Effect of Music on Patients Undergoing Colonoscopy: A Meta-Analysis of Randomized Controlled Trials

• Published in: Digestive diseases and sciences Vol. 54; no. 1; pp. 19 - 24
• Main Authors: Bechtold, Matthew L, Puli, Srinivas R, Othman, Mohamed O, Bartalos, Christopher R, Marshall, John B, Roy, Praveen K
• Format: Journal Article
• Language: English
• Published: Boston Boston : Springer US 2009; Springer US; Springer; Springer Nature B.V
• Subjects: Biochemistry; Biological and medical sciences; Colonoscopy - psychology; Conscious Sedation; Digestive system. Abdomen; Endoscopy; Feeding. Feeding behavior; Fundamental and applied biological sciences. Psychology; Gastroenterology; Gastroenterology. Liver. Pancreas. Abdomen; Hepatology; Humans; Investigative techniques, diagnostic techniques (general aspects); Medical sciences; Medicine; Medicine & Public Health; Music Therapy; Oncology; Pain Measurement; Patient Satisfaction; Randomized Controlled Trials as Topic; Review; Transplant Surgery; Vertebrates: anatomy and physiology, studies on body, several organs or systems; GI endoscopy; Relaxation; Colonoscopy; Music; Music therapy; Human; Obesity; Nutrition; Nutrition disorder; Metabolic diseases; Treatment; Gastroenterology; Endoscopy; Nutritional status
• ISSN: 0163-2116; 1573-2568
• DOI: 10.1007/s10620-008-0312-0

Purpose Music has been utilized as a therapeutic tool during colonoscopy, but various randomized controlled trials (RCTs) have been inconsistent. We conducted a meta-analysis to analyze the effect of music on patients undergoing colonoscopy. Patients and Methods Multiple medical databases were searched (12/06). Only RCTs on adult subjects that compared music versus no music during colonoscopy were included. Meta-analysis was analyzed for total procedure time, dose of sedative medications (midazolam and mepiridine), and patients' pain scores, experience, and willingness to repeat the same procedure in the future. Results Eight studies (N = 712) met the inclusion criteria. Patients' overall experience scores (P < 0.01) were significantly improved with music. No significant differences were noted for patients' pain scores (P = 0.09), mean doses of midazolam (P = 0.10), mean doses of meperidine (P = 0.23), procedure times (P = 0.06), and willingness to repeat the same procedure in future (P = 0.10). Conclusions Music improves patients' overall experience with colonoscopy.