Evidence map›Paper›PMID 33608828›Full record

SynthesisNeurosurgical review2021

The impact of preoperative anxiety on patients undergoing brain surgery: a systematic review.

Vittorio Oteri, Anna Martinelli, Elisa Crivellaro, Francesca Gigli

Abstract readSystematic Review
In one paragraph

Synthesis in Neurosurgical review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  6. Article
  7. Review
  8. Review
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  11. Article
  12. Music During Awake Brain Tumor Resection: A Case Series.Journal of neurosurgical anesthesiology · 2026
    Article
  13. Article
  14. Observational
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  19. Anxiety and self-efficacy in Chinese lung cancer patients: cross-lagged effects and the mediation of resilience.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Observational
  20. Article
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

4 authors.

Vittorio OteriDepartment of General Surgery and Medical Specialties, University of Catania, Catania, Italy. oteriv3@gmail.com.ORCID http://orcid.org/0000-0001-5210-8601
Anna MartinelliUniversity of Padova, Padova, Italy.ORCID https://orcid.org/0000-0002-9940-1298
Elisa CrivellaroUniversity of Milano, Milano, Italy.ORCID https://orcid.org/0000-0002-1221-4714
Francesca GigliUniversity of Milano, Milano, Italy.ORCID https://orcid.org/0000-0002-9459-3286

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preoperative anxiety is a common reaction exhibited by up to 80% of patients who are scheduled for surgical procedures and characterized by psychological and physical changes which may affect their perioperative period. Our aim is to report the most up-to-date evidence on preoperative anxiety in brain surgery patients through a systematic analysis of the studies produced in the last decades. We performed a systematic review of literature by searching PubMed, Embase, and Cochrane Library databases. Data were extracted using the Population, Intervention, Comparison, Outcome framework and critically analyzed. PRISMA guidelines were applied, and the risk of bias of the included studies was assessed using the Risk of bias (RoB) 2 and ROBINS tools, as was the methodological quality, following GRADE criteria. We included 27 articles, accounting for 2558 patients in twelve different countries. The prevalence of preoperative anxiety ranged from 17 up to 89%, higher in female patients. Preoperative anxiety was associated with lower quality of life and cognitive performance, higher need for information, poorer memory and attention, longer hospitalization, depressive symptoms, and increase of physical disability; no correlation with survival rate was found. Seven randomized controlled trials attested the efficacy of acupuncture, music therapy, virtual reality, and pharmacological support in lowering anxiety levels. Preoperative anxiety is a common phenomenon that could negatively affect the perioperative period of brain surgery patients: this is something that should not be neglected to achieve better care through early prevention and optimal management.

Indexed as

Music TherapyQuality of LifeAnxietyBrainFemaleHumansBrain surgeryNeurosurgeryPerioperative carePreoperative anxietyQuality of lifeSystematic review

Identifiers

PMID33608828
PMCPMC8593022

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.