{"id":"https://openalex.org/W7131780040","doi":"https://doi.org/10.1038/s41746-026-02425-8","title":"Effectiveness of a virtual hospital model of care for patients with low back pain presenting to emergency departments (Back@Home)","display_name":"Effectiveness of a virtual hospital model of care for patients with low back pain presenting to emergency departments (Back@Home)","publication_year":2026,"publication_date":"2026-02-27","ids":{"openalex":"https://openalex.org/W7131780040","doi":"https://doi.org/10.1038/s41746-026-02425-8","pmid":"https://pubmed.ncbi.nlm.nih.gov/41760736"},"language":"en","primary_location":{"id":"doi:10.1038/s41746-026-02425-8","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-026-02425-8","pdf_url":"https://www.nature.com/articles/s41746-026-02425-8.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41746-026-02425-8.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054146578","display_name":"Chathurani Sigera","orcid":"https://orcid.org/0000-0001-5263-2219"},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]},{"id":"https://openalex.org/I4210116254","display_name":"Institute for Musculoskeletal Health","ror":"https://ror.org/038axdp29","country_code":"AU","type":"facility","lineage":["https://openalex.org/I4210116254"]},{"id":"https://openalex.org/I4210140513","display_name":"Sydney Local Health District","ror":"https://ror.org/04w6y2z35","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801351115","https://openalex.org/I4210140513"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Chathurani Sigera","raw_affiliation_strings":["Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210116254","https://openalex.org/I4210140513"]},{"raw_affiliation_string":"School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I129604602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008041032","display_name":"Crystian B. Oliveira","orcid":"https://orcid.org/0000-0002-6911-7018"},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]},{"id":"https://openalex.org/I4210116254","display_name":"Institute for Musculoskeletal Health","ror":"https://ror.org/038axdp29","country_code":"AU","type":"facility","lineage":["https://openalex.org/I4210116254"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Crystian B. Oliveira","raw_affiliation_strings":["Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia. crystian.oliveira@sydney.edu.au","School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia. crystian.oliveira@sydney.edu.au"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia. crystian.oliveira@sydney.edu.au","institution_ids":["https://openalex.org/I4210116254"]},{"raw_affiliation_string":"School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia. crystian.oliveira@sydney.edu.au","institution_ids":["https://openalex.org/I129604602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053446995","display_name":"Alla Melman","orcid":"https://orcid.org/0000-0003-3726-1477"},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]},{"id":"https://openalex.org/I4210116254","display_name":"Institute for Musculoskeletal Health","ror":"https://ror.org/038axdp29","country_code":"AU","type":"facility","lineage":["https://openalex.org/I4210116254"]},{"id":"https://openalex.org/I4210140513","display_name":"Sydney Local Health District","ror":"https://ror.org/04w6y2z35","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801351115","https://openalex.org/I4210140513"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Alla Melman","raw_affiliation_strings":["Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210116254","https://openalex.org/I4210140513"]},{"raw_affiliation_string":"School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I129604602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089120009","display_name":"Min Jiat Teng","orcid":"https://orcid.org/0000-0003-4948-0335"},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]},{"id":"https://openalex.org/I2802601309","display_name":"Sydney Hospital","ror":"https://ror.org/0402tt118","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2802601309","https://openalex.org/I4210147382"]},{"id":"https://openalex.org/I4210140513","display_name":"Sydney Local Health District","ror":"https://ror.org/04w6y2z35","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801351115","https://openalex.org/I4210140513"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Min Jiat Teng","raw_affiliation_strings":["School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia","Sydney Virtual Hospital, Sydney Local Health District, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I129604602"]},{"raw_affiliation_string":"Sydney Virtual Hospital, Sydney Local Health District, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210140513","https://openalex.org/I2802601309"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016499492","display_name":"Danielle Coombs","orcid":"https://orcid.org/0000-0003-0005-7851"},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]},{"id":"https://openalex.org/I4210116254","display_name":"Institute