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World J Gastroenterol. Sep 14, 2008; 14(34): 5336-5343
Published online Sep 14, 2008. doi: 10.3748/wjg.14.5336
Effect of music on procedure time and sedation during colonoscopy: A meta-analysis
Wilson WS Tam, Eliza LY Wong, Sheila F Twinn
Wilson WS Tam, Sheila F Twinn, Nethersole School of Nursing, 8/F Esther Lee Building, The Chinese University of Hong Kong, Shatin, Hong Kong, China
Eliza LY Wong, School of Public Health, 4/F Postgraduate Education Centre, Prince of Wales Hospital, Shatin, Hong Kong, China
Author contributions: Tam WWS, Wong ELY and Twinn SF designed the study; Tam WWS and Wong ELY performed the search and data (papers) collection; Tam WWS performed the analysis; Tam WWS, Wong ELY and Twinn SF wrote the paper.
Correspondence to: Wilson WS Tam, Nethersole School of Nursing, Room 830, Esther Lee Building, The Chinese University of Hong Kong, Shatin, Hong Kong, China. wilsontam@graduate.hku.hk
Telephone: +86-852-26098172 Fax: +86-852-26035935
Received: July 10, 2008
Revised: August 25, 2008
Accepted: September 2, 2008
Published online: September 14, 2008
Abstract

AIM: To integrate results from different studies in examining the effectiveness of music in reducing the procedure time and the amount of sedation used during colonoscopic procedure.

METHODS: An electronic search in various databases was performed to identify related articles. Study quality was evaluated by the Jadad’s scale. The random effect model was used to pool the effect from individual trials and the Cohen Q-statistic was used to determine heterogeneity. Egger’s regression was used to detect publication bias.

RESULTS: Eight studies with 722 subjects were included in this meta-analysis. The combined mean difference for the time taken for the colonoscopy procedure between the music and control groups was -2.84 with 95% CI (-5.61 to -0.08), implying a short time for the music group. The combined mean difference for the use of sedation was -0.46 with 95%CI (-0.91 to -0.01), showing a significant reduction in the use of sedation in the music group. Heterogeneity was observed in both analyses but no publication bias was detected.

CONCLUSION: Listening to music is effective in reducing procedure time and amount of sedation during colonoscopy and should be promoted.

Keywords: Colonoscopy, Colon cancer, Meta-analysis, Music therapy, Screening