Evidence map›Paper›PMID 42729432›Full record

ReviewMayo Clinic proceedings. Digital health2026

Medical Extended Reality in Perioperative Medicine: A Scoping Review of Intervention Development, Feasibility Evaluation, and Translational Readiness.

Megan Crooks, Kailey E Penner, Hilary Johnson, Thomas J Caruso, Vanessa A Olbrecht, Hunter G Hoffman, Elizabeth Rossmann Beel, Kathleen Chen, Sam R Sharar, Jeffrey I Gold and 2 more

Abstract readReview
In one paragraph

Review in Mayo Clinic proceedings. Digital health, 2026. 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

12 authors.

Megan CrooksDepartment of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada.
Kailey E PennerDepartment of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada.
Hilary JohnsonDepartment of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada.
Thomas J CarusoDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, CA.
Vanessa A OlbrechtDepartment of Anesthesiology, Perioperative, and Pain Medicine, Nemours Children's Hospital, Wilmington, DE.
Hunter G HoffmanDepartment of Mechanical Engineering, University of Washington, Seattle, WA.
Elizabeth Rossmann BeelDepartment of Anesthesiology, Perioperative, and Pain Medicine, Baylor College of Medicine, Houston, TX.
Kathleen ChenDepartment of Anesthesiology, Perioperative, and Pain Medicine, Baylor College of Medicine, Houston, TX.
Sam R ShararDepartment of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA.
Jeffrey I GoldDepartment of Anesthesiology, Pediatrics, and Psychiatry & Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA.
Christopher D KingUC Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Renée El-GabalawyDepartment of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To characterize methodological features, intervention characteristics, and outcome trends of medical extended reality (MXR) applications for perioperative patients. Patients and Methods: This scoping review was conducted in accordance with the JBI Manual for Evidence Synthesis. Searches were conducted in January 2025 and updated on August 12, 2025, across MEDLINE, Embase, Scopus, IEEE, Google Scholar, Cochrane Library, arXiv, and ProQuest Dissertations and Theses. Primary studies evaluating immersive MXR interventions in perioperative patients were included. Results: Of 5883 records identified, 190 studies published between 2012 and 2026 were included. Most studies involved adult populations (69.5%), used virtual reality (95.8%), and delivered interventions preoperatively, most often targeting anxiety or pain. Studies were predominantly randomized controlled trials evaluating efficacy (48.4%), with few early developmental studies incorporating user-centered design (2.6%). Early-stage feasibility studies (47.9%) showed substantial methodological and outcome heterogeneity, with patient satisfaction (25.3%) and feasibility (18.4%) infrequently prioritized as primary outcomes. Studies commonly evaluated multiple intervention mechanisms, such as distraction and education, within single designs (35.3%), and some delivered interventions across multiple perioperative phases (10.5%). Few studies included MXR comparator conditions (6.8%). Conclusion: Perioperative MXR shows promising signals of efficacy and feasibility based on reported study outcomes; however, these favorable trends should be interpreted cautiously given possible publication bias and the absence of a formal risk-of-bias assessment. Limited use of user-centered design, inconsistent and nonvalidated measurement of feasibility outcomes, and mechanistic ambiguity may constrain translation. Greater alignment with staged development frameworks and more rigorous feasibility evaluation are needed to support implementation. Preregistration: https://osf.io/nkwfy/wiki?wiki=yqanp.

Identifiers

PMID42729432
PMCPMC13562372

What OpenQuestion holds

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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.