for Musculoskeletal Health","ror":"https://ror.org/038axdp29","country_code":"AU","type":"facility","lineage":["https://openalex.org/I4210116254"]},{"id":"https://openalex.org/I4210140513","display_name":"Sydney Local Health District","ror":"https://ror.org/04w6y2z35","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801351115","https://openalex.org/I4210140513"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Danielle M. Coombs","raw_affiliation_strings":["Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210116254","https://openalex.org/I4210140513"]},{"raw_affiliation_string":"School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I129604602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126969724","display_name":"Laurent Billot","orcid":null},"institutions":[{"id":"https://openalex.org/I4210110309","display_name":"The George Institute for Global Health","ror":"https://ror.org/023331s46","country_code":"AU","type":"facility","lineage":["https://openalex.org/I4210110309"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Laurent Billot","raw_affiliation_strings":["Biostatistics & Data Science, The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Biostatistics & Data Science, The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210110309"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120012808","display_name":"Chris Gianacas","orcid":null},"institutions":[{"id":"https://openalex.org/I4210110309","display_name":"The George Institute for Global Health","ror":"https://ror.org/023331s46","country_code":"AU","type":"facility","lineage":["https://openalex.org/I4210110309"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Chris Gianacas","raw_affiliation_strings":["Biostatistics & Data Science, The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Biostatistics & Data Science, The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210110309"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Alamgir Kabir","orcid":null},"institutions":[{"id":"https://openalex.org/I4210110309","display_name":"The George Institute for Global Health","ror":"https://ror.org/023331s46","country_code":"AU","type":"facility","lineage":["https://openalex.org/I4210110309"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Alamgir Kabir","raw_affiliation_strings":["Biostatistics & Data Science, The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Biostatistics & Data Science, The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210110309"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050480347","display_name":"Eileen Rogan","orcid":"https://orcid.org/0009-0003-4059-4085"},"institutions":[{"id":"https://openalex.org/I2799732068","display_name":"Royal Prince Alfred Hospital","ror":"https://ror.org/05gpvde20","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2799732068"]},{"id":"https://openalex.org/I4210140513","display_name":"Sydney Local Health District","ror":"https://ror.org/04w6y2z35","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801351115","https://openalex.org/I4210140513"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Eileen Rogan","raw_affiliation_strings":["Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I2799732068","https://openalex.org/I4210140513"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008135413","display_name":"Mona Marabani","orcid":"https://orcid.org/0000-0003-0867-3106"},"institutions":[{"id":"https://openalex.org/I2799732068","display_name":"Royal Prince Alfred Hospital","ror":"https://ror.org/05gpvde20","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2799732068"]},{"id":"https://openalex.org/I4210140513","display_name":"Sydney Local Health District","ror":"https://ror.org/04w6y2z35","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801351115","https://openalex.org/I4210140513"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Mona Marabani","raw_affiliation_strings":["Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I2799732068","https://openalex.org/I4210140513"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031259649","display_name":"Owen Hutchings","orcid":"https://orcid.org/0000-0002-2793-0027"},"institutions":[{"id":"https://openalex.org/I2802601309","display_name":"Sydney Hospital","ror":"https://ror.org/0402tt118","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2802601309","https://openalex.org/I4210147382"]},{"id":"https://openalex.org/I4210140513","display_name":"Sydney Local Health District","ror":"https://ror.org/04w6y2z35","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801351115","https://openalex.org/I4210140513"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Owen Hutchings","raw_affiliation_strings":["Sydney Virtual Hospital, Sydney Local Health District, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sydney Virtual Hospital, Sydney Local Health District, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210140513","https://openalex.org/I2802601309"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105018011","display_name":"Chris