Mapping the Landscape: A Bibliometric Analysis of Music Therapy Applications in Surgery (2009–2023) 

Mapping the Landscape: A Bibliometric Analysis of Music Therapy Applications in Surgery (2009–2023) | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Mapping the Landscape: A Bibliometric Analysis of Music Therapy Applications in Surgery (2009–2023) xiaoping xu, Xiaoping Yang, Qingqun Qiu, Zhenglan Zhong, Yong Yi This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4756354/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 3 You are reading this latest preprint version Abstract Music therapy, leveraging the profound influence of music on human emotions and physiology, has gained attention for its potential applications in medical settings, particularly in surgery. This study aims to conduct a comprehensive bibliometric analysis of music therapy's application in surgery. Publications related to application of music therapy in surgery from 2009 to 2023 were searched in the Web of Science Core Collection (WoSCC) databases. Bibliometric analysis was conducted using VOSviewer, CiteSpace, Microsoft Excel, and online bibliometrics websites. This study included 479 publications, with a steady increase in annual publications since 2009, peaking in 2021. The USA had the highest number of publications (n = 152, 31.7%), followed by China (85, 17.7%) and Italy (48, 10%). Harvard University emerged as the top research institution, while the Journal of Perianesthesia Nursing was the primary publishing journal, and the Cochrane Database of Systematic Reviews was the highest co-cited journal. Cao Hua had the highest number of studies, and Nilsson U (n = 131) was identified as the most co-cited author. Keyword analysis revealed anxiety, therapy, music therapy, and pain as primary research trends in recent years. This bibliometric study provides a comprehensive summary of the existing research landscape, highlighting progress, challenges, and opportunities in integrating music therapy into surgical practice. Music therapy surgery bibliometric analysis VOSviewer CiteSpace Figures Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Figure 8 Figure 9 Figure 10 Introduction Surgery constitutes a daunting experience for patients, often accompanied by heightened levels of anxiety, fear, and discomfort. Research indicates that approximately 75% of pre-operative surgical patients experience significant anxiety [ 1 , 2 ]. The confluence of high anxiety levels and pain can precipitate negative physiological manifestations, exerting detrimental effects on surgical outcomes and impeding recovery times. In response to the imperative for comprehensive patient care, healthcare professionals have increasingly turned to adjunctive therapies to ameliorate these concerns. The genesis of integrating music within surgical settings can be traced back to the early 20th century, with pioneering efforts aimed at alleviating patient stress and improving clinical outcomes. Evan Kane's early exploration of music's soothing effects in the operating room marks a significant milestone in this journey [ 3 ]. Subsequent research endeavors have robustly validated the efficacy of music therapy in surgery, demonstrating its capacity to mitigate preoperative anxiety, alleviate pain, and facilitate patient recovery processes [ 4 – 8 ]. The intricate mechanisms underlying music's therapeutic effects in the surgical milieu continue to be elucidated through neuroscientific inquiry. Music's ability to modulate autonomic nervous system activity, regulate stress hormone secretion, and engage reward pathways in the brain underscores its potential as a non-invasive adjunctive intervention in surgical care [ 9 , 10 ]. In recent years, the integration of music therapy within medical settings has garnered escalating attention for its potential to enhance patient outcomes and well-being across diverse healthcare contexts. In comparison to pharmacological interventions, music intervention represents a non-invasive, safe, and cost-effective approach devoid of known specific side effects. Empirical studies have underscored its significant positive effects on various surgical procedures [ 11 – 16 ]. A meta-analysis comprising 73 randomized controlled trials involving 6902 patients revealed that music therapy was associated with modest reductions in patient-reported postoperative pain and anxiety, decreased analgesia usage, and heightened patient satisfaction. Notably, none of the included studies reported adverse side effects [ 17 ]. The application of bibliometric analysis presents a systematic avenue to scrutinize the scholarly landscape surrounding the application of music therapy in surgery. By dissecting publication trends, citation patterns, and thematic content, such analyses provide invaluable insights into the evolutionary trajectory of research in this domain, identify seminal contributions, and assess the impact of music therapy on surgical outcomes. There has been a surge in bibliometric analyses concerning music therapy, marking a significant trend in