Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
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:
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.
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
Research background

Music has been used to improve task performance and relieving the surgeon’s tension in operating rooms. There are no studies related to the effects of music on the performance of endoscopists.

Research motivation

The role of music in medicine has been growing. Listening to music during colonoscopy affect performance of endoscopists.

Research objectives

The study aimed to assess the effects of music on colonoscopy performance outcomes.

Research methods

We retrospectively reviewed patients who underwent colonoscopy performed by endoscopists with popular music. Colonoscopy performance outcomes, such as cecal insertion time, adenoma detection rate (ADR), were compared between the music and non-music groups. The study was performed by propensity score matching to reduce selection bias.

Research results

After one-to-one propensity score matching, 169 colonoscopies were selected for each group. The cecal insertion time and ADR did not significantly differ between both groups. In trainees, ADR (25.9% vs 47.6%, P = 0.006) were significantly lower in the music than in the non-music group.

Research conclusions

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.

Research perspectives

A randomized study on the effect of music on colonoscopy is needed in the future.