G. Maher","orcid":null},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]},{"id":"https://openalex.org/I4210116254","display_name":"Institute for Musculoskeletal Health","ror":"https://ror.org/038axdp29","country_code":"AU","type":"facility","lineage":["https://openalex.org/I4210116254"]},{"id":"https://openalex.org/I4210140513","display_name":"Sydney Local Health District","ror":"https://ror.org/04w6y2z35","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801351115","https://openalex.org/I4210140513"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Chris G. Maher","raw_affiliation_strings":["Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210116254","https://openalex.org/I4210140513"]},{"raw_affiliation_string":"School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I129604602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034202322","display_name":"Gustavo Machado","orcid":"https://orcid.org/0000-0001-5782-3698"},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]},{"id":"https://openalex.org/I4210116254","display_name":"Institute for Musculoskeletal Health","ror":"https://ror.org/038axdp29","country_code":"AU","type":"facility","lineage":["https://openalex.org/I4210116254"]},{"id":"https://openalex.org/I4210140513","display_name":"Sydney Local Health District","ror":"https://ror.org/04w6y2z35","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801351115","https://openalex.org/I4210140513"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Gustavo C. Machado","raw_affiliation_strings":["Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210116254","https://openalex.org/I4210140513"]},{"raw_affiliation_string":"School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I129604602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120012807","display_name":"Back Home Investigators","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Back@Home Investigators","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069633317","display_name":"Ananthila Anandacoomarasamy","orcid":"https://orcid.org/0000-0002-5059-2425"},"institutions":[{"id":"https://openalex.org/I2799732068","display_name":"Royal Prince Alfred Hospital","ror":"https://ror.org/05gpvde20","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2799732068"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Ananthila Anandacoomarasamy","raw_affiliation_strings":["Rheumatology Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rheumatology Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I2799732068"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079255766","display_name":"Bethan Richards","orcid":"https://orcid.org/0000-0002-9249-8808"},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]},{"id":"https://openalex.org/I2799732068","display_name":"Royal Prince Alfred Hospital","ror":"https://ror.org/05gpvde20","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2799732068"]},{"id":"https://openalex.org/I4210116254","display_name":"Institute for Musculoskeletal Health","ror":"https://ror.org/038axdp29","country_code":"AU","type":"facility","lineage":["https://openalex.org/I4210116254"]},{"id":"https://openalex.org/I4210140513","display_name":"Sydney Local Health District","ror":"https://ror.org/04w6y2z35","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801351115","https://openalex.org/I4210140513"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Bethan Richards","raw_affiliation_strings":["Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","Rheumatology Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia","School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210116254","https://openalex.org/I4210140513"]},{"raw_affiliation_string":"Rheumatology Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I2799732068"]},{"raw_affiliation_string":"School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I129604602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055029023","display_name":"Chris Needs","orcid":null},"institutions":[{"id":"https://openalex.org/I2799732068","display_name":"Royal Prince Alfred Hospital","ror":"https://ror.org/05gpvde20","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2799732068"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Chris Needs","raw_affiliation_strings":["Rheumatology Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rheumatology Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I2799732068"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104806566","display_name":"Dane R Chalkley","orcid":null},"institutions":[{"id":"https://openalex.org/I2799732068","display_name":"Royal Prince Alfred Hospital","ror":"https://ror.org/05gpvde20","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2799732068"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Dane Chalkley","raw_affiliation_strings":["Emergency Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I2799732068"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126957669","display_name":"Ian