Evidence map›Paper›PMID 41257702›Full record

Trial reportBMC pediatrics2025

The effect of preoperative virtual reality on anxiety, pain and postoperative recovery in children undergoing circumcision.

Lifeng Shen, Changying Mei, Hongxia Wang, Anni Xia, Tingting Fu, Hong Zhu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

6 authors.

Lifeng ShenOperating Room, the First Affiliated Hospital of Ningbo University, Ningbo City, Zhejiang Province, 315000, China. 184235127@163.com.
Changying MeiOperating Room, the First Affiliated Hospital of Ningbo University, Ningbo City, Zhejiang Province, 315000, China.
Hongxia WangOperating Room, the First Affiliated Hospital of Ningbo University, Ningbo City, Zhejiang Province, 315000, China.
Anni XiaOperating Room, the First Affiliated Hospital of Ningbo University, Ningbo City, Zhejiang Province, 315000, China.
Tingting FuOperating Room, the First Affiliated Hospital of Ningbo University, Ningbo City, Zhejiang Province, 315000, China.
Hong ZhuOperating Room, the First Affiliated Hospital of Ningbo University, Ningbo City, Zhejiang Province, 315000, China. zhuhong0418@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe present study aims to assess the anxiety and pain perception in children receiving virtual reality (VR) interventions before circumcision, as well as the impact of VR on postoperative recovery.

methodsA total of 160 children undergoing circumcision in the hospital operating room from June 2023 to December 2024 were selected as study subjects. Using the random number table method, the children were divided into the Control and Observation groups, each comprising 80 children. The Control group received routine preoperative care, while the Observation group underwent VR intervention before surgery. Children’s anxiety levels were assessed using the Chinese version of the modified Yale Preoperative Anxiety Scale (m-YPAS) at three distinct time points: upon entering the surgical waiting room (T1), during anesthesia induction (T2), and 1 h post-surgery (T3). During surgery, cardiovascular stress indicators in children were recorded using a multiparameter monitor. Postoperative pain was assessed using the visual analog scale (VAS). Postoperative recovery and complications were observed.

resultsAt T1, there was no significant difference in m-YPAS scores between the two groups. The m-YPAS scores were highest at T1 and subsequently declined at T2 and T3. At T2 and T3, the m-YPAS scores of the Observation group were significantly lower than those of the Control group (P < 0.05). During surgery, the Observation group exhibited lower heart rate, systolic blood pressure, and diastolic blood pressure compared to the Control group (P < 0.05). Pain levels were highest for both groups at 1 h post-surgery and then declined at 1 d and 7d post-surgery. Additionally, the Observation group had significantly lower VAS scores at 1 h and 1 d post-surgery compared to the Control group (P < 0.05). The pain resolution time and incision healing time in the Observation group were significantly shorter than in the Control group (P < 0.05). There was no statistically significant difference (P > 0.05) between the two groups in the incidence of postoperative complications, including preputial edema (8.75% vs. 6.25%), incision bleeding (7.50% vs. 6.25%), and incision adhesion (2.50% vs. 1.25%). No adverse reactions such as dizziness, nausea, headache, or visual fatigue were reported in the Observation group during the use of the VR devices.

conclusionPreoperative VR intervention helps alleviate perioperative anxiety in children undergoing circumcision, stabilizes intraoperative physiological indicators, and shows potential in reducing early postoperative pain and promoting postoperative wound recovery. This study provides preliminary evidence for VR as a promising and safe non-pharmacological adjunctive intervention. However, further large-scale research is needed to validate the generalizability of its clinical benefits.

Indexed as

AnxietyCircumcision, MalePostoperative PainPreoperative CareVirtual RealityChildChild, PreschoolHumansMalePain MeasurementAnxietyCircumcisionPainVirtual realityWound recovery

Identifiers

PMID41257702
PMCPMC12629039

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LicenceCC BY-NC-ND
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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.