Evidence map›Paper›PMID 39014179›Full record

ArticleSurgical endoscopy2024

Unsedated colonoscopy utilizing virtual reality distraction: a pilot-controlled study.

Ido Veisman, Moran Tardio Duchan, Adi Lahat, Miki Goldenfeld, Offir Ukashi, Ido Laish, Alon Lang, Ahmad Albshesh, Reuma Margalit Yehuda, Yuval Senderowich and 6 more

Abstract readControlled Clinical Trial
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

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

  1. Pooled it
  2. Trial
  3. Review
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

16 authors.

Ido VeismanDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel. idoweiss37@gmail.com.
Moran Tardio DuchanDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel.
Adi LahatDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel.
Miki GoldenfeldFaculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, Israel.
Offir UkashiDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel.
Ido LaishDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel.
Alon LangDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel.
Ahmad AlbsheshDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel.
Reuma Margalit YehudaDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel.
Yuval SenderowichARC Innovation Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Moran Livne MargolinDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel.
Doron YablecovitchDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel.
Revital DvirDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel.
Sandra NeumanDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel.
Shomron Ben-HorinDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel.
Idan LevyDepartment of Gastroenterology, Sheba Medical Center, Derech Sheba 2, Tel Hashomer, Ramat Gan, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSedation increases colonoscopy risks and prolongs recovery time. We examined whether virtual reality (VR) can substitute for sedation. The primary outcome was the overall satisfaction of patients who underwent colonoscopy with VR headset compared with patients who underwent standard sedation. Pain during the procedure, polyp detection rate (PDR), colonoscopy duration, post-colonoscopy adverse events, post-colonoscopy recovery, time-to-return to daily functions, and turnaround time at the endoscopy unit were secondary outcomes.

methodsThe study was approved by Sheba Medical Center's ethics committee IRB number 21-8177-SMC. Sixty patients were sequentially enrolled in a 1:1 ratio to either standard sedated colonoscopy or VR-unsedated procedure, and all patients signed a written informed consent. 28/30 patients successfully completed the colonoscopy using VR headset. Overall satisfaction score was comparable between the groups.

resultsThere was no difference between VR and controls in colonoscopy duration, or PDR. VR patients had numerically lower rate of post-colonoscopy adverse events than controls. The proportion of VR patients who reported resuming daily activities on the day of the procedure was significantly higher than in the control group. The VR group patients spent significantly less time in the hospital compared to the control group.

conclusionsVR technology can provide adequate substitution for sedation for most patients undergoing colonoscopy and offers comparable patient satisfaction and faster return to daily activities.

Indexed as

ColonoscopyPatient SatisfactionProcedural SedationVirtual RealityAdultAgedFemaleHumansMaleMiddle AgedPilot ProjectsProcedural PainColonoscopySedationUnsedatedVirtual reality

Identifiers

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Registered trials

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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.