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Abstract: FR-PO0449

Metaverse Technology Use Among Patients Undergoing Hemodialysis: Systematic Review and Meta-Analysis of Randomized Controlled Trials (RCTs)

Session Information

Category: Dialysis

  • 801 Dialysis: Hemodialysis and Frequent Dialysis

Authors

  • Chong, Hye Jin, Sunchon National University, Suncheon-si, Jeollanam-do, Korea (the Republic of)
  • Kim, Min Jung, Ewha Womans University, Seodaemun-gu, Seoul, Korea (the Republic of)
Background

Owing to rapid digital healthcare development, metaverse technologies have emerged as novel approaches to patient management. Patients on hemodialysis may benefit from these technologies in terms of pain management, physical deconditioning, and psychological distress. However, evidence of their effectiveness has been unclear.

Methods

The study protocol was registered with PROSPERO. Following PRISMA guidelines, we searched the CINAHL, Cochrane Library Central, Embase, PubMed, and Scopus electronic databases for randomized controlled trials investigating metaverse interventions in patients on hemodialysis from inception to Nov 2024. Two independent reviewers screened and extracted the data, with methodological quality assessed using the Revised Cochrane ROB2 tool. Data was pooled using random and fixed effects approaches.

Results

Fourteen studies (11 trials) met the inclusion criteria. The most common technology used among the studies was virtual-reality (VR) while the remainders used sensor-based exercise gamification. Meta-analytic findings indicated that VR significantly reduced arteriovenous fistula cannulation pain and moderately improved hemodynamics (oxygen saturation and heart rates), selected physical outcomes (6-minute walk test, physical activity, and gait speed), and depressive symptoms.

Conclusion

VR-based interventions appear promising for pain management and some physical improvements in patients on hemodialysis. To maximize the clinical utility of metaverse interventions in hemodialysis care settings, future studies should investigate a wider variety of metaverse modalities (such as augmented and mixed realities) and establish standardized outcome measurement periods.

Funding

  • Government Support – Non-U.S.

Digital Object Identifier (DOI)