Evidence map›Paper›PMID 40557346›Full record

ReviewAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2025

Immersive Virtual Reality for Postoperative Pain Among Older Adults: A Scoping Review.

Christina Keny, Bhagvat Maheta, Karl Lorenz, Marcia M Russell, Heather Leutwyler, Laura M Wagner, Victoria Tang, Linda Park

Abstract readReview
In one paragraph

Review in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

8 authors.

Christina KenyFrom the Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA.
Bhagvat MahetaCollege of Medicine, California Northstate University, Elk Grove, CA.
Karl LorenzUnited States Department of Veterans Affairs, Palo Alto Healthcare System, Palo Alto, CA.
Marcia M RussellDepartment of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Heather LeutwylerDepartment of Physiological Nursing, University of California, San Francisco, CA.
Laura M WagnerDepartment of Community Health Systems, University of San Francisco, San Francisco, CA.
Victoria TangFrom the Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA.
Linda ParkDepartment of Community Health Systems, University of San Francisco, San Francisco, CA.

Funding

Improving Outcomes of Older Adults with Psychosocial Vulnerability Undergoing Major SurgeryK76AG059931 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI TANG, VICTORIA LAI-YEN · 2019 to 2023
$1.4M
NIA NIH HHS K76 AG059931
6 · The paper itself

Abstract

Objective: The aim is to map out and describe, through a scoping review, the current evidence on immersive virtual reality (IVR) for postoperative pain management in surgical older adults. Background: Managing postoperative pain in older adults through pharmacological interventions poses inherent complexity and risk to the patient. There is a growing interest in nonpharmacological interventions, including IVR, to address postoperative pain in older adults. However, IVR use for postoperative pain across a spectrum of surgical procedures remains largely unknown in the older adult demographic. Methods: A comprehensive literature search of 5 databases was conducted through April 2024. Inclusion criteria were: (1) mean/median age greater than 65; (2) patients underwent surgical procedures; (3) the intervention group received IVR before, during, or after surgery; and (4) numerical postoperative pain scores were collected. Study titles/abstracts underwent initial screening against inclusion/exclusion criteria, followed by full-text screening. A narrative report was compiled with the identified studies. Results: This scoping review yielded 10 studies. Three main findings emerged: (1) IVR for postoperative pain occurred predominantly in total joint replacement surgery; (2) while over half of the studies in this review indicated that IVR could improve postoperative pain management, weak to moderate study designs and small sample sizes limited the ability to draw firm conclusions about IVR use in older adults; and (3) there was significant heterogeneity in IVR administration and program content offered. Conclusions: Despite common misconceptions that older adults are averse to new technology, this scoping review suggests that IVR for postoperative pain in older surgical adults holds potential as an acceptable and feasible intervention. This review highlights the need for more rigorous randomized clinical trials on IVR efficacy in older adults across a more diverse spectrum of surgical procedures and older adult subgroups (eg, underrepresented minority groups or those with physical/cognitive limitations).

Indexed as

geriatricspainsurgeryvirtual reality

Identifiers

PMID40557346
PMCPMC12185076

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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.