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

doi:10.4253/wjge.v15.i5.397

Effect of music on colonoscopy performance: A propensity score-matched analysis

World J Gastrointest Endosc. 2023 May 16;15(5):397-406. doi: 10.4253/wjge.v15.i5.397.

Authors

Affiliations

¹ Department of Internal Medicine, Inje University College of Medicine, Busan Paik Hospital, Busan 47392, South Korea.
² Department of Public Health, Ajou University Graduate School of Public Health, Suwon 16499, South Korea.
³ Department of Preventive Medicine and Public Health, Catholic Kwandong University College of Medicine, Gangneung 25601, South Korea.
⁴ Department of Internal Medicine, Inje University College of Medicine, Busan Paik Hospital, Busan 47392, South Korea. hslee@paik.ac.kr.

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.

Keywords: Adenoma; Cecal insertion time; Colonic polyps; Colonoscopy; Music; Performance.