Wang Z. et al., 2021: Impact of music on anxiety and pain control during extracorporeal shockwave lithotripsy: A protocol for systematic review and meta-analysis
Wang Z, Feng D, Wei W.
Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.
Abstract
Background: The present evidence is insufficient for evaluating the impact of exclusive music therapy on anxiety and pain control in extracorporeal shock wave lithotripsy (ESWL).
Methods: A systematic review and meta-analysis was conducted to explore the efficacy of music therapy in reducing pain and anxiety in patients undergoing ESWL. PubMed, Web of Science, Embase, EBSCO, and Cochrane library databases (updated March 2020) were searched for randomized controlled trials assessing music therapy in reducing pain and anxiety in patients undergoing ESWL. The search strategy and study selection process were managed according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis statement.
Results: Five randomized controlled trials were included in the meta-analysis. Overall, music intervention groups experienced significant reductions in pain (risk ratios = -1.20, 95% confidence intervals = -1.95 to -0.45, P = .002) and anxiety (risk ratios = -3.31, 95% confidence intervals = -4.97 to -1.84, P < .0001) compared with control groups during ESWL. Music therapy gave patient more satisfaction with the treatment and a willingness to repeat the therapy was reported. However, there was no significant difference in the stone clearance rate.
Conclusions: Listening to music can reduce patient's pain and anxiety significantly with increased therapy satisfaction and willingness to repeat.
Medicine (Baltimore). 2021 Jan 29;100(4):e23684. doi: 10.1097/MD.0000000000023684. PMID: 33530169. FREE ARTICLE
Comments 1
Although music for decades occasionally has been offered during SWL to distract patients´ attention from the treatment and filter the disturbing noise of shockwaves, it has been difficult to draw conclusions on the definite value of this method on pain and anxiety. This was the background for these authors to carry out a systematic review and meta-analysis. The aim was to study the impact that music listening had on these two variables.
There were, however, only five RCTs included in the study but the results clearly showed that both pain experience and anxiety were favourably affected by music during SWL treatment.
The bottom-line is that to improve comfort during the treatment and improve SWL results, patients should be offered the possibility to listen to music during the treatment.
Hans-Göran Tiselius