Harris","orcid":null},"institutions":[{"id":"https://openalex.org/I31746571","display_name":"UNSW Sydney","ror":"https://ror.org/03r8z3t63","country_code":"AU","type":"education","lineage":["https://openalex.org/I31746571"]},{"id":"https://openalex.org/I4210116254","display_name":"Institute for Musculoskeletal Health","ror":"https://ror.org/038axdp29","country_code":"AU","type":"facility","lineage":["https://openalex.org/I4210116254"]},{"id":"https://openalex.org/I4210140513","display_name":"Sydney Local Health District","ror":"https://ror.org/04w6y2z35","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801351115","https://openalex.org/I4210140513"]},{"id":"https://openalex.org/I4210143646","display_name":"Ingham Institute","ror":"https://ror.org/03y4rnb63","country_code":"AU","type":"nonprofit","lineage":["https://openalex.org/I4210143646"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Ian Harris","raw_affiliation_strings":["Ingham Institute for Applied Medical Research, South Western Sydney Clinical School , University of New South Wales, Sydney, NSW, Australia","Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ingham Institute for Applied Medical Research, South Western Sydney Clinical School , University of New South Wales, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210143646"]},{"raw_affiliation_string":"Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210116254","https://openalex.org/I4210140513"]},{"raw_affiliation_string":"School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I31746571"]}]},{"author_position":"middle","author":{"id":null,"display_name":"James Edwards","orcid":null},"institutions":[{"id":"https://openalex.org/I2799732068","display_name":"Royal Prince Alfred Hospital","ror":"https://ror.org/05gpvde20","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2799732068"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"James Edwards","raw_affiliation_strings":["Emergency Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I2799732068"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126958453","display_name":"Kirsten McCaffery","orcid":null},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Kirsten McCaffery","raw_affiliation_strings":["Sydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I129604602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126972492","display_name":"Michael Dinh","orcid":null},"institutions":[{"id":"https://openalex.org/I2799732068","display_name":"Royal Prince Alfred Hospital","ror":"https://ror.org/05gpvde20","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2799732068"]},{"id":"https://openalex.org/I4210140513","display_name":"Sydney Local Health District","ror":"https://ror.org/04w6y2z35","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801351115","https://openalex.org/I4210140513"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Michael Dinh","raw_affiliation_strings":["Emergency Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia","RPA Green Light Institute for Emergency Care, Sydney Local Health District, Sydney,  NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I2799732068"]},{"raw_affiliation_string":"RPA Green Light Institute for Emergency Care, Sydney Local Health District, Sydney,  NSW, Australia","institution_ids":["https://openalex.org/I4210140513"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078573182","display_name":"Miranda Shaw","orcid":"https://orcid.org/0000-0002-9358-8258"},"institutions":[{"id":"https://openalex.org/I2802601309","display_name":"Sydney Hospital","ror":"https://ror.org/0402tt118","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2802601309","https://openalex.org/I4210147382"]},{"id":"https://openalex.org/I4210140513","display_name":"Sydney Local Health District","ror":"https://ror.org/04w6y2z35","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801351115","https://openalex.org/I4210140513"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Miranda Shaw","raw_affiliation_strings":["Sydney Virtual Hospital, Sydney Local Health District, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sydney Virtual Hospital, Sydney Local Health District, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210140513","https://openalex.org/I2802601309"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073113091","display_name":"Narcyz Ghinea","orcid":"https://orcid.org/0000-0002-1457-7252"},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Narcyz Ghinea","raw_affiliation_strings":["School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I129604602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031117675","display_name":"Q. Li","orcid":null},"institutions":[{"id":"https://openalex.org/I4210110309","display_name":"The George Institute for Global Health","ror":"https://ror.org/023331s46","country_code":"AU","type":"facility","lineage":["https://openalex.org/I4210110309"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Qiang