Departamento de Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, Seville, Spain.
CTS 1110: Uncertainty, Mindfulness, Self, and Spirituality (UMMS) research group, Andalusia, Spain.
Support Care Cancer. 2023 Jul 24;31(8):488. doi: 10.1007/s00520-023-07938-6.
To summarize the available evidence from systematic reviews with meta-analysis on the effects of music-based interventions in adults diagnosed with cancer.
An overview of systematic reviews was conducted. CINHAL, Embase, PEDro, PubMed, Scopus, the Cochrane Library and Web of Science were searched from inception until November 2022. Systematic reviews with meta-analysis in individuals with cancer (any type), any comparator, and outcomes of cancer-related pain, fatigue, and psychosocial symptoms were eligible. The methodological quality of systematic reviews and the amount of spin of information in the abstract were assessed. The Graphical Representation of Overlap for OVErviews tool (GROOVE) was used to explore the overlap of primary studies among systematic reviews.
Thirteen systematic reviews, with over 9000 participants, containing 119 randomized trials and 34 meta-analyses of interest, were included. Music-based interventions involved passive music listening or patients' active engagement. Most systematic reviews lacked a comprehensive search strategy, did not assess the certainty in the evidence and discussed their findings without considering the risk of bias of primary studies. The degree of overlap was moderate (5.81%). Overall, combining music-based interventions and standard care seems to be more effective than standard care to reduce cancer-related pain, fatigue, and distress. Mixed findings were found for other psychosocial measures.
Music-based interventions could be an interesting approach to modulate cancer-related pain, fatigue, and distress in adults with cancer. The variability among interventions, together with important methodological biases, detract from the clinical relevance of these findings.
对癌症患者音乐干预效果的系统评价和荟萃分析进行综述。
对系统评价进行概述。从创建到 2022 年 11 月，在 CINHAL、Embase、PEDro、PubMed、Scopus、Cochrane 图书馆和 Web of Science 中搜索了与癌症（任何类型）个体、任何对照以及癌症相关疼痛、疲劳和心理社会症状结局相关的音乐干预的系统评价。符合条件的系统评价包括癌症患者（任何类型）、任何对照以及癌症相关疼痛、疲劳和心理社会症状结局的个体的系统评价。评估了系统评价的方法学质量和摘要中信息旋转的程度。使用 OVErviews 工具的图形表示法（Graphical Representation of Overlap for OVErviews tool，GROOVE）来探索系统评价中主要研究的重叠情况。
纳入了 13 项系统评价，涉及超过 9000 名参与者，包含 119 项随机试验和 34 项感兴趣的荟萃分析。音乐干预包括被动音乐聆听或患者的主动参与。大多数系统评价缺乏全面的检索策略，未评估证据的确定性，在没有考虑主要研究偏倚风险的情况下讨论了他们的发现。重叠程度为中度（5.81%）。总体而言，与标准护理相比，将音乐干预与标准护理相结合似乎更能有效减轻癌症相关疼痛、疲劳和痛苦。其他心理社会措施的结果则喜忧参半。
音乐干预可能是一种调节癌症患者相关疼痛、疲劳和痛苦的有趣方法。干预措施的变异性以及重要的方法学偏倚，降低了这些发现的临床相关性。
