Effect of Background Music in the Operating Room on Surgical Outcomes: A Prospective Single-Blinded Case-Control Study.
Journal
Journal of the American College of Surgeons
ISSN: 1879-1190
Titre abrégé: J Am Coll Surg
Pays: United States
ID NLM: 9431305
Informations de publication
Date de publication:
01 09 2022
01 09 2022
Historique:
entrez:
16
8
2022
pubmed:
17
8
2022
medline:
18
8
2022
Statut:
ppublish
Résumé
The effect of playing background music on surgical outcomes has been controversial. This prospective case-control study aims to evaluate the impact of music tempo in general surgical settings. Six hundred consecutive patients with nonmetastatic breast cancer receiving breast cancer surgery have been recruited since April 2017. Patients were then assigned to 3 arms in consecutive order. The surgeon operated without music in study arm A; the surgeon operated with slow music in study arm B; and in study arm C, the surgeon operated with fast background music. Patients' clinical records were reviewed by an independent blinded assessor. Baseline demographic data were comparable among the 3 study arms. Seven (3.5%) patients from study arm A developed minor complications (Clavien-Dindo class I and II); none developed major complications (Clavien-Dindo class III or above). Six (3.0%) patients from study arm B and C, respectively (slow/fast music groups), developed minor complications; none developed a major complication. Mean blood loss was also similar among the 3 study arms (5.1, 5.1, and 5.2 mL, respectively; p > 0.05). Operating time was significantly shorter in study arm C: 115 minutes (90-145), compared with 125 minutes (100-160) in study arm A (p < 0.0001) and 120 minutes (95-155) in study arm B (p = 0.0024). After a median follow-up of 40 months (3-56), 40 months (3-56), and 39.5 months (3-56), the local recurrence rates were 1.5%, 1%, and 1%, respectively (p > 0.05). Playing music in the operating room is safe in general surgical settings in experienced hands.
Sections du résumé
BACKGROUND
The effect of playing background music on surgical outcomes has been controversial. This prospective case-control study aims to evaluate the impact of music tempo in general surgical settings.
STUDY DESIGN
Six hundred consecutive patients with nonmetastatic breast cancer receiving breast cancer surgery have been recruited since April 2017. Patients were then assigned to 3 arms in consecutive order. The surgeon operated without music in study arm A; the surgeon operated with slow music in study arm B; and in study arm C, the surgeon operated with fast background music. Patients' clinical records were reviewed by an independent blinded assessor.
RESULTS
Baseline demographic data were comparable among the 3 study arms. Seven (3.5%) patients from study arm A developed minor complications (Clavien-Dindo class I and II); none developed major complications (Clavien-Dindo class III or above). Six (3.0%) patients from study arm B and C, respectively (slow/fast music groups), developed minor complications; none developed a major complication. Mean blood loss was also similar among the 3 study arms (5.1, 5.1, and 5.2 mL, respectively; p > 0.05). Operating time was significantly shorter in study arm C: 115 minutes (90-145), compared with 125 minutes (100-160) in study arm A (p < 0.0001) and 120 minutes (95-155) in study arm B (p = 0.0024). After a median follow-up of 40 months (3-56), 40 months (3-56), and 39.5 months (3-56), the local recurrence rates were 1.5%, 1%, and 1%, respectively (p > 0.05).
CONCLUSION
Playing music in the operating room is safe in general surgical settings in experienced hands.
Identifiants
pubmed: 35972164
doi: 10.1097/XCS.0000000000000279
pii: 00019464-202209000-00011
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
447-453Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
Copyright © 2022 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.
Références
Allen K, Blascovich J. Effects of music on cardiovascular reactivity among surgeons. JAMA 1994;272:882–884.
George S, Ahmed S, Mammen KJ, John GM. Influence of music on operation theatre staff. J Anaesthesiol Clin Pharmacol 2011;27:354–357.
Ullmann Y, Fodor L, Schwarzberg I, et al. The sounds of music in the operating room. Injury 2008;39:592–597.
Zapata-Copete JA, Cordoba-Wagner MJ, García-Perdomo HA. Role of music in a plastic surgery setting: a systematic review and meta-analysis. Indian J Plast Surg 2019;52:160–165.
Kühlmann AYR, de Rooij A, Kroese LF, et al. Meta-analysis evaluating music interventions for anxiety and pain in surgery. Br J Surg 2018;105:773–783.
Lies SR, Zhang AY. Prospective randomized study of the effect of music on the efficiency of surgical closures. Aesthet Surg J 2015;35:858–863.
Miskovic D, Rosenthal R, Zingg U, et al. Randomized controlled trial investigating the effect of music on the virtual reality laparoscopic learning performance of novice surgeons. Surg Endosc 2008;22:2416–2420.
Wiseman MC. The Mozart effect on task performance in a laparoscopic surgical simulator. Surg Innov 2013;20:444–453.
Conrad C, Konuk Y, Werner PD, et al. A quality improvement study on avoidable stressors and countermeasures affecting surgical motor performance and learning. Ann Surg 2012;255:1190–1194.
Conrad C, Konuk Y, Werner P, et al. The effect of defined auditory conditions versus mental loading on the laparoscopic motor skill performance of experts. Surg Endosc 2010;24:1347–1352.
Kyrillos R, Caissie M. Effect of music on surgical skill during simulated intraocular surgery. Can J Ophthalmol 2017;52:538–542.
Moorthy K, Munz Y, Undre S, Darzi A. Objective evaluation of the effect of noise on the performance of a complex laparoscopic task. Surgery 2004;136:25–30; discussion 31.
Shakir A, Chattopadhyay A, Paek LS, et al. The effects of music on microsurgical technique and performance: a motion analysis study. Ann Plast Surg 2017;78(5 Suppl 4):S243–S247.
Siu KC, Suh IH, Mukherjee M, et al. The effect of music on robot-assisted laparoscopic surgical performance. Surg Innov 2010;17:306–311.
Kurmann A, Peter M, Tschan F, et al. Adverse effect of noise in the operating theatre on surgical-site infection. Br J Surg 2011;98:1021–1025.
Muhammad S, Lehecka M, Huhtakangas J, et al. Meditation music improved the quality of suturing in an experimental bypass procedure. Acta Neurochir (Wien) 2019;161:1515–1521.
Way TJ, Long A, Weihing J, et al. Effect of noise on auditory processing in the operating room. J Am Coll Surg 2013;216:933–938.
Weldon SM, Korkiakangas T, Bezemer J, Kneebone R. Music and communication in the operating theatre. J Adv Nurs 2015;71:2763–2774.
Belykh E, Onaka NR, Abramov IT, et al. Systematic review of factors influencing surgical performance: practical recommendations for microsurgical procedures in neurosurgery. World Neurosurg 2018;112:e182–e207.
El Boghdady M, Ewalds-Kvist BM. The influence of music on the surgical task performance: a systematic review. Int J Surg 2020;73:101–112.
Oomens P, Fu VX, Kleinrensink GJ, Jeekel J. The effect of music on simulated surgical performance: a systematic review. Int J Surg 2019;33:2774–2784.
Cheng H, Clymer JW, Po-Han Chen B, et al. Prolonged operative duration is associated with complications: a systematic review and meta-analysis. J Surg Res 2018;229:134–144.
Cheng H, Chen BP, Soleas IM, et al. Prolonged operative duration increases risk of surgical site infections: a systematic review. Surg Infect (Larchmt) 2017;18:722–735.
Buchanan CL, Dorn PL, Fey J, et al. Locoregional recurrence after mastectomy: incidence and outcomes. J Am Coll Surg 2006;203:469–474.