Evidence map›Paper›PMID 40493088›Full record

SynthesisPediatric surgery international2025

Effects of virtual reality on pain, anxiety, and delirium in pediatric surgery: a systematic review and meta-analysis.

Seçil Taylan, Kızbes Meral Kılıç, İlknur Özkan

Registry-linked trialAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07737886 (Feasibility, Acceptability, and Preliminary Effects of Virtual Reality for Pain, Anxiety and Recovery Enhancement of Children Post-Scoliosis Surgical Repair), which is not on this 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.

NCT07737886 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Feasibility, Acceptability, and Preliminary Effects of Virtual Reality for Pain, Anxiety and Recovery Enhancement of Children Post-Scoliosis Surgical Repair: A Pilot Randomized Controlled Parallel Trial (VR-SPINE)

TypeinterventionalSponsorSt. Justine's HospitalRan2026 to 2028Enrolled24ConditionsScoliosis PatientsArmsVirtual Reality, Standard medical treatment
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Article
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

3 authors.

Seçil TaylanKumluca Faculty of Health Sciences, Surgical Nursing Department, Akdeniz University, Kumluca, Antalya, Turkey.ORCID http://orcid.org/0000-0002-7243-0734
Kızbes Meral KılıçKumluca Faculty of Health Sciences, Child Development Department, Akdeniz University, Kumluca, Antalya, Turkey. kizbesmeral@gmail.com.ORCID http://orcid.org/0000-0002-4209-2615
İlknur ÖzkanKumluca Faculty of Health Sciences, Internal Medicine Nursing Department, Akdeniz University, Kumluca, Antalya, Turkey.ORCID http://orcid.org/0000-0002-0826-5682

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo examine the effects of virtual reality on preoperative, intraoperative and postoperative patient outcomes in pediatric surgical patients, providing a comprehensive assessment of its potential benefits in perioperative care management.

methodsThis research employed a systematic review and meta-analysis methodology. The databases MEDLINE, Complementary Index, Academic Search Ultimate, CINAHL Complete, Directory of Open Access Journals, and Supplemental Index were systematically searched using keywords adapted to each database. To evaluate the quality of randomized controlled trials (RCTs), the Cochrane Risk of Bias Tool (RoB 2) was utilized. The data analysis was conducted using Comprehensive Meta-Analysis (CMA) software version 3. Meta-analyses were performed on studies that provided continuous statistical data suitable for estimating overall effects.

resultsVirtual reality significantly reduced preoperative and intraoperative anxiety to a moderate degree (p < 0.001 and p = 0.002). However, its effects on postoperative pain (p = 0.071) and delirium (p = 0.307) were not statistically significant.

conclusionVirtual reality is an effective intervention for reducing anxiety in pediatric surgical patients. However, considering the heterogeneity and methodological differences among the included studies, further randomized controlled trials (RCTs) are necessary to strengthen these findings.

Indexed as

AnxietyDeliriumPostoperative PainVirtual RealityChildHumansMeta-analysesNursingPediatricsVirtual reality

Identifiers

PMID40493088
PMCPMC12152094

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.