Evidence map›Paper›PMID 40097827›Full record

Trial reportPediatric research2025

Evaluating 3D-printed models for congenital heart disease: impact on parental anxiety and procedural understanding.

Linda Grefen, Felix Rudolf, Christopher Herz, Nikolaus A Haas, André Jakob, Christian Hagl, Paul Philipp Heinisch, Jürgen Hörer, Nikolaus Thierfelder, Maximilian Grab

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Three-Dimensional Printing in Pediatric Orthopaedics: Cost Analysis and Emerging Applications.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Review
  2. Article
  3. Article
  4. 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

10 authors.

Linda GrefenDepartment of Cardiac Surgery, LMU University Hospital, LMU Munich, Munich, Germany. Linda.Grefen@med.uni-muenchen.de.ORCID http://orcid.org/0000-0001-6864-3545
Felix RudolfDepartment of Cardiac Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Christopher HerzDepartment of Cardiac Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Nikolaus A HaasDepartment of Pediatric Cardiology and Intensive Care, LMU University Hospital, LMU Munich, Munich, Germany.
André JakobDepartment of Pediatric Cardiology and Intensive Care, LMU University Hospital, LMU Munich, Munich, Germany.
Christian HaglDepartment of Cardiac Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Paul Philipp HeinischDepartment of Congenital and Pediatric Heart Surgery, German Heart Center Munich, Technical University Munich, Munich, Germany.
Jürgen HörerDepartment of Congenital and Pediatric Heart Surgery, German Heart Center Munich, Technical University Munich, Munich, Germany.
Nikolaus ThierfelderDepartment of Cardiac Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Maximilian GrabDepartment of Cardiac Surgery, LMU University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvaluation of the impact of 3D-printed models on parental education and anxiety in parents of children with congenital heart disease (CHD) who are undergoing interventions or surgeries.

methodsA prospective randomized controlled trial was conducted at LMU University Hospital and the German Heart Center Munich. Parents (n = 57) of pediatric CHD patients were randomized into two groups: a control group using standardized paper-based methods and an intervention group using additional 3D-printed models. Parental anxiety was assessed using the Visual Analog Scale (VAS) and the State-Trait Anxiety Inventory, while procedural understanding and satisfaction with the education were evaluated using custom-developed questionnaires.

resultsBoth educational methods significantly increased procedural understanding (control 77.5% to 92.3%; 3D model: 77% to 89.4%, p < 0.0001, respectively). Significant reduction of anxiety was observed in both groups, (VAS reduction control: -0.9, p = 0.0342; 3D model: -1.1, p = 0.0116). Parents with medical background or those informed by pediatricians had lower anxiety whereas those seeking information online exhibited higher anxiety levels.

conclusionBoth educational methods significantly reduced parental anxiety and improved procedural understanding. 3D-printed models were well-received and will be integrated into routine practice to enhance education on CHD procedures and optimize physician-parent communication. IMPACT STATEMENT: Using additional 3D-printed models of congenital heart defects significantly reduces parental anxiety and increases procedural understanding of complex interventions or surgeries. Physicians are in desperate need of new visualization methods for an efficient patient education. This study underscores the need for tailored educational and psychological support for parents based on their previous experiences.

Indexed as

AnxietyHeart Defects, CongenitalModels, AnatomicParentsPrinting, Three-DimensionalAdultChildChild, PreschoolComprehensionFemaleGermanyHumansInfantMalePatient Education as TopicProspective Studies

Identifiers

PMID40097827
PMCPMC12602363

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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.