Evidence map›Paper›PMID 41419713›Full record

ArticleAnnals of surgical oncology2026

Mental Stress Assessment and Clinical Application of Wearable Devices as Evaluable Outcomes in Robotic Prostatectomy.

Taku Naiki, Yoshihisa Mimura, Yosuke Sugiyama, Toshiki Etani, Akihiro Nakane, Takashi Nagai, Yoshihiko Tasaki, Nobuhikio Shimizu, Masakazu Gonda, Maria Aoki and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Taku NaikiDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan. naiki@med.nagoya-cu.ac.jp.ORCID http://orcid.org/0000-0002-7638-6048
Yoshihisa MimuraDepartment of Pharmacy, Nagoya City University Hospital, Nagoya, Japan.
Yosuke SugiyamaDepartment of Pharmacy, Nagoya City University Hospital, Nagoya, Japan.
Toshiki EtaniDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Akihiro NakaneDepartment of Urology, Gamagori City Hospital, Gamagori City, Japan.
Takashi NagaiDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Yoshihiko TasakiDepartment of Pharmacy, Nagoya City University Hospital, Nagoya, Japan.
Nobuhikio ShimizuDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Masakazu GondaDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Maria AokiDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Toshiharu MorikawaDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Shoichiro IwatsukiDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Shuzo HamamotoDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Yukihiro UmemotoDepartment of Urology, Nagoya City University West Medical Center, Nagoya, Japan.
Takahiro YasuiDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBecause of the rapid uptake of robot-assisted radical prostatectomy (RARP), educational programs or established methods based on the skill level and mental stress of surgeons have yet to be established. This study aimed to measure physiologic stress as heart rate (HR) changes and heart rate variations (HRVs) in surgeons wearing a device during RARP. PATIENTS AND

methodsWe collected device data for 30 consecutive cases from surgeon A, relatively inexperienced in RARP, and surgeon B, experienced in over 200 cases. As a wearable device, we used Fitbit Charge 2 (Fitbit Inc., San Francisco, CA, USA). Surgical outcomes included estimated blood loss volume and robotic console time; HR changes and HRVs in each surgeon were measured. The standard deviation of NN intervals (SDNN) for HRV was calculated and cumulative sum (CUSUM) control charts used to quantitatively evaluate surgeons' learning curves.

resultsFor surgeon A, as case numbers increased, console time was significantly reduced; maximum and average HRs were also significantly decreased. However, a trend was not observed for surgeon B. The SDNN, as a biomarker of mental stress in surgeon B, was significantly better compared with surgeon A. For surgeon A, according to an analysis using CUSUM methods, and average and maximum HRs, learning curves with regard to console time and estimated blood loss volume were similar.

conclusionsBy using a wearable device, mental stress, as represented by the HRV, could be easily estimated and visualized as a surgical outcome. This affected surgeons' learning curves, including for console time and estimated blood loss volumes.

Indexed as

ProstatectomyProstatic NeoplasmsRobotic Surgical ProceduresStress, PsychologicalSurgeonsWearable Electronic DevicesClinical CompetenceFollow-Up StudiesHeart RateHumansLearning CurveMaleMiddle AgedPrognosisEducation programHeart rate variationMental stressRobot-assisted radical prostatectomyWearable device

Identifiers

PMID41419713
PMCPMC12982249

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.