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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

Based on surgical candidacy and disease stage, surgical resection by a thoracic surgeon is a mainstay of treatment for lung and esophageal cancers. 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

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]. Validated assessment tools, such as the Risk Analysis Index (RAI) score, the Eastern Cooperative Oncology Group (ECOG) Performance Status, and the Timed Up and Go Test (TUG), can accurately identify patients’ individual risk factors and predict their surgical outcomes [6-9].

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

Personalized Mobile App–Based Program for Preparation and Recovery After Radical Prostatectomy: Initial Evidence for Improved Outcomes From a Prospective Nonrandomized Study

Personalized Mobile App–Based Program for Preparation and Recovery After Radical Prostatectomy: Initial Evidence for Improved Outcomes From a Prospective Nonrandomized Study

Overall, our e Health program improved surgical outcomes after RP, independently of patient-related factors and surgery refinements. Notably, ours is an expert center that already demonstrated better surgery outcomes than those reported at a nationwide level [19]. The mobile app was able to reproduce the benefits observed in our previous on-site experience in terms of length of stay, complications, readmission, and short-term functional recovery [8,14].

Alberto Martini, Claudia Kesch, Alae Touzani, Giorgio Calleris, Bogdan Buhas, Rawad Abou-Zahr, Razvan-George Rahota, Benjamin Pradère, Christophe Tollon, Jean-Baptiste Beauval, Guillaume Ploussard

J Med Internet Res 2024;26:e55429

Association of a Novel Electronic Form for Preoperative Cardiac Risk Assessment With Reduction in Cardiac Consultations and Testing: Retrospective Cohort Study

Association of a Novel Electronic Form for Preoperative Cardiac Risk Assessment With Reduction in Cardiac Consultations and Testing: Retrospective Cohort Study

In summary, variation in requesting cardiology consultations and stress testing, unnecessary costs, and potential for surgical delays make a compelling case for an intervention to assist clinicians. However, we are not aware of any electronic medical record (EMR) process for the structured completion of a preoperative cardiac algorithm or its association with preoperative resource utilization and postoperative outcomes.

Mandeep Kumar, Kathryn Wilkinson, Ya-Huei Li, Rohit Masih, Mehak Gandhi, Haleh Saadat, Julie Culmone

JMIR Perioper Med 2024;7:e63076

Usability, Ergonomics, and Educational Value of a Novel Telestration Tool for Surgical Coaching: Usability Study

Usability, Ergonomics, and Educational Value of a Novel Telestration Tool for Surgical Coaching: Usability Study

Continuing professional education activities such as surgical coaching provide opportunities for the continued acquisition of new techniques and professional expertise. Telestration is a technique for teaching whereby instructors annotate images or videos to enhance the learning experience for surgical trainees [9].

Parmiss Kiani, Roberta Dolling-Boreham, Mohamed Saif Hameed, Caterina Masino, Andras Fecso, Allan Okrainec, Amin Madani

JMIR Hum Factors 2024;11:e57243

Automated Identification of Postoperative Infections to Allow Prediction and Surveillance Based on Electronic Health Record Data: Scoping Review

Automated Identification of Postoperative Infections to Allow Prediction and Surveillance Based on Electronic Health Record Data: Scoping Review

The following data were extracted for the prediction modeling studies: name of the prediction tool, type of prediction tool (machine learning, biomarker, and statistical model), surgical subpopulations, type of postoperative infection predicted, and criteria and guidelines used to manually or automatically label patients with infections.

Siri Lise van der Meijden, Anna M van Boekel, Harry van Goor, Rob GHH Nelissen, Jan W Schoones, Ewout W Steyerberg, Bart F Geerts, Mark GJ de Boer, M Sesmu Arbous

JMIR Med Inform 2024;12:e57195

Gamified Mobile App (MobERAS) for Telemonitoring Patients in the Postoperative Period Based on the Enhanced Recovery after Surgery Program: Development and Validation Study

Gamified Mobile App (MobERAS) for Telemonitoring Patients in the Postoperative Period Based on the Enhanced Recovery after Surgery Program: Development and Validation Study

Although the app is applicable to several surgical specialties, it was validated in the patient population attended by the physicians participating in the study. Patients with proposed medium and major gynecologic oncologic surgeries were invited to participate in the study. The patients were recruited from a public teaching hospital and a private hospital, both in Brazil and references in the care of women with gynecological cancer.

Aline Evangelista Santiago, Victor Pezzi Gazzinelli Cruz, Rafaela Souza Furtado, Eduardo Batista Cândido, Wladmir Cardoso Brandão, Agnaldo Lopes Silva Filho

JMIR Perioper Med 2024;7:e56033

Factors Influencing Neuromuscular Blockade Reversal Choice in the United States Before and During the COVID-19 Pandemic: Retrospective Longitudinal Analysis

Factors Influencing Neuromuscular Blockade Reversal Choice in the United States Before and During the COVID-19 Pandemic: Retrospective Longitudinal Analysis

For surgical units, elective procedures were largely postponed while recommendations favored anesthetic techniques aimed to minimize aerosolization and contamination of the environment [10-12]. For example, the use of rapid sequence intubation became common if not standard, and interventions to shorten postanesthesia care unit (PACU) stay duration, such as using efficient NMB reversal strategies, would be advantageous in minimizing exposure risk.

Vladimir Turzhitsky, Lori D Bash, Richard D Urman, Michael Kattan, Ira Hofer

JMIR Perioper Med 2024;7:e52278

Clinical Accuracy, Relevance, Clarity, and Emotional Sensitivity of Large Language Models to Surgical Patient Questions: Cross-Sectional Study

Clinical Accuracy, Relevance, Clarity, and Emotional Sensitivity of Large Language Models to Surgical Patient Questions: Cross-Sectional Study

LLMs with chat features could improve preoperative communication; however, LLMs’ ability in answering patients’ surgical questions have not been extensively studied. Thus, this study aims to assess LLMs’ potential and proficiency in responding to questions from patients undergoing surgery. In formulating our questionnaire, we used the input of 3 neurosurgical attendings, focusing on common general patient inquiries regarding surgery.

Mert Marcel Dagli, Felix Conrad Oettl, Jaskeerat Gujral, Kashish Malhotra, Yohannes Ghenbot, Jang W Yoon, Ali K Ozturk, William C Welch

JMIR Form Res 2024;8:e56165