D0174 - The Effect of Music on Colonoscopy (MUSICOL): A Randomized Controlled Trial

Tuesday, October 25, 2022

10:00 AM – 12:00 PM ET

Location: Crown Ballroom

Presenting Author(s)

Monika Stoskute, BS

University of Illinois at Chicago
Chicago, IL

Claire M. Shin, MD¹, Gregory J. Pajot, MD¹, Monika Stoskute, BS¹, Lenard Reyes, RN¹, Katherine Janike, MD¹, Yinglin Xia, PhD¹, Shuja Asim, MD²
¹University of Illinois at Chicago, Chicago, IL; ²University of Illinois, Chicago, IL

Introduction: Widespread adoption of colorectal cancer (CRC) screening has resulted in earlier detection and reduced mortality. Despite the proven success of CRC screening, gaps in adherence remain with only 64% participation rate in the United States over the past 10 years. Patients commonly experience feelings of anxiety and anticipated discomfort prior to and during colonoscopies which may deter them from undergoing the procedure. Music is an inexpensive and safe therapy that could potentially improve the experience and consequently adherence to screening programs. Our study aims to assess if playing music before and during colonoscopies improves the patient experience, willingness to repeat the procedure in the future, and endoscopist performance.

Methods: We performed a single-center randomized trial including patients aged ≥18 years undergoing screening colonoscopy. The music group, no music (control) group, and endoscopist were not informed of the aim of the study. Patients in the music group were asked to select a preferred genre from music to be played during before and during the colonoscopy. Baseline anxiety was assessed with the PROMIS Anxiety 7a questionnaire. Overall patient experience and willingness to undergo another procedure in the future were assessed by Likert scale. Endoscopist performance was assessed by adenoma detection rate and time to reach cecum. Statistical analysis was performed using the chi-squared test and Wilcoxon two-sample test via SAS.

Results: 79 patients were eligible and recruited. Demographic characteristics, anxiety score, pre-procedure pain score, and post-procedure pain score of the two groups are shown in Table 1. There was no statistically significant difference in other study outcomes such as patient future willingness, patient overall satisfaction, adenoma detection rate, time to reach cecum, procedure time, midazolam dosage, and fentanyl dosage between the music group and control group in Table 1.

Discussion: While the preliminary data does not show any significant differences in future willingness and overall experience rating, additional recruitment is necessary to reach adequate power to assess whether music during colonoscopies could improve the patient experience, adherence to screening programs, and endoscopist performance.

Table 1: Demographic, anxiety and pain scores	Music group (n=40)	Control group (n=39)	P-value
Age	55.6	57.8	0.22
Male (n, %)	18 (45.0%)	16 (41.0%)	0.72
Ethnicity (White&Caucasian/ Hispanic&Latino/Black&AA/Asian)	6/9/23/2	5/6/26/2	0.83
Hx of prior c-scope (n, %)	20 (50.0%)	19 (48.7%)	0.90
Hx of abdominal Sx (n, %)	12 (30.0%)	8 (20.5%)	0.33
Anxiety medication use (n, %)	1 (2.5%)	1 (2.6%)	0.99
pre procedural pain (x̅)	0.13	0.28	0.39
post procedural pain (x̅)	0.28	0.23	0.64
Post-procedure anxiety level (x̅)	10.7	12	0.25
Endoscopists' performance measurements, sedation use, and primary outcomes
Time to cecum (x̅ minutes)	11.9	10.1	0.43
Procedure time (x̅ minutes)	33.0	31.1	0.38
Adenoma Detection(n, %)	15 (37.5%)	14 (35.9%)	0.88
Midazolam dose (x̅ mg)	3.94	4.03	0.80
Fentanyl (x̅ μg)	79.4	85.3	0.43
Future Willingness (x̅)	4.77	4.73	0.95
Overall experience rating (x̅)	4.84	4.67	0.34

Table: Table 1 shows demographics, anxiety score, pain scores, endoscopists' performance measurements, sedation use, and primary outcomes.

Disclosures:

Claire Shin indicated no relevant financial relationships.

Gregory Pajot indicated no relevant financial relationships.

Monika Stoskute indicated no relevant financial relationships.

Lenard Reyes indicated no relevant financial relationships.

Katherine Janike indicated no relevant financial relationships.

Yinglin Xia indicated no relevant financial relationships.

Shuja Asim indicated no relevant financial relationships.

Claire M. Shin, MD¹, Gregory J. Pajot, MD¹, Monika Stoskute, BS¹, Lenard Reyes, RN¹, Katherine Janike, MD¹, Yinglin Xia, PhD¹, Shuja Asim, MD². D0174 - The Effect of Music on Colonoscopy (MUSICOL): A Randomized Controlled Trial, ACG 2022 Annual Scientific Meeting Abstracts. Charlotte, NC: American College of Gastroenterology.