Kidney Week

Abstract: TH-PO292

Music Therapy for People with CKD Undergoing Haemodialysis: Rapid Systematic Review and Meta-Analysis

Session Information

• Hemodialysis and Frequent Dialysis - 1
  October 24, 2024 | Location: Exhibit Hall, Convention Center
  Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

• 801 Dialysis: Hemodialysis and Frequent Dialysis

Authors

• Han, Yunan, University of Illinois Chicago College of Medicine, Chicago, Illinois, United States

Yunan Han, MS

• Li, Davey, University of Illinois Chicago College of Medicine, Chicago, Illinois, United States

Davey Li

• Kelly, Tanika, University of Illinois Chicago, Chicago, Illinois, United States

Tanika Kelly, PhD, MPH

• Hasegawa, Takeshi, Showa University, Shinagawa, Tokyo, Japan

Takeshi Hasegawa, MD, PhD, MPH

• Noma, Hisashi, Institute of Statistical Mathematics, Tachikawa, Tokyo, Japan

Hisashi Noma, PhD, MPH

• Ota, Erika, St.Luke's International University, Chuo, Tokyo, Japan

Erika Ota, PhD, RN

• Suzuki, Taihei, Showa University, Shinagawa, Tokyo, Japan

Taihei Suzuki, MD, PhD

• Watanabe, Yoshitaka, Showa University Nortern Yokohama Hospital, Yokohama, Kanagawa, Japan

Yoshitaka Watanabe, APN

• Tomioka, Hiroi, Showa University Nortern Yokohama Hospital, Yokohama, Kanagawa, Japan

Hiroi Tomioka, MD, PhD

• Nishiwaki, Hiroki, University of Illinois Chicago, Chicago, Illinois, United States

Hiroki Nishiwaki, MD, PhD, MPH

Background

Patients receiving hemodialysis (HD) experience various types of symptom burden. Anxiety, depression, and pain are common comorbidities for patients with CKD receiving HD. Randomized controlled trials have shown music to have positive health benefits among patients receiving HD.

Methods

In this systematic review and meta-analysis, we searched MEDLINE, and CENTRAL through April 2024 for interventional studies involving music-based interventions among patients on HD. Study quality was assessed using the Cochrane Collaboration risk-of-bias 2.0 tools. Across eligible studies, random-effects meta-analyses were used to combine effects of music intervention on three study endpoints; anxiety, depression, and pain in hemodialysis patients.

Results

Among the 83 citations identified by our search strategy, 19 studies met our eligibility criteria for inclusion, and 11 (total n =765) reported effect sizes and measures of variance for quantitative synthesis (7 for anxiety, 3 for depression, and 4 for pain). Music was associated with significantly decreased anxiety, with standardized mean difference (hedge’s g) of -0.65 [95% CI -1.10 to -0.20, I²=76%] compared to the control group (Figure 1). Depression, on the other hand, showed no statistically significant difference with a standardized mean difference of -0.56 [95% CI -1.27 to 0.15, I²=61%] for the intervention group compared to the control group (Figure 2). Pain was decreased in the intervention group compared to the control group, with standardized mean difference of -1.91 [95% -2.74 to -1.35, I²=11%] in visual analog scale (Figure 3).

Conclusion

Music decreased anxiety and pain among the patients with HD in the current meta-analysis.