Evidence map›Paper›PMID 42837655›Full record

Trial reportJournal of medical Internet research2026

Effects of Virtual Reality on Pain, Anxiety, and Fear During Thyroid Fine-Needle Aspiration Biopsy: Open-Label Randomized Controlled Trial.

Emine Karadeniz, Hamdiye Arda, Esma Gülsun Arslan Cellat

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06792929 (Effects of Virtual Reality on Pain, Anxiety, and Fear During Thyroid Fine-needle Aspiration Biopsy), which is not on this 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.

NCT06792929 nacompletednot on this map

Effects of Virtual Reality on Pain, Anxiety, and Fear During Thyroid Fine-needle Aspiration Biopsy: an Open-label Randomized Controlled Trial

TypeinterventionalSponsorDicle UniversityRan2025 to 2025Enrolled100ConditionsVirtual Reality Therapy, Ultrasound, Fine Needle Aspiration Biopsy, Thyroid Nodule (Diagnosis)ArmsVirtual reality headset
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

3 authors.

Emine KaradenizEmergency Department, Abdulkadir Yüksel State Hospital, Gaziantep, Gaziantep, East Turkey, Turkey.ORCID https://orcid.org/0009-0001-9015-1237
Hamdiye ArdaDepartment of Nursing, Atatürk Faculty of Health Sciences, Dicle University, Diyarbakır, East Turkey, Turkey.ORCID https://orcid.org/0000-0001-7052-1002
Esma Gülsun Arslan CellatDepartment of Endocrinology and Metabolic Diseases, Endocrine and Metabolic Diseases Specialist Clinic, Gaziantep, East Turkey, Turkey.ORCID https://orcid.org/0000-0002-3151-2549

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThyroid fine-needle aspiration biopsy (FNAB) is a commonly used diagnostic procedure in patients with suspected thyroid cancer; however, it may induce pain, anxiety, and fear during the procedure.

objectiveThis open-label randomized controlled trial aimed to evaluate the effect of virtual reality (VR) on pain as the primary outcome and anxiety and fear of pain as secondary outcomes in patients undergoing thyroid FNAB.

methodsThe study was conducted between January 19, 2025, and April 30, 2025, at Gaziantep City Hospital, Türkiye. A total of 100 patients with suspected thyroid nodules were randomly assigned to either a VR intervention group (n=50) or a control group (n=50). Data were collected using a patient information form, the visual analog scale (VAS), the Beck Anxiety Inventory (BAI), and the Fear of Pain Questionnaire-III (FPQ-III).

resultsAfter adjustment for baseline pain, previous thyroid mass diagnosis, and voice tone changes, the VR group had statistically significantly lower postintervention pain scores than the control group (adjusted mean 3.627 vs 4.493; F

conclusionsThe adjusted analysis suggested a small reduction in procedural pain with VR; however, the between-group difference was not statistically significant in the unadjusted analysis and reached statistical significance only after adjustment for baseline pain and 2 nonprespecified covariates selected on the basis of observed baseline imbalance. Moreover, the observed adjusted effect (f=0.207) was smaller than the minimum effect size the trial was powered to detect (f=0.283). No statistically significant adjusted between-group effects were found for anxiety or fear of pain. Therefore, the potential analgesic effect of VR should be interpreted cautiously and confirmed in larger, adequately powered trials.

trial registrationClinicalTrials.gov NCT06792929; https://clinicaltrials.gov/study/NCT06792929.

Indexed as

AnxietyFearPainThyroid GlandVirtual RealityAdultBiopsy, Fine-NeedleFemaleHumansMaleMiddle AgedPain MeasurementanxietyfearFNABpainthyroid cancer suspicionthyroid fine-needle aspiration biopsyvirtual realityVR

Identifiers

PMID42837655
PMCPMC13684117

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