Li","raw_affiliation_strings":["Biostatistics & Data Science, The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Biostatistics & Data Science, The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I4210110309"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033789568","display_name":"Rachael H Dodd","orcid":"https://orcid.org/0000-0002-8080-6359"},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]},{"id":"https://openalex.org/I9623796","display_name":"Cancer Council NSW","ror":"https://ror.org/05gsbkp40","country_code":"AU","type":"funder","lineage":["https://openalex.org/I9623796"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Rachael Dodd","raw_affiliation_strings":["School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia","The Daffodil Centre, The University of Sydney and Cancer Council NSW, Sydney, NSW, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I129604602"]},{"raw_affiliation_string":"The Daffodil Centre, The University of Sydney and Cancer Council NSW, Sydney, NSW, Australia","institution_ids":["https://openalex.org/I9623796"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036470851","display_name":"Rachelle Buchbinder","orcid":"https://orcid.org/0000-0002-0597-0933"},"institutions":[{"id":"https://openalex.org/I4210116254","display_name":"Institute for Musculoskeletal Health","ror":"https://ror.org/038axdp29","country_code":"AU","type":"facility","lineage":["https://openalex.org/I4210116254"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Rachelle Buchbinder","raw_affiliation_strings":["Musculoskeletal Health and Wiser Health Care Units, School of Public Health and Preventive Medicine, Monash University, Melbourne,  VIC, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Musculoskeletal Health and Wiser Health Care Units, School of Public Health and Preventive Medicine, Monash University, Melbourne,  VIC, Australia","institution_ids":["https://openalex.org/I4210116254"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":27,"corresponding_author_ids":["https://openalex.org/A5054146578"],"corresponding_institution_ids":["https://openalex.org/I129604602","https://openalex.org/I4210116254","https://openalex.org/I4210140513"],"apc_list":{"value":3060,"currency":"USD","value_usd":3060},"apc_paid":{"value":3060,"currency":"USD","value_usd":3060},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.36548626,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"9","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.28839999437332153,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.28839999437332153,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.2718999981880188,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11292","display_name":"Pediatric Pain Management Techniques","score":0.125900000333786,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/logistic-regression","display_name":"Logistic regression","score":0.6707000136375427},{"id":"https://openalex.org/keywords/emergency-department","display_name":"Emergency department","score":0.6126000285148621},{"id":"https://openalex.org/keywords/observational-study","display_name":"Observational study","score":0.602400004863739},{"id":"https://openalex.org/keywords/low-back-pain","display_name":"Low back pain","score":0.5708000063896179},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4875999987125397},{"id":"https://openalex.org/keywords/multivariate-analysis","display_name":"Multivariate analysis","score":0.3612000048160553},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"Patient satisfaction","score":0.3508000075817108},{"id":"https://openalex.org/keywords/affect","display_name":"Affect (linguistics)","score":0.3440000116825104}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8876000046730042},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.6707000136375427},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.6126000285148621},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.602400004863739},{"id":"https://openalex.org/C2780907711","wikidata":"https://www.wikidata.org/wiki/Q852163","display_name":"Low back pain","level":3,"score":0.5708000063896179},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4878000020980835},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4875999987125397},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.3612000048160553},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.351500004529953},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.3508000075817108},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3499999940395355},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.3440000116825104},{"id":"https://openalex.org/C2776501849","wikidata":"https://www.wikidata.org/wiki/Q5781808","display_name":"Back pain","level":3,"score":0.3264999985694885},{"id":"https://openalex.org/C2993624421","wikidata":"https://www.wikidata.org/wiki/Q16917","display_name":"Hospital care","level":3,"score":0.3255999982357025},{"id":"https://openalex.org/C64946054","wikidata":"https://www.wikidata.org/wiki/Q4874476","display_name":"Bayesian