Evidence map›Paper›PMID 38165441›Full record

SynthesisArchives of gynecology and obstetrics2024

The effect of virtual reality on pain and anxiety management during outpatient hysteroscopy: a systematic review and meta-analysis of randomized controlled trials.

Saeed Baradwan, Majed Saeed Alshahrani, Rayan AlSghan, Mohammad Alyafi, Rasha Ezzat Elsayed, Faiza Ahmed Abdel-Hakam, Abdelmonsef Abdelghaffar Moustafa, Ayman Esmail Hussien, Othman Saadeldien Yahia, Ahmed Abdelaziz Shama and 3 more

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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

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

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

  1. Pooled it
  2. 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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  11. Virtual reality for pain relief in gynaecological careFacts, views & vision in ObGyn · 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

13 authors.

Saeed BaradwanDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Majed Saeed AlshahraniDepartment of Obstetrics and Gynecology, Faculty of Medicine, Najran University, Najran, Saudi Arabia.
Rayan AlSghanDepartment of Obstetrics and Gynecology, Maternity and Children Hospital, AlKharj, Saudi Arabia.
Mohammad AlyafiDepartment of Obstetrics and Gynecology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Rasha Ezzat ElsayedDepartment of Obstetrics and Gynecology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
Faiza Ahmed Abdel-HakamDepartment of Obstetrics and Gynecology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
Abdelmonsef Abdelghaffar MoustafaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ayman Esmail HussienDepartment of Anesthesia and Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University for Girls, Cairo, Egypt.
Othman Saadeldien YahiaDepartment of Anesthesia and Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed Abdelaziz ShamaDepartment of Anesthesia and Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Amr Ahmed MagdyDepartment of Anesthesia and Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Ahmed Mohamed AbdelhakimKasr Al-Ainy, Faculty of Medicine, Cairo University, Cairo, Egypt. ahmed.m.rohei@students.kasralainy.edu.eg.ORCID 0000-0001-9579-8366
Haitham BadranDepartment of Obstetrics and Gynecology, Faculty of Medicine, Fayoum University, Fayoum, Egypt.ORCID 0000-0001-9703-524X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur study aimed to evaluate the effectiveness of virtual reality (VR) intervention for pain and anxiety relief during outpatient hysteroscopy.

methodsVarious databases were searched for available clinical trials from inception until June 2023. We selected randomized controlled trials (RCTs) that compared virtual reality intervention versus standard care among women undergoing outpatient hysteroscopy. We used Revman software to perform our meta-analysis. The primary outcome was the pain score during the procedure. The secondary outcomes were anxiety during the procedure and pain post-procedure. The Visual Analog Scale (VAS) was used to assess pain and anxiety.

resultsSix RCTs were retrieved, involving a total of 457 patients. Virtual reality was associated with a significant reduction in pain score during the procedure in comparison with the control group (MD = - 1.43, 95% CI [- 1.69, - 1.16], p < 0.001). In addition, there was a significant decrease in anxiety during the procedure among the virtual reality group compared to the control group (p = 0.01). The pain score post-procedure significantly decreased within the virtual reality group (MD = - 1.52, 95% CI [- 1.78, - 1.26], p < 0.001).

conclusionsVirtual reality technology is a simple, feasible, and effective intervention for reducing pain and anxiety during outpatient hysteroscopy. More trials are required to confirm our findings.

Indexed as

AnxietyHysteroscopyPain ManagementProcedural PainRandomized Controlled Trials as TopicAmbulatory Surgical ProceduresFemaleHumansPain MeasurementVirtual RealityVirtual Reality Exposure TherapyAnxietyHysteroscopyPainVirtual realityVR

Identifiers

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.