Evidence map›Paper›PMID 32140807›Full record

SynthesisArchives of gynecology and obstetrics2020

Management of anxiety and pain perception in women undergoing office hysteroscopy: a systematic review.

Salvatore Giovanni Vitale, Salvatore Caruso, Michal Ciebiera, Péter Török, Jan Tesarik, George Angelos Vilos, Aarathi Cholkeri-Singh, Ferdinando Antonio Gulino, Mohan Shashikant Kamath, Antonio Cianci

3 registry-linked trialsAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 6% of its field
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.

NCT06316934 phase2terminatednot on this mapstarted 2024, after this paper: background citation

The Use of Lavender Aromatherapy to Decrease Women's Anxiety and Perception of Pain During Office Hysteroscopy Procedure

TypeinterventionalSponsorUniversity of FloridaRan2024 to 2025Enrolled22ConditionsAnxiety, Pain, ProceduralArmsLavandula angustifolia, Aura Cacia, Placebo
NCT06625567 nacompletednot on this mapstarted 2023, after this paper: background citation

Effect of Preoperative Patient Education Via Animated Videos on Anxiety in Patients Undergoing Hysteroscopy Without Anesthesia

TypeinterventionalSponsorAssaf-Harofeh Medical CenterRan2023 to 2024Enrolled100ConditionsAnxietyArmsAnimated video
NCT07173231 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Comparisons Between Virtual Reality and Hypno-Virtual Reality for Procedural Pain and Anxiety During a Diagnostic Hysteroscopy: A Pilot Randomized Controlled Trial

TypeinterventionalSponsorSt. Justine's HospitalRan2025 to 2026Enrolled45ConditionsHysteroscopy, Anxiety, PainArmsImmersive Virtual Reality Distraction (IVR), Hypno-Virtual Reality Distraction (HVR), Usual Care Group
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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  18. Predictive Factors of Tolerance in Office Hysteroscopy - a 3-Year Analysis from a Tertiary Center.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023
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  19. Opinion paper: gynecological surgery in local anesthesia?Archives of gynecology and obstetrics · 2022
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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

10 authors at 6 institutions in 6 countries.

Salvatore Giovanni VitaleObstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy. sgvitale@unict.it.
Salvatore CarusoObstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.
Michal CiebieraSecond Department of Obstetrics and Gynecology, The Center of Postgraduate Medical Education, Warsaw, Poland.
Péter TörökFaculty of Medicine, Institute of Obstetrics and Gynaecology, University of Debrecen, Debrecen, Hungary.
Jan TesarikMARGen Clinic, Granada, Spain.
George Angelos VilosDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Aarathi Cholkeri-SinghDepartment of Obstetrics and Gynecology, Advocate Lutheran General Hospital, Park Ridge, IL, USA.
Ferdinando Antonio GulinoObstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.
Mohan Shashikant KamathDepartment of Reproductive Medicine, Christian Medical College, Vellore, India.
Antonio CianciObstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.
University of Catania · ITAdvocate Lutheran General Hospital · USChristian Medical College & Hospital · INPostgraduate School of Molecular Medicine · PLUniversity of Debrecen · HUWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this review is to provide an overview of the literature about the perception and management of anxiety and pain in women undergoing an office hysteroscopic procedure.

methodsWe performed a systematic literature search in Embase, PubMed/MEDLINE, Cochrane Library and Web of Science for original studies written in English (registered in PROSPERO 2019-CRD42019132341), using the terms 'hysteroscopy' AND 'pain' AND 'anxiety' published up to January 2019. Only original articles (randomized, observational and retrospective studies) about management of anxiety and pain related to the hysteroscopic procedure were considered eligible.

resultsOur literature search produced 84 records. After exclusions, 11 studies including 2222 patients showed the following results: (a) pain experienced during hysteroscopy is negatively affected by preprocedural anxiety; (b) pharmacological interventions seem to be help in reducing pain during hysteroscopy; (c) waiting time before the procedure is a significant factor affecting patients' anxiety; (d) music during the procedure may be helpful in reducing anxiety.

conclusionsThe utilization of office hysteroscopy is hampered by varying levels of anxiety and pain perceived by women who are candidates for the procedure. For these reasons, it is essential to identify effective pharmacological and non-pharmacological strategies to alleviate these factors. We recommend further studies especially focusing on non-pharmacological interventions to facilitate the dissemination of good clinical practices among hysteroscopists.

Indexed as

AnxietyFemaleHumansHysteroscopyPainPain ManagementPain PerceptionRetrospective StudiesAnesthesiaIntracervicalIntrauterineLocalOffice hysteroscopyPain managementVisual analog pain scale

Identifiers

PMID32140807
OpenAlexW3010163019

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.