Evidence map›Paper›PMID 37917158›Full record

SynthesisArchives of gynecology and obstetrics2024

Pain and anxiety management with virtual reality for office hysteroscopy: systemic review and meta-analysis.

Nadav Cohen, Lelia Abu Nasra, Moran Paz, Yuval Kaufman, Ofer Lavie, Ariel Zilberlicht

2 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 5 pooled it
4.2field-weighted citation impact, top 5% 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.

NCT06463210 nacompletednot on this map

Virtual Reality for Pain Management and Patient Satisfaction During Outpatient Hysteroscopy: a Randomized Controlled Trial

TypeinterventionalSponsorHospital Universitario 12 de OctubreRan2022 to 2022Enrolled120ConditionsPain, Acute, Satisfaction, PatientArmsVirtual reality as a distraction technique
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

15 citing papers in PubMed, 5 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  7. Comparison of virtual reality and podcasts for improving patient experience during colposcopy: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  14. TikTok as a platform for hysteroscopy information: An analytical video-based cross-sectional study to assess quality, reliability, and accuracy.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
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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

6 authors at 2 institutions in 1 country.

Nadav CohenDepartment of Obstetrics and Gynecology, Lady Davis Carmel Medical Center, Haifa, Israel. nadavco@clalit.org.il.ORCID 0000-0001-7733-5026
Lelia Abu NasraDepartment of Obstetrics and Gynecology, Lady Davis Carmel Medical Center, Haifa, Israel.
Moran PazDepartment of Obstetrics and Gynecology, Lady Davis Carmel Medical Center, Haifa, Israel.
Yuval KaufmanDepartment of Obstetrics and Gynecology, Lady Davis Carmel Medical Center, Haifa, Israel.
Ofer LavieDepartment of Obstetrics and Gynecology, Lady Davis Carmel Medical Center, Haifa, Israel.
Ariel ZilberlichtDepartment of Obstetrics and Gynecology, Lady Davis Carmel Medical Center, Haifa, Israel.
Technion – Israel Institute of Technology · ILCarmel Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOffice hysteroscopy (OH) is a commonly performed procedure, although it might be associated with some degree of pain and anxiety. Our aim was to determine the effects of virtual reality on pain and anxiety levels felt by patients undergoing OH.

methodsMEDLINE, Embase, Google Scholar, Cochrane Library, clinicaltrials.gov, ProQuest, Grey literature, and manual searching of references within studies found in the initial search were systematically searched using the terms 'Virtual Reality' and 'Hysteroscopy' without time or language limitations. The review considered all studies assessing the impact of virtual reality (VR) over OH outcomes, and prospective randomized trials were included in the meta-analysis. Retrospective and case - control studies were excluded from the meta-analysis.

resultsWe identified 17 studies, of which four randomized controlled studies were included in the meta-analysis (327 participants, 168 in the VR group and 159 in the control group). On a 0-10 scale, pain sensation and maximal pain sensation during the operation were not statistically different between study and control groups (relative risk (RR) =  -0.64, 95% C.I (-1.57)0.29) and (RR = -0.93, 95% C.I (-3.33) - 1.47), respectively. Anxiety measurement was statistically lower in the study group (RR = -1.73, 95% C.I (-2.79) - ( -0.67)).

conclusionsThe available data suggest that VR techniques do not decrease the pain sensation during OH however, they do contribute to a reduction in the anxiety levels experienced by patients. PROSPERO registration number CRD42023432819.

Indexed as

AnxietyHysteroscopyVirtual RealityAmbulatory Surgical ProceduresFemaleHumansPain ManagementPain MeasurementProcedural PainRandomized Controlled Trials as TopicAnxietyMeta-analysisOffice hysteroscopyPainVirtual reality

Identifiers

PMID37917158
OpenAlexW4388222881

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.