multivariate linear regression","level":3,"score":0.3077999949455261},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3059999942779541},{"id":"https://openalex.org/C161584116","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate statistics","level":2,"score":0.2721000015735626},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.26579999923706055},{"id":"https://openalex.org/C2994302464","wikidata":"https://www.wikidata.org/wiki/Q1774706","display_name":"Care pathway","level":3,"score":0.2565999925136566},{"id":"https://openalex.org/C2778533338","wikidata":"https://www.wikidata.org/wiki/Q7935148","display_name":"Virtual patient","level":2,"score":0.2540000081062317}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1038/s41746-026-02425-8","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-026-02425-8","pdf_url":"https://www.nature.com/articles/s41746-026-02425-8.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},{"id":"pmid:41760736","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41760736","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"NPJ digital medicine","raw_type":null},{"id":"pmh:oai:doaj.org/article:837fc200d98e43dfa3993f3e08cffdbc","is_oa":false,"landing_page_url":"https://doaj.org/article/837fc200d98e43dfa3993f3e08cffdbc","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"npj Digital Medicine, Vol 9, Iss 1 (2026)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12948941","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12948941/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"NPJ Digit Med","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1038/s41746-026-02425-8","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-026-02425-8","pdf_url":"https://www.nature.com/articles/s41746-026-02425-8.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.4003819227218628,"display_name":"Good health and well-being"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320310278","display_name":"HCF Research Foundation","ror":"https://ror.org/03dc9sa37"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7131780040.pdf","grobid_xml":"https://content.openalex.org/works/W7131780040.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W2516470530","https://openalex.org/W2915365125","https://openalex.org/W2996035929","https://openalex.org/W3122458025","https://openalex.org/W3129060688","https://openalex.org/W4206061725","https://openalex.org/W4210730447","https://openalex.org/W4320483848","https://openalex.org/W4389689977","https://openalex.org/W4394738992","https://openalex.org/W4400953275","https://openalex.org/W4402523033","https://openalex.org/W4402975693"],"related_works":[],"abstract_inverted_index":{"This":[0],"study":[1,22],"evaluated":[2],"the":[3,27,41,75,171],"effectiveness":[4],"of":[5,10,47,83,173],"a":[6,44],"virtual":[7,122,186],"hospital":[8,123],"model":[9,82,172],"care":[11,84,124,156,174,187],"(Back@Home)":[12],"for":[13,168],"low":[14],"back":[15],"pain":[16,127],"(LBP).":[17],"We":[18,33,53],"conducted":[19],"an":[20],"observational":[21],"across":[23],"four":[24],"hospitals":[25],"in":[26,176],"Sydney":[28],"Local":[29],"Health":[30],"District,":[31],"Australia.":[32],"included":[34],"patients":[35,72],"aged":[36],"\u226516":[37],"years":[38],"presenting":[39],"to":[40,68,74,90,100,115,133,143,153,158],"ED":[42,76,105,178],"with":[43,77,155],"primary":[45],"diagnosis":[46],"non-specific":[48],"or":[49,56,92,194],"radicular":[50],"(non-serious)":[51],"LBP.":[52,79],"performed":[54],"logistic":[55],"linear":[57,62],"mixed":[58],"models":[59],"and":[60,145],"multivariate":[61],"regression":[63],"analyses.":[64],"From":[65],"January":[66,69],"2017":[67],"2025,":[70],"18,851":[71],"presented":[73],"non-serious":[78],"The":[80],"Back@Home":[81,163],"did":[85,164],"not":[86,165],"significantly":[87],"affect":[88],"admissions":[89,167],"inpatient":[91,161],"short-stay":[93],"units":[94],"(OR:":[95,110],"1.19,":[96],"95%":[97,112,130,140,150],"CI:":[98,113,131,141,151],"0.46":[99],"3.06).":[101],"However,":[102],"it":[103],"reduced":[104],"re-presentations":[106],"within":[107],"30":[108],"days":[109],"0.59,":[111],"0.42":[114],"0.84)":[116],"by":[117],"41%.":[118],"Patients":[119],"who":[120],"received":[121],"reported":[125],"less":[126],"(\u03b2:":[128,138,148],"-1.26,":[129],"-2.22":[132],"-0.30),":[134],"better":[135,195],"physical":[136],"function":[137],"4.81,":[139],"2.36":[142],"7.27)":[144],"similar":[146],"satisfaction":[147],"0.14;":[149],"-0.72":[152],"1.01)":[154],"compared":[157],"those":[159],"receiving":[160],"care.":[162,198],"reduce":[166],"LBP,":[169],"but":[170],"resulted":[175],"fewer":[177],"re-presentations.":[179],"Although":[180],"causal":[181],"inference":[182],"cannot":[183],"be":[184],"made,":[185],"may":[188],"deliver":[189],"health":[190],"outcomes":[191],"comparable":[192],"to,":[193],"than,":[196],"traditional":[197]},"counts_by_year":[],"updated_date":"2026-05-06T08:25:59.206177","created_date":"2026-02-27T00:00:00"}