Evidence map›Paper›PMID 41158745›Full record

ArticleJournal of the Pediatric Orthopaedic Society of North America2025

Online Patient Education Resources Do Not Improve Perioperative Stresses for Common Pediatric Orthopaedic Procedures.

Chukwunonyelum Unobagha, William Harkin, Taylor Keightley, James D Bomar, Eric W Edmonds

Abstract read
In one paragraph

Article in Journal of the Pediatric Orthopaedic Society of North America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Chukwunonyelum UnobaghaDepartment of Orthopaedic Surgery, University of California, San Diego, San Diego, CA, USA.
William HarkinDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Taylor KeightleyDivision of Orthopaedic Surgery, Rady Children's Hospital, San Diego, San Diego, CA, USA.
James D BomarDivision of Orthopaedic Surgery, Rady Children's Hospital, San Diego, San Diego, CA, USA.
Eric W EdmondsDepartment of Orthopaedic Surgery, University of California, San Diego, San Diego, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anxiety and appropriate expectations for children having surgery are under investigation, and the utility of a perioperative online learning tool in attenuating anxiety in pediatric patients undergoing orthopaedic surgery has not been performed. Methods: An online tool with preanswered queries, videos, and guidance developed in part by certified child life specialists (CCLSs) was implemented as part of a quality improvement initiative and made available to families during the preoperative period. Children who presented to the preoperative area for planned orthopaedic intervention prospectively completed a deidentified qualitative 10-question form developed by child life specialists (CLSs), centered around the helpfulness of the administered preoperative education and the anxiety level of the child. Younger children were assisted by parents in their responses as needed, and one of the queries asked if they had viewed the available CLS resource, collecting 50 nonviewed families and 50 viewed families to develop comparative cohorts. Results: The mean age of the cohort was 13.7 ± 2.9 years (range: 2-18 years). Fifty of the Not-Viewed cohort and 20 of the viewed cohort had data collected regarding the surgery performed, and all recorded events were outpatient procedures. As a continuous variable, the two cohorts were not different regarding level of anxiety ( Conclusions: A nonpersonal online preoperative learning tool does not reduce the stress or anxiety for children undergoing orthopaedic procedures as much as the face-to-face time spent with the nurse, CCLS provider, and surgeon. Further research on the utility of per-operative educational tools may be required to help improve anxiety involving surgery. Key Concepts: (1)Surgeon and the preoperative team including the preoperative nurse and certified child life specialist (CCLS) are the primary source of preparation for surgery.(2)An online preoperative learning tool did not reduce anxiety or increase preparedness among respondents.(3)Anxious families consumed the online resources at a higher rate than nonanxious families. Level of Evidence: III (comparison cohort study).

Indexed as

AnxietyEducationOrthopaedicPediatricPreoperative surgeryStress

Identifiers

PMID41158745
PMCPMC12556226

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.