Evidence mapPaperPMID 42078439Full record

ArticleFrontiers in medicine2026

Intraoperative 40 Hz gamma frequency auditory stimulation for postoperative sleep disturbance in patients undergoing laparoscopic gynecological surgery: protocol for a randomized controlled trial.

Xiaoxuan Hu, Chong Fu, Binyang Ding, Yaoyu Ying, Qiyun Tan, Wei-Ming Zhao, Yajuan Zhu, Tingting Wu, Juan Wang, Hong Liu and 3 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Xiaoxuan Hu *Department of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Chong Fu *Department of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Binyang Ding *Division of Life Sciences and Medicine, School of Biomedical and Engineering, University of Science and Technology of China, Hefei, China.
Yaoyu YingDepartment of Epidemiology and Biostatistics, School of Public Health, Suzhou Medical College of Soochow University, Suzhou, China.
Qiyun TanDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Wei-Ming ZhaoDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Yajuan ZhuDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Tingting WuDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Juan WangDepartment of Obstetrics and Gynecology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Hong LiuDepartment of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, CA, United States.
Lingzhong MengDepartment of Anesthesia, Indiana University School of Medicine, Indianapolis, IN, United States.
Fu-Hai JiDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Hua-Yue LiuDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postoperative sleep disturbance (PSD) is a common complication after surgery and is associated with impaired recovery. This protocol describes a randomized controlled trial designed to determine whether intraoperative 40 Hz gamma frequency auditory stimulation reduces the incidence of PSD after laparoscopic gynecological surgery. Methods: This randomized, double-blind, controlled trial will enroll 342 patients scheduled for laparoscopic gynecological surgery under general anesthesia. Patients will be randomly allocated in a 1:1:1 ratio to three parallel groups: control (no headphones), sham stimulation (headphones without auditory output), or active stimulation (headphones delivering 40 Hz auditory stimulation). The primary outcome is the incidence of PSD on the first postoperative night. Secondary outcomes include the incidence of PSD on postoperative nights 2 and 3, daily Athens Insomnia Scale (AIS) scores, anxiety and depression scores (HADS-A/-D), sedative-hypnotic use, pain scores, analgesic consumption, the incidence of postoperative nausea and vomiting (PONV), rescue antiemetic use, duration of post-anesthesia care unit (PACU) stay, length of postoperative hospital stay, quality of postoperative recovery (QoR-15), perioperative adverse events, and patient satisfaction. Discussion: This trial will evaluate whether intraoperative 40 Hz gamma frequency auditory stimulation reduces PSD in patients undergoing laparoscopic gynecological surgery. The findings may provide evidence for a non-invasive perioperative strategy to mitigate sleep disruption and improve postoperative recovery. Clinical trial registration: http://www.chictr.org.cn, identifier [ChiCTR2500110341].

Indexed as

40 Hz auditory stimulationlaparoscopic gynecologic surgeryperioperative medicinepostoperative sleep disturbancerandomized controlled trial

Identifiers

PMID42078439
PMCPMC13128588

What Socratic 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 Socratic graph.