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Effect of Immersive Virtual Reality Teamwork Training on Safety Behaviors During Surgical Cases: Nonrandomized Intervention Versus Controlled Pilot Study

Effect of Immersive Virtual Reality Teamwork Training on Safety Behaviors During Surgical Cases: Nonrandomized Intervention Versus Controlled Pilot Study

For example, many participants highlighted that the failure to properly assess a patient’s anticoagulation status before surgery leads to cancellation of cases and delays in care. Another key theme was the lack of a shared mental model among the surgical team, leading to fragmented awareness of the patient’s condition.

Lukasz Mazur, Logan Butler, Cody Mitchell, Shaian Lashani, Shawna Buchanan, Christi Fenison, Karthik Adapa, Xianming Tan, Selina An, Jin Ra

JMIR Med Educ 2025;11:e66186

Effects of Virtual Reality–Based Interventions on Preoperative Anxiety in Patients Undergoing Elective Surgery With Anesthesia: Systematic Review and Meta-Analysis

Effects of Virtual Reality–Based Interventions on Preoperative Anxiety in Patients Undergoing Elective Surgery With Anesthesia: Systematic Review and Meta-Analysis

Preoperative anxiety comprises subjective emotional, cognitive, and physiological responses triggered by the stressful event of surgery [1]. The incidence of preoperative anxiety is estimated to range from 11% to 80% [2,3].

Huiyuan Li, Pak Lung Chiu, Defi Efendi, Haiying Huang, Ka Yan Ko, Cho Lee Wong

J Med Internet Res 2025;27:e55291

Quantification of Metamorphopsia Using a Smartphone-Based Hyperacuity Test in Patients With Idiopathic Epiretinal Membranes: Prospective Observational Study

Quantification of Metamorphopsia Using a Smartphone-Based Hyperacuity Test in Patients With Idiopathic Epiretinal Membranes: Prospective Observational Study

Patients diagnosed with other macular disorders including age-related macular degeneration or participants who had undergone previous intraocular surgery except for uncomplicated cataract surgery were excluded from the study. Preoperative examinations and the 3 months postoperative follow-up were performed by the team of the Vienna Institute for Research in Ocular Surgery, including an ophthalmologist (CL).

Daria Amon, Christoph Leisser, Andreas Schlatter, Manuel Ruiss, Caroline Pilwachs, Natascha Bayer, Josef Huemer, Oliver Findl

JMIR Perioper Med 2025;8:e60959

Efficacy of a Digital Postoperative Rehabilitation Intervention in Patients With Primary Liver Cancer: Randomized Controlled Trial

Efficacy of a Digital Postoperative Rehabilitation Intervention in Patients With Primary Liver Cancer: Randomized Controlled Trial

They were requested to complete 2 circles of assessments with baseline as the first time before surgery and subsequent assessments after 3 weeks’ intervention. This study was intended for patients with PLC after hepatectomy.

Kaitao Yu, Baobing Yin, Ying Zhu, Hongdao Meng, Wenwei Zhu, Lu Lu, Junqiao Wang, Shugeng Chen, Jun Ni, Yifang Lin, Jie Jia

JMIR Mhealth Uhealth 2025;13:e59228

Machine Learning–Based Explainable Automated Nonlinear Computation Scoring System for Health Score and an Application for Prediction of Perioperative Stroke: Retrospective Study

Machine Learning–Based Explainable Automated Nonlinear Computation Scoring System for Health Score and an Application for Prediction of Perioperative Stroke: Retrospective Study

This traditional scoring system is used to assess the risk of major adverse cardiac events including stroke in noncardiac surgery. The Revised Cardiac Risk Index (RCRI) is composed of the factors mentioned above, such as type of surgery, history of ischemic heart disease, congestive heart failure, cerebrovascular disease, preoperative treatment with insulin, and a preoperative creatinine level greater than 2 mg/d L [13]. The RCRI was used as the comparative score.

