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Aim <p>To discuss the implementation challenges and future perspectives of digital prehabilitation for hepatobiliary-pancreatic (HBP) surgery in Japan, following the study by Nagaya et al.</p> Findings <p>Key considerations include addressing the digital divide in aging populations and recognizing that monitoring multifaceted adherence remains dependent on self-reported data, regardless of digital tracking. Furthermore, resource barriers and the lack of medical reimbursement in busy clinical settings hinder scalability. To clarify the multidimensional impact of digital tools, objective clinical outcomes such as the Comprehensive Complication Index (CCI) and patient-reported outcomes (PROs) remain vital.</p> Conclusion <p>Beyond feasibility, the successful integration of digital prehabilitation requires addressing eHealth literacy, validating self-reported adherence against clinical quality, and ensuring seamless workflow integration alongside medical reimbursement.</p>

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Implementation challenges of digital prehabilitation in Japan: commentary on Nagaya et al.

  • 期刊论文

  • 发表日期：

    2026年2月9日

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  • Mariko Sato,
  • Mitsuru Ida,
  • Masahiko Kawaguchi

摘要

Aim

To discuss the implementation challenges and future perspectives of digital prehabilitation for hepatobiliary-pancreatic (HBP) surgery in Japan, following the study by Nagaya et al.

Findings

Key considerations include addressing the digital divide in aging populations and recognizing that monitoring multifaceted adherence remains dependent on self-reported data, regardless of digital tracking. Furthermore, resource barriers and the lack of medical reimbursement in busy clinical settings hinder scalability. To clarify the multidimensional impact of digital tools, objective clinical outcomes such as the Comprehensive Complication Index (CCI) and patient-reported outcomes (PROs) remain vital.

Conclusion

Beyond feasibility, the successful integration of digital prehabilitation requires addressing eHealth literacy, validating self-reported adherence against clinical quality, and ensuring seamless workflow integration alongside medical reimbursement.