Meta‐analysis evaluating music interventions for anxiety and pain in surgery
Background This study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients. Methods Eleven electronic databases were searched for full‐text publications of RCTs investigating the effect of music interventions on anxiety and...
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| Vydané v: | British journal of surgery Ročník 105; číslo 7; s. 773 - 783 |
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| Hlavní autori: | , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
Chichester, UK
John Wiley & Sons, Ltd
01.06.2018
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| Predmet: | |
| ISSN: | 0007-1323, 1365-2168, 1365-2168 |
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| Abstract | Background
This study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients.
Methods
Eleven electronic databases were searched for full‐text publications of RCTs investigating the effect of music interventions on anxiety and pain during invasive surgery published between 1 January 1980 and 20 October 2016. Results and data were double‐screened and extracted independently. Random‐effects meta‐analysis was used to calculate effect sizes as standardized mean differences (MDs). Heterogeneity was investigated in subgroup analyses and metaregression analyses. The review was registered in the PROSPERO database as CRD42016024921.
Results
Ninety‐two RCTs (7385 patients) were included in the systematic review, of which 81 were included in the meta‐analysis. Music interventions significantly decreased anxiety (MD –0·69, 95 per cent c.i. –0·88 to –0·50; P < 0·001) and pain (MD –0·50, –0·66 to –0·34; P < 0·001) compared with controls, equivalent to a decrease of 21 mm for anxiety and 10 mm for pain on a 100‐mm visual analogue scale. Changes in outcome corrected for baseline were even larger: MD –1·41 (–1·89 to –0·94; P < 0·001) for anxiety and –0·54 (–0·93 to –0·15; P = 0·006) for pain. Music interventions provided during general anaesthesia significantly decreased pain compared with that in controls (MD –0·41, –0·64 to –0·18; P < 0·001). Metaregression analysis found no significant association between the effect of music interventions and age, sex, choice and timing of music, and type of anaesthesia. Risk of bias in the studies was moderate to high.
Conclusion
Music interventions significantly reduce anxiety and pain in adult surgical patients.
Effective |
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| AbstractList | This study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients.
Eleven electronic databases were searched for full-text publications of RCTs investigating the effect of music interventions on anxiety and pain during invasive surgery published between 1 January 1980 and 20 October 2016. Results and data were double-screened and extracted independently. Random-effects meta-analysis was used to calculate effect sizes as standardized mean differences (MDs). Heterogeneity was investigated in subgroup analyses and metaregression analyses. The review was registered in the PROSPERO database as CRD42016024921.
Ninety-two RCTs (7385 patients) were included in the systematic review, of which 81 were included in the meta-analysis. Music interventions significantly decreased anxiety (MD -0·69, 95 per cent c.i. -0·88 to -0·50; P < 0·001) and pain (MD -0·50, -0·66 to -0·34; P < 0·001) compared with controls, equivalent to a decrease of 21 mm for anxiety and 10 mm for pain on a 100-mm visual analogue scale. Changes in outcome corrected for baseline were even larger: MD -1·41 (-1·89 to -0·94; P < 0·001) for anxiety and -0·54 (-0·93 to -0·15; P = 0·006) for pain. Music interventions provided during general anaesthesia significantly decreased pain compared with that in controls (MD -0·41, -0·64 to -0·18; P < 0·001). Metaregression analysis found no significant association between the effect of music interventions and age, sex, choice and timing of music, and type of anaesthesia. Risk of bias in the studies was moderate to high.
Music interventions significantly reduce anxiety and pain in adult surgical patients. Background This study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients. Methods Eleven electronic databases were searched for full‐text publications of RCTs investigating the effect of music interventions on anxiety and pain during invasive surgery published between 1 January 1980 and 20 October 2016. Results and data were double‐screened and extracted independently. Random‐effects meta‐analysis was used to calculate effect sizes as standardized mean differences (MDs). Heterogeneity was investigated in subgroup analyses and metaregression analyses. The review was registered in the PROSPERO database as CRD42016024921. Results Ninety‐two RCTs (7385 patients) were included in the systematic review, of which 81 were included in the meta‐analysis. Music interventions significantly decreased anxiety (MD –0·69, 95 per cent c.i. –0·88 to –0·50; P < 0·001) and pain (MD –0·50, –0·66 to –0·34; P < 0·001) compared with controls, equivalent to a decrease of 21 mm for anxiety and 10 mm for pain on a 100‐mm visual analogue scale. Changes in outcome corrected for baseline were even larger: MD –1·41 (–1·89 to –0·94; P < 0·001) for anxiety and –0·54 (–0·93 to –0·15; P = 0·006) for pain. Music interventions provided during general anaesthesia significantly decreased pain compared with that in controls (MD –0·41, –0·64 to –0·18; P < 0·001). Metaregression analysis found no significant association between the effect of music interventions and age, sex, choice and timing of music, and type of anaesthesia. Risk of bias in the studies was moderate to high. Conclusion Music interventions significantly reduce anxiety and pain in adult surgical patients. Effective This study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients.BACKGROUNDThis study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients.Eleven electronic databases were searched for full-text publications of RCTs investigating the effect