Mi-Young Oh, Hee-Soo Kim, Young Mi Jung, Hyung-Chul Lee, Seung-Bo Lee, Seung Mi Lee

J Med Internet Res 2025;27:e58021

Assessing Total Hip Arthroplasty Outcomes and Generating an Orthopedic Research Outcome Database via a Natural Language Processing Pipeline: Development and Validation Study

Assessing Total Hip Arthroplasty Outcomes and Generating an Orthopedic Research Outcome Database via a Natural Language Processing Pipeline: Development and Validation Study

Patients undergoing surgery were provided with a consent form at the time of intake, which was signed before the procedure. Patients who continued to be followed up subsequently signed consent forms that were applicable retrospectively. Data were anonymized before analysis. Data from 1290 patients undergoing 1304 primary DAA THAs using a Hana Orthopedic Surgery Table (Mizuho OSI), with the same surgical team and implants.

Nicholas H Mast, Clara L. Oeste, Dries Hens

JMIR Med Inform 2025;13:e64705

Prehabilitation Program for Lung and Esophageal Cancers (Boosting Recovery and Activity Through Early Wellness): Protocol for a Nonrandomized Trial

Prehabilitation Program for Lung and Esophageal Cancers (Boosting Recovery and Activity Through Early Wellness): Protocol for a Nonrandomized Trial

Although surgery contributes to improved outcomes, the 30-day postoperative mortality risk are as high as 10% and 2.8% for lung and esophageal cancers, respectively [4,5]. Postoperative complications (eg, pneumonia and pain) pose a significant risk to patients undergoing curative-intent, lung and esophageal cancer surgeries [6].

Jodi E Langley, Daniel Sibley, Joy Chiekwe, Melanie R Keats, Stephanie Snow, Judith Purcell, Stephen Sollows, Leslie Hill, David Watton, Abbigael E Gaudry, Ibrahim Hashish, Alison Wallace

JMIR Res Protoc 2025;14:e60791

Validity, Accuracy, and Safety Assessment of an Aerobic Interval Training Using an App-Based Prehabilitation Program (PROTEGO MAXIMA Trial) Before Major Surgery: Prospective, Interventional Pilot Study

Validity, Accuracy, and Safety Assessment of an Aerobic Interval Training Using an App-Based Prehabilitation Program (PROTEGO MAXIMA Trial) Before Major Surgery: Prospective, Interventional Pilot Study

Postoperative complications occur in 15%-40% of patients undergoing major surgery, potentially resulting in life-threatening conditions, a decline in quality of life, or reduced physical functioning [1-3]. Adverse events (AEs) associated with surgical procedures impose a significant financial burden due to additional costs from intensive care treatment, reoperations, or prolonged hospital stays [4,5].

Sara Fatima Faqar Uz Zaman, Svenja Sliwinski, Lisa Mohr-Wetzel, Julia Dreilich, Natalie Filmann, Charlotte Detemble, Dora Zmuc, Felix Chun, Wojciech Derwich, Waldemar Schreiner, Wolf Bechstein, Johannes Fleckenstein, Andreas A Schnitzbauer

JMIR Mhealth Uhealth 2025;13:e55298

Assessment of Geriatric Problems and Risk Factors for Delirium in Surgical Medicine: Protocol for Multidisciplinary Prospective Clinical Study

Assessment of Geriatric Problems and Risk Factors for Delirium in Surgical Medicine: Protocol for Multidisciplinary Prospective Clinical Study

This prospective clinical observational study analyzes the frequency and risk factors for perioperative delirium in patients after surgical treatment in the Department of Orthopedics and Trauma Surgery, the Department of Vascular and Endovascular Surgery, General Surgery, and the Department of Oral and Maxillofacial Plastic Surgery of the University Hospital of Düsseldorf in the intensive care unit and normal ward.

Henriette Louise Möllmann, Eman Alhammadi, Soufian Boulghoudan, Julian Kuhlmann, Anica Mevissen, Philipp Olbrich, Louisa Rahm, Helmut Frohnhofen

JMIR Res Protoc 2025;14:e59203