JMIR Perioperative Medicine

Reducing the time to surgery for patients requiring cholecystectomy may lessen the risk of adverse outcomes. Dedicated day-surgery lists supported by out-of-hospital remote monitoring have been explored as a potential solution; however, the cost-effectiveness of such innovative care models remains largely unexplored.

Preoperative anxiety is a common psychological condition, and many patients express a need for more information before surgery. Understanding the prevalence and associated factors of both can improve patient care.

Rising arthroplasty volumes are testing capacity, budgets, and workforce resilience. Clinical pathways (CPWs) provide a practical, evidence-based structure that aligns perioperative actions from preparation through follow-up. In this review, we treat three aims as co-primary: quality (patient outcomes and adherence to best practice); resource management/efficiency at the episode level (e.g., length of stay, perioperative flow, direct costs); and sustainability, defined as the ability to maintain high-quality services over time by optimising financial, human, and environmental resources while safeguarding equitable access.

Social media has reshaped healthcare decision-making, yet its influence on maxillofacial surgeon selection in non-Western contexts like Iran remains underexplored. Understanding how patients balance digital platforms (Google, Instagram) with traditional networks informs trust dynamics and patient-centered care strategies.

Large Language Models (LLMs) are revolutionizing natural language processing, increasingly applied in clinical settings to enhance preoperative patient education.

Children commonly experience high levels of anxiety on the day of surgery including at induction of general anesthesia. This distress is associated with postoperative maladaptive behaviors. Virtual reality (VR) is an innovative tool for reducing anxiety and pain during various medical procedures. Previous randomized controlled trials have demonstrated its efficacy in reducing children’s anxiety in the preoperative waiting room or during induction.

Quality of vision in patients with idiopathic epiretinal membranes (iERM) is closely linked to distorted vision (metamorphopsia), which is often underestimated in clinical settings. Current surgical decision-making relies heavily on visual acuity and OCT findings, which do not adequately reflect the patient’s functional vision or the severity of metamorphopsia. There is a clinical need for tools that can reliably quantify this symptom to improve patient outcomes and streamline care pathways.

The mainstay of colorectal cancer care is surgical resection, which carries a significant risk of complications. Efforts to improve outcomes have recently focused on intensive multimodal prehabilitation programs to better prepare patients for surgery, which make the perioperative process even more complex and demanding for patients. Digital applications (eCoaches) seem promising tools to guide patients during their care journey. We developed a comprehensive eCoach to support, guide, and monitor patients undergoing elective colorectal surgery through the perioperative phase of the care pathway.

Precise functional capacity assessment is a critical component for preoperative risk stratification. Brief submaximal cardiopulmonary exercise testing (smCPET) has shown diagnostic utility in various cardiopulmonary conditions.

Surgical recovery after hospital discharge often presents challenges for patients and caregivers. Postoperative complications and poorly managed pain at home can lead to unexpected visits to the emergency department (ED) and readmission to the hospital. Digital home monitoring (DHM) may improve postoperative care compared to standard methods.

Frailty is associated with postoperative morbidity and mortality. Preoperative screening and management of persons with frailty improves postoperative outcomes. The Clinical Risk Analysis Index (RAI-C) is a validated provider-based screening tool for assessing frailty in presurgical populations. Patient self-screening for frailty may provide an alternative to provider-based screening if resources are limited; however, the agreement between these 2 methods has not been previously explored.

Day surgery is being increasingly implemented across Europe, driven in part by capacity problems. Patients recovering at home could benefit from tools tailored to their new care setting to effectively manage their convalescence. The mHealth application ikHerstel is one such tool, but although it administers its functions in the home, its implementation hinges on health care professionals within the hospital.