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Effect of Music on Outpatient Urological Procedures: A Systematic Review and Meta-Analysis from the European Association of Urology Section of Uro-Technology.

Identifieur interne : 000844 ( Main/Exploration ); précédent : 000843; suivant : 000845

Effect of Music on Outpatient Urological Procedures: A Systematic Review and Meta-Analysis from the European Association of Urology Section of Uro-Technology.

Auteurs : Rena Kyriakides [Royaume-Uni] ; Patrick Jones [Royaume-Uni] ; Robert Geraghty [Royaume-Uni] ; Andreas Skolarikos [Grèce] ; Evangellos Liatsikos [Grèce] ; Olivier Traxer [France] ; Amelia Pietropaolo [Royaume-Uni] ; Bhaskar K. Somani [Royaume-Uni]

Source :

RBID : pubmed:29225059

Descripteurs français

English descriptors

Abstract

PURPOSE

Music is a practical, inexpensive and harmless analgesic and anxiolytic. An increasing number of original studies have been performed to investigate its potential application in urology. Our aim was to identify the effect of music on outpatient based urological procedures.

MATERIALS AND METHODS

We systematically reviewed the effect of using music during all reported outpatient urology procedures, including transrectal ultrasound guided prostate biopsy, shock wave lithotripsy, urodynamic studies, percutaneous nephrostomy tube placement and cystoscopy. Data were included on all randomized trials from 1980 to 2017 and no language restrictions were applied.

RESULTS

Included in analysis were 16 randomized studies in which 972 of 1,950 patients (49.8%) were exposed to music during an outpatient procedure. The procedures included transrectal ultrasound guided prostate biopsy in 4 studies in a total of 286 patients, shock wave lithotripsy in 6 studies in a total of 1,023, cystoscopy in 3 studies in a total of 331, urodynamics in 2 studies in a total of 210 and percutaneous nephrostomy in 1 study in a total of 100. All studies incorporated a visual analog score to measure pain. Anxiety was measured by STAI (State-Trait Anxiety Inventory) in 13 studies and by a visual analog scale in 2. While 14 of the 16 studies showed a reduction in self-reported pain, a reduction in anxiety was seen in 14. When using music, overall procedural satisfaction was better in 9 studies and patient willingness to repeat the procedure was also higher in 7. Our meta-analysis revealed a significant reduction in visual analog scale and STAI findings across all studies (p <0.001).

CONCLUSIONS

Our systematic review demonstrated a beneficial effect of music on urological outpatient procedures. Music seemed to decrease anxiety and pain. It might serve as a useful adjunct to increase procedural satisfaction and patient willingness to undergo the procedure again.


DOI: 10.1016/j.juro.2017.11.117
PubMed: 29225059


Affiliations:


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<term>Anxiety (prevention & control)</term>
<term>Anxiety (psychology)</term>
<term>Biopsy (adverse effects)</term>
<term>Cystoscopy (adverse effects)</term>
<term>Europe (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Lithotripsy (adverse effects)</term>
<term>Music (psychology)</term>
<term>Outpatients (psychology)</term>
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<term>Pain, Procedural (prevention & control)</term>
<term>Pain, Procedural (psychology)</term>
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<term>Anxiété (psychologie)</term>
<term>Anxiété (étiologie)</term>
<term>Biopsie (effets indésirables)</term>
<term>Cystoscopie (effets indésirables)</term>
<term>Douleur liée aux interventions (diagnostic)</term>
<term>Douleur liée aux interventions (prévention et contrôle)</term>
<term>Douleur liée aux interventions (psychologie)</term>
<term>Douleur liée aux interventions (étiologie)</term>
<term>Europe (MeSH)</term>
<term>Gestion de la douleur (méthodes)</term>
<term>Humains (MeSH)</term>
<term>Lithotritie (effets indésirables)</term>
<term>Mesure de la douleur (MeSH)</term>
<term>Musique (psychologie)</term>
<term>Patients en consultation externe (psychologie)</term>
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<term>Soins ambulatoires (méthodes)</term>
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<term>Biopsy</term>
<term>Cystoscopy</term>
<term>Lithotripsy</term>
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<term>Cystoscopie</term>
<term>Lithotritie</term>
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<term>Ambulatory Care</term>
<term>Pain Management</term>
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<term>Soins ambulatoires</term>
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<term>Pain, Procedural</term>
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<term>Douleur liée aux interventions</term>
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<term>Anxiété</term>
<term>Douleur liée aux interventions</term>
<term>Musique</term>
<term>Patients en consultation externe</term>
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<p>
<b>PURPOSE</b>
</p>
<p>Music is a practical, inexpensive and harmless analgesic and anxiolytic. An increasing number of original studies have been performed to investigate its potential application in urology. Our aim was to identify the effect of music on outpatient based urological procedures.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MATERIALS AND METHODS</b>
</p>
<p>We systematically reviewed the effect of using music during all reported outpatient urology procedures, including transrectal ultrasound guided prostate biopsy, shock wave lithotripsy, urodynamic studies, percutaneous nephrostomy tube placement and cystoscopy. Data were included on all randomized trials from 1980 to 2017 and no language restrictions were applied.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Included in analysis were 16 randomized studies in which 972 of 1,950 patients (49.8%) were exposed to music during an outpatient procedure. The procedures included transrectal ultrasound guided prostate biopsy in 4 studies in a total of 286 patients, shock wave lithotripsy in 6 studies in a total of 1,023, cystoscopy in 3 studies in a total of 331, urodynamics in 2 studies in a total of 210 and percutaneous nephrostomy in 1 study in a total of 100. All studies incorporated a visual analog score to measure pain. Anxiety was measured by STAI (State-Trait Anxiety Inventory) in 13 studies and by a visual analog scale in 2. While 14 of the 16 studies showed a reduction in self-reported pain, a reduction in anxiety was seen in 14. When using music, overall procedural satisfaction was better in 9 studies and patient willingness to repeat the procedure was also higher in 7. Our meta-analysis revealed a significant reduction in visual analog scale and STAI findings across all studies (p <0.001).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Our systematic review demonstrated a beneficial effect of music on urological outpatient procedures. Music seemed to decrease anxiety and pain. It might serve as a useful adjunct to increase procedural satisfaction and patient willingness to undergo the procedure again.</p>
</div>
</front>
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<AbstractText Label="PURPOSE">Music is a practical, inexpensive and harmless analgesic and anxiolytic. An increasing number of original studies have been performed to investigate its potential application in urology. Our aim was to identify the effect of music on outpatient based urological procedures.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS">We systematically reviewed the effect of using music during all reported outpatient urology procedures, including transrectal ultrasound guided prostate biopsy, shock wave lithotripsy, urodynamic studies, percutaneous nephrostomy tube placement and cystoscopy. Data were included on all randomized trials from 1980 to 2017 and no language restrictions were applied.</AbstractText>
