• Endoscopy · Jun 2007

    Meta Analysis

    Music in the endoscopy suite: a meta-analysis of randomized controlled studies.

    • D Rudin, A Kiss, R V Wetz, and V M Sottile.
    • Department of Medicine, Staten Island University Hospital, Staten Island, New York 10305, USA. drudin@siuh.edu
    • Endoscopy. 2007 Jun 1;39(6):507-10.

    Background And Study AimPrior studies have suggested that music therapy can provide stress relief and analgesia. In this meta-analysis we focused on the effects of music therapy on patients undergoing gastrointestinal endoscopic procedures.Materials And MethodsA literature search using the PubMed and Cochrane Library databases and a manual search led to the inclusion of six randomized controlled trials that examined the effects of music therapy on patients undergoing gastrointestinal endoscopic procedures. After data extraction, four separate meta-analyses were performed: in the three studies that did not use pharmacotherapy (group A), anxiety levels were used as a measure of efficacy; in the three studies in which pharmacotherapy was used (group B), sedation and analgesia requirements and procedure duration times were analyzed.ResultsA total of 641 patients were included in the analysis. In group A, patients receiving music therapy exhibited lower anxiety levels (8.6% reduction, P = 0.004), compared with controls. In group B, patients receiving music therapy exhibited statistically significant reductions in analgesia requirements (29.7% reduction, P = 0.001) and procedure times (21% reduction, P = 0.002), and a reduction in sedation requirements that approached significance (15% reduction, P = 0.055), in comparison with controls.ConclusionsMusic therapy is an effective tool for stress relief and analgesia in patients undergoing gastrointestinal endoscopic procedures.

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