ArticlePloS one2014
Correlation between Surgeon's experience, surgery complexity and the alteration of stress related physiological parameters.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 73 citations in OpenAlex.
- Randomized cross-over trial comparing stress responses amongst undergraduates and surgeons with and without background music during simulated surgery.Scientific reports · 2025Trial
- A Systematic Review and Meta-Analysis of Heart Rate Variability in Assessing Surgeons' Stress Levels.Healthcare (Basel, Switzerland) · 2026Review
- Using mobile EEG to study auditory work strain during simulated surgical procedures.Scientific reports · 2024Article
- Applying augmented reality in teaching of surgical residents-telementoring, a "stress-free" way to surgical autonomy?Langenbeck's archives of surgery · 2024Article
- A systematic review of biological changes in surgeons' acute stress levels during surgery.Surgery in practice and science · 2023Review
- Unpacking the Broad Landscape of Intraoperative Stressors for Clinical Personnel: A Mixed-Methods Systematic Review.Journal of multidisciplinary healthcare · 2023Review
- Correlating Personal Resourcefulness and Psychomotor Skills: An Analysis of Stress, Visual Attention and Technical Metrics.Sensors (Basel, Switzerland) · 2022Article
- Effect of complicated ocular surgery in stress-related parameters: A novel outlook into surgeon's health.Indian journal of ophthalmology · 2021Observational
- The perceived benefit of intraoperative stress modifiers for surgeons: an experimental simulation study in volunteers.Patient safety in surgery · 2021Article
- Assessment of Occupational Stress Among Oral and Maxillofacial Surgeons and Residents in Saudi Arabia: A Cross-Sectional Study.Advances in medical education and practice · 2020Article
- Regulation of PKCβ levels and autophagy by PML is essential for high-glucose-dependent mesenchymal stem cell adipogenesis.International journal of obesity (2005) · 2019Article
- Strategic Tools in Regenerative and Translational Dentistry.International journal of molecular sciences · 2019Review
- Multi-Lag Analysis of Symbolic Entropies on EEG Recordings for Distress Recognition.Frontiers in neuroinformatics · 2019Article
- Biological and Mechanical Properties of Platelet-Rich Fibrin Membranes after Thermal Manipulation and Preparation in a Single-Syringe Closed System.International journal of molecular sciences · 2018Article
- Concentric Ring Probe for Bioimpedance Spectroscopic Measurements: Design and Ex Vivo Feasibility Testing on Pork Oral Tissues.Sensors (Basel, Switzerland) · 2018Article
- Review
- Decellularized Hydrogels in Bone Tissue Engineering: A Topical Review.International journal of medical sciences · 2018Review
- Mesenchymal Stem Cells as Promoters, Enhancers, and Playmakers of the Translational Regenerative Medicine 2018.Stem cells international · 2018Article
- About stem cell research in dentistry: many doubts and too many pitfalls still affect the regenerative dentistry.International journal of medical sciences · 2018Review
- Antibacterial Activity of Leukocyte- and Platelet-Rich Plasma: AnBioMed research international · 2018Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn the present work we analyzed the hormonal (salivary Cortisol; sC), immune (salivary Immunoglobulin A; sIgA) and cardiovascular (Heart rate, HR, and systolic blood pressure, SBP) responses induced by stress conditions in oral surgeons, randomly recruited according to their expertise level. MATERIALS AND
methodsEach surgeon performed three different surgical procedures with increasing degrees of technical difficulty and under time-limited conditions, to assess whether these variants may influence the risks of stress-induced secondary hypertension among the involved health professionals. sC and sIgA samples and cardiovascular function measurements were taken up before, during, and two hours after every surgery. Salivary samples and cardiovascular measurements were taken also during non-surgical days, as baseline controls.
resultsWe observed that more experienced surgeons showed a higher stress management ability compared to those with less experience or, generally, younger, which are more exposed to the risks of developing secondary hypertension. Nevertheless, indipendently of sex and experience, oral surgeons are constantly exposed to high risks of developing stress-related diseases.
conclusionsOn the basis of the issues addressed and the results obtained, we have highlighted the importance of the investigated stress biomarkers to monitor and to prevent stress-related pathologies among oral surgeons. This approach is aimed to emphasize the significance of these specific stress-biomarkers, which represent a powerful instrument to evaluate stress levels in oral surgeons, and that may help to reduce the most severe life-threatening risks to which they are daily exposed. In conclusion, final goal of this study is to suggest an useful guideline to monitor the stress levels of oral and maxillofacial surgeons in order to improve their quality of life, which is inevitably reflected on the quality of the performances provided and, finally, to prevent possible mistakes in their daily activities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.