Evidence map›Paper›PMID 40900468›Full record

ArticleEinstein (Sao Paulo, Brazil)2025

Impact of a serious immersive virtual reality game in managing pain during venous or catheter procedures in Pediatric Oncology.

Michelle Zampar Silva, Luzia Iara Pfeifer, Barbara Jacomin, Juliana da Costa Feitosa, Raphael de Aro Sousa, José Remo Ferreira Brega, Davi Casale Aragon, Luiz Gonzaga Tone, Carlos Alberto Scrideli, Elvis Terci Valera

Abstract read
In one paragraph

Article in Einstein (Sao Paulo, Brazil), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

Michelle Zampar SilvaDepartment of Pediatrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.ORCID http://orcid.org/0000-0002-4054-1309
Luzia Iara PfeiferDepartment of Neurosciences and Behavioral Sciences, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.ORCID http://orcid.org/0000-0002-1826-1968
Barbara JacominDepartment of Neurosciences and Behavioral Sciences, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.ORCID http://orcid.org/0000-0002-3138-0523
Juliana da Costa FeitosaDepartment of Computing, Universidade Estadual Paulista "Júlio de Mesquita Filho", Bauru, SP, Brazil.ORCID http://orcid.org/0009-0005-6935-1022
Raphael de Aro SousaDepartment of Computing, Universidade Estadual Paulista "Júlio de Mesquita Filho", Bauru, SP, Brazil.ORCID http://orcid.org/0009-0002-7792-1118
José Remo Ferreira BregaDepartment of Computing, Universidade Estadual Paulista "Júlio de Mesquita Filho", Bauru, SP, Brazil.ORCID http://orcid.org/0000-0002-2275-4722
Davi Casale AragonDepartment of Pediatrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.ORCID http://orcid.org/0000-0003-1019-3654
Luiz Gonzaga ToneDepartment of Pediatrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.ORCID http://orcid.org/0000-0001-8821-4211
Carlos Alberto ScrideliDepartment of Pediatrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.ORCID http://orcid.org/0000-0001-6618-789X
Elvis Terci ValeraDepartment of Pediatrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.ORCID http://orcid.org/0000-0002-4434-429X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the impact of a serious immersive virtual reality game on the physiological and behavioral aspects of pain during peripheral venous access or central catheter puncture in children and adolescents with cancer.

methodsThis was a longitudinal intervention study that included 50 children and adolescents undergoing cancer therapy and peripheral venipuncture or venous catheter puncture (totally implanted or central venous catheter) at two independent time points (control and experimental intervention). The intervention consisted of playing a serious immersive virtual reality game with three-dimensional goggles and a Bluetooth controller. The patients were monitored for alterations in physiological (heart rate and oxygen saturation) and behavioral (agitation, crying, and pain assessed using the Faces Pain Scale-Revised and Visual Analogue Scale) parameters. An agreement analysis was conducted by calculating the weighted kappa coefficient; p was obtained using Bowker's symmetry test.

resultsUse of immersive virtual reality significantly reduced heart rate, improved pain control as assessed by the Faces Pain Scale-Revised, and decreased agitation and crying.

conclusionSerious immersive virtual reality games reduce pain and distress during repetitive and uncomfortable procedures such as venipuncture and venous catheter puncture in children and adolescents with cancer. This strategy is simple to implement, cost-effective, and should be considered by health care services assisting pediatric patients with cancer.

background■ Immersive virtual reality reduced heart rate, pain, agitation, and crying during pediatric venipuncture.

background■ This technology effectively reduced pain during repeated invasive procedures, including catheter punctures.

background■ The serious game strategy is low-cost, easy to implement, and well-suited for pediatric oncology care.

backgroundVarious pain management strategies are employed for children undergoing cancer treatment. Silva et al. prospectively evaluated an innovative approach using an immersive serious game for pain control. The intervention significantly reduced pain perception during venipuncture. Herein, we evaluate immersive virtual reality for pain management in pediatric oncology care.

Indexed as

Catheterization, Central VenousCatheterization, PeripheralNeoplasmsPain ManagementPhlebotomyProcedural PainVideo GamesVirtual RealityAdolescentChildFemaleHeart RateHumansLongitudinal StudiesMalePain

Identifiers

PMID40900468
PMCPMC12539856

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LicenceCC BY
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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.