SynthesisSurgical endoscopy2025
The effects of stress on surgical performance: a systematic review.
Synthesis in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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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.
The trial behind it
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
20 citing papers in PubMed.
- Hypnosis reshapes multilevel stress response and enhances executive performance in stressed medical students.Scientific reports · 2026Trial
- [Surgical teams in extraordinary stress environments : Education, mental resilience and simulation-based training].Chirurgie (Heidelberg, Germany) · 2026Review
- Association Between Patient Behavior and Clinician Emotional Burden, Perceived Performance, and Decision-Making in Implant Dentistry: A Cross-Sectional Study Among Clinicians.Clinical and experimental dental research · 2026Article
- Assessment methods for surgeons' ergonomics in the operating room: a scoping review.Surgical endoscopy · 2026Article
- Validity assessment for technical skills and stress management of the HelpMeSeeActa ophthalmologica · 2026Article
- HRV-Based Surrogate Classification in Surgical Environments Using Personalised Labelling and Sequence Modelling.Sensors (Basel, Switzerland) · 2026Article
- From incision to implantation: holter-based stress profiling in ophthalmology residents during cataract surgery.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- Evaluating surgeons' stress using heart rate variability during minimally invasive surgery for gastric cancer: a single-center prospective cohort study.Langenbeck's archives of surgery · 2026Article
- Clinicians' Stress Levels During Soft Tissue Augmentation Using Autogenous Connective Tissue Grafts: A Pilot Study.Clinical implant dentistry and related research · 2026Article
- Individual differences and self-regulatory factors are credible determinants of physiotherapy student performance on clinical placement: Insights from a measurement burst design study.Advances in health sciences education : theory and practice · 2026Article
- Distinguishing Mood and Emotion: Implications for High-Performance Regulation.Brain sciences · 2026Review
- Evaluation of the Cardiovascular and Serotonergic Modulatory Effects of Ondansetron in Healthy Dogs Under Anesthesia.Veterinary sciences · 2026Article
- Is Cooler Safer and More Advantageous? A Feasibility Study in Rabbits.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2026Article
- Dynamic patterns of communication and workload during cardiac surgery: An explorative study.PloS one · 2026Article
- Article
- Multi-method characterization of neurophysiological and biological stress responses in surgical teams during real surgical procedures.Frontiers in neuroergonomics · 2026Article
- Exploring the effects of short-term forest bathing on anxious medical undergraduates' stressful emotions using near-infrared functional brain imaging and facial expression technology.Frontiers in psychology · 2026Article
- Decoding Fear: Analysis and Prognosis of Preoperatory Stress Level Through Advanced Statistical Modelling-A Prospective Study Across Multiple Surgical Specialties.Medical sciences (Basel, Switzerland) · 2025Article
- Psychometric Properties of the Brazilian Version of Environmental Protectors Against Hospital Work Stress.Healthcare (Basel, Switzerland) · 2025Article
- The Flush Model: A Novel Framework to Manage Surgeons' Mental Fatigue and Cognitive Load.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAcute stress, the psychological response to short-term challenging stimuli, is frequently encountered in the high-pressure environment of the operating theatre. Surgeon stress is associated with deterioration in surgical performance, surgical team working and compromised patient safety. Given these concerns, the aim of this review was to understand the impact of acute stress on surgical performance in technical and non-technical domains as well as patient outcomes.
methodsA systematic review was conducted following PRISMA guidelines. Electronic databases were searched for studies examining acute stress in medical professionals during real or simulated surgical procedures that reported performance outcomes in technical and non-technical skills. Risk of bias assessment was conducted using appropriate tools for each study design.
resultsOut of 1445 identified studies, 19 met the inclusion criteria. In simulated environments, acute stress consistently led to impairment in both technical and non-technical skills during surgical procedures. Technical skill deterioration included higher procedural error rates, longer task completion times and diminished instrument handling. Non-technical skills, such as teamwork and communication, also were impaired under stress conditions. Real-world studies echoed these findings, demonstrating acute stress resulting in higher error rates and impaired non-technical skills. No studies identified surgeon stress as having a causal relationship with patient outcomes.
conclusionAcute stress significantly impacts both technical and non-technical skills during surgical procedures, impairing performance in simulated and real-world surgical environments. Despite the growing understanding of the detrimental effects of stress, gaps remain in comprehensively assessing its impact on patient outcomes. Further research is warranted to develop reliable stress measurement methods applicable in surgical settings and explore effective stress management strategies.
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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.