of music interventions on anxiety and pain during invasive surgery published between 1 January 1980 and 20 October 2016. Results and data were double-screened and extracted independently. Random-effects meta-analysis was used to calculate effect sizes as standardized mean differences (MDs). Heterogeneity was investigated in subgroup analyses and metaregression analyses. The review was registered in the PROSPERO database as CRD42016024921.METHODSEleven electronic databases were searched for full-text publications of RCTs investigating the effect of music interventions on anxiety and pain during invasive surgery published between 1 January 1980 and 20 October 2016. Results and data were double-screened and extracted independently. Random-effects meta-analysis was used to calculate effect sizes as standardized mean differences (MDs). Heterogeneity was investigated in subgroup analyses and metaregression analyses. The review was registered in the PROSPERO database as CRD42016024921.Ninety-two RCTs (7385 patients) were included in the systematic review, of which 81 were included in the meta-analysis. Music interventions significantly decreased anxiety (MD -0·69, 95 per cent c.i. -0·88 to -0·50; P < 0·001) and pain (MD -0·50, -0·66 to -0·34; P < 0·001) compared with controls, equivalent to a decrease of 21 mm for anxiety and 10 mm for pain on a 100-mm visual analogue scale. Changes in outcome corrected for baseline were even larger: MD -1·41 (-1·89 to -0·94; P < 0·001) for anxiety and -0·54 (-0·93 to -0·15; P = 0·006) for pain. Music interventions provided during general anaesthesia significantly decreased pain compared with that in controls (MD -0·41, -0·64 to -0·18; P < 0·001). Metaregression analysis found no significant association between the effect of music interventions and age, sex, choice and timing of music, and type of anaesthesia. Risk of bias in the studies was moderate to high.RESULTSNinety-two RCTs (7385 patients) were included in the systematic review, of which 81 were included in the meta-analysis. Music interventions significantly decreased anxiety (MD -0·69, 95 per cent c.i. -0·88 to -0·50; P < 0·001) and pain (MD -0·50, -0·66 to -0·34; P < 0·001) compared with controls, equivalent to a decrease of 21 mm for anxiety and 10 mm for pain on a 100-mm visual analogue scale. Changes in outcome corrected for baseline were even larger: MD -1·41 (-1·89 to -0·94; P < 0·001) for anxiety and -0·54 (-0·93 to -0·15; P = 0·006) for pain. Music interventions provided during general anaesthesia significantly decreased pain compared with that in controls (MD -0·41, -0·64 to -0·18; P < 0·001). Metaregression analysis found no significant association between the effect of music interventions and age, sex, choice and timing of music, and type of anaesthesia. Risk of bias in the studies was moderate to high.Music interventions significantly reduce anxiety and pain in adult surgical patients.CONCLUSIONMusic interventions significantly reduce anxiety and pain in adult surgical patients. |
| Author | Kühlmann, A. Y. R. de Rooij, A. Jeekel, J. Kroese, L. F. van Dijk, M. Hunink, M. G. M. |
| AuthorAffiliation | 6 Department of Radiology Erasmus Medical Centre Rotterdam The Netherlands 7 Department of Health Policy and Management Harvard T. H. Chan School of Public Health Boston Massachusetts USA 2 Department of Neuroscience Erasmus Medical Centre Rotterdam The Netherlands 3 Department of Surgery Erasmus Medical Centre Rotterdam The Netherlands 4 Department of Internal Medicine Erasmus Medical Centre Rotterdam The Netherlands 5 Department of Epidemiology Erasmus Medical Centre Rotterdam The Netherlands 1 Department of Paediatric Surgery Erasmus Medical Centre–Sophia Children's Hospital Rotterdam The Netherlands |
| AuthorAffiliation_xml | – name: 1 Department of Paediatric Surgery Erasmus Medical Centre–Sophia Children's Hospital Rotterdam The Netherlands – name: 2 Department of Neuroscience Erasmus Medical Centre Rotterdam The Netherlands – name: 4 Department of Internal Medicine Erasmus Medical Centre Rotterdam The Netherlands – name: 5 Department of Epidemiology Erasmus Medical Centre Rotterdam The Netherlands – name: 3 Department of Surgery Erasmus Medical Centre Rotterdam The Netherlands – name: 7 Department of Health Policy and Management Harvard T. H. Chan School of Public Health Boston Massachusetts USA – name: 6 Department of Radiology Erasmus Medical Centre Rotterdam The Netherlands |
| Author_xml | – sequence: 1 givenname: A. Y. R. orcidid: 0000-0002-7227-3337 surname: Kühlmann fullname: Kühlmann, A. Y. R. email: a.kuhlmann@erasmusmc.nl organization: Erasmus Medical Centre–Sophia Children's Hospital – sequence: 2 givenname: A. orcidid: 0000-0003-3161-7583 surname: de Rooij fullname: de Rooij, A. organization: Erasmus Medical Centre – sequence: 3 givenname: L. F. orcidid: 0000-0002-4702-5227 surname: Kroese fullname: Kroese, L. F. organization: Erasmus Medical Centre – sequence: 4 givenname: M. orcidid: 0000-0002-9856-0318 surname: van Dijk fullname: van Dijk, M. organization: Erasmus Medical Centre – sequence: 5 givenname: M. G. M. orcidid: 0000-0002-2942-2798 surname: Hunink fullname: Hunink, M. G. M. organization: Harvard T. H. Chan School of Public Health – sequence: 6 givenname: J. surname: Jeekel fullname: Jeekel, J. organization: Erasmus Medical Centre |
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This study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients.... This study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients. Eleven electronic... This study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients.BACKGROUNDThis... |
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| SubjectTerms | Adult Anxiety - prevention & control Anxiety - therapy Humans Music Therapy - methods Pain Measurement Pain, Postoperative - prevention & control Pain, Postoperative - therapy Systematic Review Systematic Reviews |
| Title | Meta‐analysis evaluating music interventions for anxiety and pain in surgery |
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