Choi EJ, Jee SR, Lee SH, Yoon JS, Yu SJ, Lee JH, Lee HB, Yi SW, Kim MP, Chung BC, Lee HS. Effect of music on colonoscopy performance: A propensity score-matched analysis. World J Gastrointest Endosc 2023; 15(5): 397-406 [PMID: 37274560 DOI: 10.4253/wjge.v15.i5.397]
Corresponding Author of This Article
Hong Sub Lee, MD, PhD, Professor, Department of Internal Medicine, Inje University College of Medicine, Busan Paik Hospital, 75 Bokji-ro, Busanjin-gu, Busan 47392, South Korea. hslee@paik.ac.kr
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. May 16, 2023; 15(5): 397-406 Published online May 16, 2023. doi: 10.4253/wjge.v15.i5.397
Effect of music on colonoscopy performance: A propensity score-matched analysis
Eun Jeong Choi, Sam Ryong Jee, Sang Heon Lee, Jun Sik Yoon, Seung Jung Yu, Jong Hyun Lee, Han Byul Lee, Sang Wook Yi, Myeong Pyo Kim, Byung Cheol Chung, Hong Sub Lee
Eun Jeong Choi, Sam Ryong Jee, Sang Heon Lee, Jun Sik Yoon, Seung Jung Yu, Jong Hyun Lee, Myeong Pyo Kim, Byung Cheol Chung, Hong Sub Lee, Department of Internal Medicine, Inje University College of Medicine, Busan Paik Hospital, Busan 47392, South Korea
Han Byul Lee, Department of Public Health, Ajou University Graduate School of Public Health, Suwon 16499, South Korea
Sang Wook Yi, Department of Preventive Medicine and Public Health, Catholic Kwandong University College of Medicine, Gangneung 25601, South Korea
Author contributions: Lee HS contributed to study design, acquisition and critically reviewed the manuscript; Choi EJ contributed to the data interpretation, and drafting the manuscript; Lee HS, Yoon JS, Yu SJ and Lee JH performed the endoscopy; Yi SW contributed to statistical analysis; Lee HS, Choi EJ, and Lee HB edited the manuscript; Kim MP and Chung BC collected data; Jee SR and Lee SH provided clinical advice and supervised the report; and all authors have read and approve the final manuscript.
Institutional review board statement: This retrospective study was approved by the Institutional Review Board of Busan Paik Hospital and was conducted in accordance with the ethical guidelines stated in the Declaration of Helsinki (IRB number: 2020-01-192).
Informed consent statement: Requirement for informed consent was waived by the Institutional Review Board given that the researchers only retrospectively accessed a de-identified database for analysis purposes.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong Sub Lee, MD, PhD, Professor, Department of Internal Medicine, Inje University College of Medicine, Busan Paik Hospital, 75 Bokji-ro, Busanjin-gu, Busan 47392, South Korea. hslee@paik.ac.kr
Received: January 5, 2023 Peer-review started: January 5, 2023 First decision: February 15, 2023 Revised: March 2, 2023 Accepted: April 24, 2023 Article in press: April 24, 2023 Published online: May 16, 2023
Abstract
BACKGROUND
Music has been used to reduce stress and improve task performance during medical therapy.
AIM
To assess the effects of music on colonoscopy performance outcomes.
METHODS
We retrospectively reviewed patients who underwent colonoscopy performed by four endoscopists with popular music. Colonoscopy performance outcomes, such as insertion time, adenoma detection rate (ADR), and polyp detection rate (PDR), were compared between the music and non-music groups. To reduce selection bias, propensity score matching was used.
RESULTS
After one-to-one propensity score matching, 169 colonoscopies were selected from each group. No significant differences in insertion time (4.97 vs 5.17 min, P = 0.795) and ADR (39.1% vs 46.2%, P = 0.226) were found between the two groups. Subgroup analysis showed that the insertion time (3.6 vs 3.8 min, P = 0.852) and ADR (51.1% vs 44.7%, P = 0.488) did not significantly differ between the two groups in experts. However, in trainees, PDR (46.9% vs 66.7%, P = 0.016) and ADR (25.9% vs 47.6%, P = 0.006) were significantly lower in the music than in the non-music group.
CONCLUSION
The current study found that listening to music during colonoscopy did not affect procedure performance. Moreover, it suggested that music may distract trainees from appropriately detecting adenomas and polyps.
Core Tip: Music has shown the positive effect on the surgical team in the operating room, no data has been available regarding the effects of music on endoscopist performance. The study aimed to assess the effects of music on colonoscopy performance outcomes. The patients who underwent colonoscopy while listening to music were retrospectively reviewed for colonoscopy performance outcomes, such as insertion time, adenoma and polyp detection rates. Accordingly, our findings showed that listening to music during colonoscopy had no effect on procedure performance. Moreover, our results suggested that listening to music during colonoscopy may distract trainees from appropriately detecting adenomas and polyps.
