Parental involvement for pediatric perioperative anxiety: A systematic review and implementation framework

doi:10.5409/wjcp.124374

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World Journal of Clinical Pediatrics

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2219-2808

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Clin Pediatr. Dec 9, 2026; 15(4): 124374
Published online Dec 9, 2026. doi: 10.5409/wjcp.124374

Parental involvement for pediatric perioperative anxiety: A systematic review and implementation framework

Aisulu Kassymbekova, Gulshat Alimkhanova, Vitaliy Sazonov

Aisulu Kassymbekova, Department of Medicine, School of Medicine, Nazarbayev University, Astana Z05K4F4, Kazakhstan

Gulshat Alimkhanova, Anesthesiology Unit, JSC Scientific Center of Pediatrics and Pediatric Surgery, Almaty A15E2P4, Kazakhstan

Vitaliy Sazonov, Department of Surgery, School of Medicine, Nazarbayev University, Astana Z05K4F4, Kazakhstan

Author contributions: Kassymbekova A developed the methodology, wrote the original draft; Kassymbekova A and Sazonov V designed the research study; Alimkhanova G participated in the formal analysis and investigation; Alimkhanova G and Sazonov V critically revised the manuscript for important intellectual content; and all authors have read and approved the submitted version.

AI contribution statement: AI-assisted language tool (GrammarlyPro) was used only for grammar, style, and readability checks during manuscript revision. No AI tool was used to design the review, perform the literature search, screen or select studies, extract data, assess risk of bias, interpret results, generate references, or draw scientific conclusions. All scientific content, tables, references, and revisions were manually verified and approved by all authors.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.

Corresponding author: Vitaliy Sazonov, MD, Assistant Professor, Department of Surgery, School of Medicine, Nazarbayev University, Kabanbay Batyr 53, Astana Z05K4F4, Kazakhstan. vitaliy.sazonov@nu.edu.kz

Received: June 16, 2026
Revised: July 2, 2026
Accepted: July 27, 2026
Published online: December 9, 2026
Processing time: 99 Days and 0 Hours

Core Tip

Core Tip: Randomized evidence does not support unstructured parental presence during anesthesia induction as a consistently effective substitute for sedative premedication. More structured forms of parental involvement, including active participation, coaching, multimodal preparation, or virtual contact, appear more promising but are supported by limited and heterogeneous evidence. This review, therefore, separates evidence-based findings from an author-derived implementation framework. The proposed pathway should be read as a practical template for local adaptation and future evaluation, not as a validated clinical guideline.