-5-digitally-enabled-care-will-go-mainstream-across-the-nhs\/ (cited April 2024)."}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2025.0080","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T10:12:39Z","timestamp":1782900759000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2025.0080"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1308\/rcsann.2025.0080"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2025.0080","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}