<AbstractText Label="RESULTS">Included in analysis were 16 randomized studies in which 972 of 1,950 patients (49.8%) were exposed to music during an outpatient procedure. The procedures included transrectal ultrasound guided prostate biopsy in 4 studies in a total of 286 patients, shock wave lithotripsy in 6 studies in a total of 1,023, cystoscopy in 3 studies in a total of 331, urodynamics in 2 studies in a total of 210 and percutaneous nephrostomy in 1 study in a total of 100. All studies incorporated a visual analog score to measure pain. Anxiety was measured by STAI (State-Trait Anxiety Inventory) in 13 studies and by a visual analog scale in 2. While 14 of the 16 studies showed a reduction in self-reported pain, a reduction in anxiety was seen in 14. When using music, overall procedural satisfaction was better in 9 studies and patient willingness to repeat the procedure was also higher in 7. Our meta-analysis revealed a significant reduction in visual analog scale and STAI findings across all studies (p <0.001).</AbstractText>
<AbstractText Label="CONCLUSIONS">Our systematic review demonstrated a beneficial effect of music on urological outpatient procedures. Music seemed to decrease anxiety and pain. It might serve as a useful adjunct to increase procedural satisfaction and patient willingness to undergo the procedure again.</AbstractText>
<CopyrightInformation>Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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<Affiliation>University of Southampton, University Hospital Southampton National Health Service Trust, Southampton, United Kingdom. Electronic address: bhaskarsomani@yahoo.com.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D017418">Meta-Analysis</PublicationType>
<PublicationType UI="D000078182">Systematic Review</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2017</Year>
<Month>12</Month>
<Day>07</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>United States</Country>
<MedlineTA>J Urol</MedlineTA>
<NlmUniqueID>0376374</NlmUniqueID>
<ISSNLinking>0022-5347</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<CommentsCorrectionsList>
<CommentsCorrections RefType="CommentIn">
<RefSource>J Urol. 2018 May;199(5):1326</RefSource>
<PMID Version="1">29458029</PMID>
</CommentsCorrections>
</CommentsCorrectionsList>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000553" MajorTopicYN="N">Ambulatory Care</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000772" MajorTopicYN="N">Anesthesia, Local</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001706" MajorTopicYN="N">Biopsy</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003558" MajorTopicYN="N">Cystoscopy</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005060" MajorTopicYN="N" Type="Geographic">Europe</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008096" MajorTopicYN="N">Lithotripsy</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009146" MajorTopicYN="N">Music</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010045" MajorTopicYN="N">Outpatients</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D059408" MajorTopicYN="N">Pain Management</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010147" MajorTopicYN="N">Pain Measurement</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000073818" MajorTopicYN="N">Pain, Procedural</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="Y">anti-anxiety agents</Keyword>
<Keyword MajorTopicYN="Y">kidney</Keyword>
<Keyword MajorTopicYN="Y">music</Keyword>
<Keyword MajorTopicYN="Y">pain</Keyword>
<Keyword MajorTopicYN="Y">procedural</Keyword>
<Keyword MajorTopicYN="Y">prostate</Keyword>
</KeywordList>
</MedlineCitation>
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<History>
<PubMedPubDate PubStatus="accepted">
<Year>2017</Year>
<Month>11</Month>
<Day>17</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2017</Year>
<Month>12</Month>
<Day>12</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2019</Year>
<Month>6</Month>
<Day>7</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2017</Year>
<Month>12</Month>
<Day>12</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">29225059</ArticleId>
<ArticleId IdType="pii">S0022-5347(17)78038-X</ArticleId>
<ArticleId IdType="doi">10.1016/j.juro.2017.11.117</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>France</li>
<li>Grèce</li>
<li>Royaume-Uni</li>
</country>
<region>
<li>Attique (région)</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Athènes</li>
<li>Paris</li>
</settlement>
</list>
<tree>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="Kyriakides, Rena" sort="Kyriakides, Rena" uniqKey="Kyriakides R" first="Rena" last="Kyriakides">Rena Kyriakides</name>
</noRegion>
<name sortKey="Geraghty, Robert" sort="Geraghty, Robert" uniqKey="Geraghty R" first="Robert" last="Geraghty">Robert Geraghty</name>
<name sortKey="Jones, Patrick" sort="Jones, Patrick" uniqKey="Jones P" first="Patrick" last="Jones">Patrick Jones</name>
<name sortKey="Pietropaolo, Amelia" sort="Pietropaolo, Amelia" uniqKey="Pietropaolo A" first="Amelia" last="Pietropaolo">Amelia Pietropaolo</name>
<name sortKey="Somani, Bhaskar K" sort="Somani, Bhaskar K" uniqKey="Somani B" first="Bhaskar K" last="Somani">Bhaskar K. Somani</name>
</country>
<country name="Grèce">
<region name="Attique (région)">
<name sortKey="Skolarikos, Andreas" sort="Skolarikos, Andreas" uniqKey="Skolarikos A" first="Andreas" last="Skolarikos">Andreas Skolarikos</name>
</region>
<name sortKey="Liatsikos, Evangellos" sort="Liatsikos, Evangellos" uniqKey="Liatsikos E" first="Evangellos" last="Liatsikos">Evangellos Liatsikos</name>
</country>
<country name="France">
<region name="Île-de-France">
<name sortKey="Traxer, Olivier" sort="Traxer, Olivier" uniqKey="Traxer O" first="Olivier" last="Traxer">Olivier Traxer</name>
</region>
</country>
</tree>
</affiliations>
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