Evidence map›Paper›PMID 39546033›Full record

ArticleActa neurochirurgica2024

Virtual reality for patient informed consent in skull base tumors and intracranial vascular pathologies: A pilot study.

Emilia Westarp, Attill Saemann, Marek Zelechovski, Balazs Faludi, Philippe Cattin, Jehuda Soleman, Raphael Guzman

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In one paragraph

Article in Acta neurochirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

7 authors.

Emilia WestarpDepartment of Neurosurgery, University Hospital Basel, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland. Emilia.westarp@usb.ch.
Attill SaemannDepartment of Neurosurgery, University Hospital Basel, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland. attill.saemann@usb.ch.
Marek ZelechovskiDepartment of Biomedical Engineering, University of Basel, Allschwil, Switzerland.
Balazs FaludiDepartment of Biomedical Engineering, University of Basel, Allschwil, Switzerland.
Philippe CattinDepartment of Biomedical Engineering, University of Basel, Allschwil, Switzerland.
Jehuda SolemanDepartment of Neurosurgery, University Hospital Basel, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Raphael GuzmanDepartment of Neurosurgery, University Hospital Basel, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWith the growing demand for shared decision-making and patient-centered care, optimal informed consent (IC) has gained relevance. Virtual reality (VR) has seen significant technological advancements, and its medical applications currently include surgical planning and medical education. This pilot study investigates the feasibility of VR-enhanced informed consent (VR-IC) in neurosurgery to improve preoperative IC and patient satisfaction.

methodsWe included patients aged 18 to 75 years who were scheduled for skull base meningioma or brain aneurysm surgery between May and December 2023. Exclusion criteria were visual/auditory impairments and severe cognitive/psychiatric disorders. Patients received standard IC followed by VR-IC using patient-specific VR models of their pathology. After an initial demonstration by the surgeon, the patients used the VR station independently. A questionnaire with 18 questions on a 5-point Likert scale assessed the subjective impression of VR-IC.

resultsTen patients participated in the study, with six (60%) undergoing aneurysm clipping and four (40%) undergoing skull base meningioma resection. The mean age of the participants was 58 years (± 15, range 27 to 75 years), with four female patients (40%). Patients overall rated the VR-informed consent (VR-IC) positively with a mean of 4.22 (± 0.84). There was a better understanding of their pathology (mean 4.30 ± 0.92) and the planned procedure (mean 3.95 ± 1.04). Trust in the surgeon was rated with a mean of 3.47 (± 0.94). Only minimal side effects from the VR experience including dizziness or discomfort were noted (mean 4.60 ± 0.22). None of the participants dropped out of the study.

conclusionVR-enhanced informed consent is feasible and improves patient understanding and satisfaction without significant side effects. These findings will guide the planning of a randomized controlled trial to validate the benefits of VR-IC in neurosurgery further.

Indexed as

Informed ConsentIntracranial AneurysmMeningiomaSkull Base NeoplasmsVirtual RealityAdultAgedFeasibility StudiesFemaleHumansMaleMeningeal NeoplasmsMiddle AgedNeurosurgical ProceduresPatient SatisfactionPilot ProjectsNeurosurgeryPatient informed consentSubjective patient comprehensionVirtual reality

Identifiers

PMID39546033
PMCPMC11568013

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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.