ArticleAnnals of the Royal College of Surgeons of England2026
Virtual joint school prior to hip and knee arthroplasty: patient feedback and carbon footprint savings.
Article in Annals of the Royal College of Surgeons of England, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
introductionPatient education programmes prior to hip and knee arthroplasty reduce anxiety and create realistic expectations. We describe a 'virtual joint school' (VJS) model and analyse patient feedback and environmental impact.
methodsEligible 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.
resultsFrom 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 'virtual' 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
conclusionsVirtual joint schools are acceptable to patients and reduce the carbon footprint of healthcare. We recommend their implementation at other arthroplasty centres.
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