Author Affiliations: Department of Dermatology, All India Institute of Medical Sciences, New Delhi, India (Dr Seshadri); and Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India (Dr Sarkar).
We read with interest, the study by Tey et al,1 describing the usefulness of a portable video player for preschool children undergoing removal of cutaneous viral warts. The authors report significant reduction in anxiety scores with this intervention. However, actual clinical benefits seem to be modest, if at all present. There were no significant differences in treatment time, time required to persuade the child to cooperate, or the need for restraints. The authors, quoting qualitative data, mention that using the video player lessened the likelihood of prematurely stopping treatment, but the number of such stoppages is not reported, and the number of patients for whom restraints were required (a proxy measure) did not differ between groups.
Seshadri D, Sarkar S. The Utility of a Portable Video Player in Wart Removal. Arch Dermatol. 2012;148(12):1425-1427. doi:10.1001/2013.jamadermatol.215