Meta-analysis evaluating music interventions for anxiety and pain in surgery
Kühlmann AYR, de Rooij A, Kroese LF, van Dijk M, Hunink MGM, Jeekel J
The British journal of surgery · 288 citas
Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Universidad u hospital
- University of Cambridge
- Gobierno
- ZonMw
- Organización sin fines de lucro
- Stichting Swart-van Essen
- Organización sin fines de lucro
- Stichting Coolsingel
- Organización sin fines de lucro
- Stichting Coolsingel, Rotterdam, The Netherlands
- Organización sin fines de lucro
- Stichting Swart-van Essen, Rotterdam, The Netherlands
Según 6 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2018-04-17 · Br J Surg · vol. 105 · número 7 · págs. 773–783
- Editorial
- Oxford University Press
- Citado
- 429 citas · más que el 100% de estudios similares · 28.9× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 132 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY-NC-ND
- Áreas de investigación
- Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Dental Anxiety and Anesthesia Techniques
- Palabras clave
- Medicine, Anxiety, Psychological intervention, Meta-analysis, Perioperative, Music therapy, Subgroup analysis, Visual analogue scale, Randomized controlled trial, Physical therapy, MEDLINE, Anesthesia, Internal medicine, Psychiatry
- MeSH
- humans, pain measurement, music therapy, anxiety, adult, postoperative pain
6 autores
- A. Y. Rosalie Kühlmann🇳🇱 · autor de correspondenciaErasmus MC - Sophia Children’s Hospital
- A. de Rooij🇳🇱Erasmus University Rotterdam
- Leonard Frederik Kroese🇳🇱Erasmus University Rotterdam
- Monique van Dijk🇳🇱Erasmus MC - Sophia Children’s Hospital; Erasmus University Rotterdam
- M. G. Myriam Hunink🇺🇸🇳🇱Harvard University; Erasmus University Rotterdam
- J Jeekel🇳🇱Erasmus University Rotterdam
Resumen
El texto original del estudio, en el idioma en que se publicó.
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.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC-ND).
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