research. While earlier studies primarily concentrated on either music therapy itself or its application in other domains, However, a report on the application of music therapy in surgery using bibliometric analysis has not been found yet. Therefore, this study aims to conduct a bibliometric analysis of publications focused on the application of music therapy in surgery over the past fifteen years, spanning from 2009 to 2023. The primary objective is to discern the major contributors and current research status within this domain, while also endeavoring to explore future research trends and prospects for development. Materials and methods Data source and search strategy The work has been reported in line with the Standards for Reporting Qualitative Research SRQR Criteria [ 18 ]. The WoS Core Collection (WoSCC) database stands out for its extensive coverage, robust citation analysis tools, indicators, and advanced visualization capabilities, making it a staple in bibliometric analyses [ 19 – 21 ]. Previous studies have underscored the effectiveness of employing bibliometric analysis using the WoSCC database [ 22 , 23 ]. In this study, we leveraged this resource to retrieve pertinent literature published between January 1, 2009, and December 31, 2023. Our search criteria were defined as follows: TS = ("Music therapy") AND TS = ("Surgery"). Inclusion and exclusion criteria Following the screening of titles and abstracts, we exclusively focused on articles and reviews, excluding other irrelevant literature such as meeting abstracts, letters, editorial material, book chapters, and non-English papers. Additionally, we eliminated duplicated articles. Prior to analysis, two researchers independently screened the data, resolving any discrepancies through discussion and with the intervention of a third reviewer when necessary. The inclusion criteria flowchart is depicted in Fig. 1 . Ultimately, a total of 479 records were retrieved for the bibliometric analysis. Bibliometric analysis The data were analyzed using a combination of VOSviewer, CiteSpace, Microsoft Excel 2021, and an online bibliometric tool ( https://bibliometric.com/ ). VOSviewer (version 1.6.20) was employed to examine relationships among authors, countries, institutions, journals, references, and keywords. This software is widely recognized for its ability to extract key insights from extensive publication datasets [ 24 ]. To uncover the interconnections between different journals within our field of study, we utilized CiteSpace (version: 6.3.1) to generate a dual-map overlay of journals.. Additionally, CiteSpace was utilized to analyze reference patterns, leveraging its Citation Bursts feature to identify significant shifts or bursts in citation activity for specific references over time. Quantitative analysis of publication metrics was conducted using Microsoft Office Excel 2021. For visualizing trend topics, we utilized the online bibliometric website ( https://bibliometric.com/ ). Results Quantitative Analysis of Publication In Fig. 1 , spanning the period from 2009 to 2023, a total of 523 studies were identified within the WoS Core Collection. Following a comprehensive review of full articles, 8 non-English publications and 36 publications in other formats were excluded. Ultimately, a corpus of 479 studies on application of music therapy in surgical settings was compiled, comprising 342 articles and 137 reviews. The yearly distribution of publications is depicted in Fig. 2 , revealing a consistent upward trajectory from 2009 onwards, peaking in 2021 before experiencing a modest decline between 2022 and 2023. This trend underscores the sustained and enduring attention accorded to this subject matter over the years. Notably, the highest number of published articles (n = 67) was recorded in 2021. Country and Institutional Analysis To explore the prominent contributors in this field, an analysis of the distribution of publications by countries and institutions was conducted. Table 1 reveals that among 61 countries, the United States holds the highest number of publications (n = 152, 31.7%), followed by China (85, 17.7%) and Italy (48, 10%). Together, the publications from these top three countries represent over half of the total (n = 285, 59.5%), while the remaining countries contribute less than 10% of the total publications. These findings underscore the leading role of the USA in music therapy research. Table 1 Top 10 countries and institutions in research on the application of music therapy in surgery Rank Country Counts Institution Counts 1 USA 152(31.7%) Harvard University 16(3.3%) 2 Peoples R China 85(17.7%) Fujian Medical University 11(2.3%) 3 Italy 48(10%) Harvard Medical School 10(2.1%) 4 Germany 32(6.7%) University System Of Ohio 10(2.1%) 5 Turkey 32(6.7%) Taipei Medical University 10(2.1%) 6 Iran 26(5.4%) University Of Michigan 10(2.1%) 7 England 24(5%) University Of Michigan System 10(2.1%) 8 Taiwan 21(4.4%) Sichuan University 8(1.7%) 9 Canada 18(3.8%) University Of California System 8(1.7%) 10 Netherlands 16(3.3%) University Of London 8(1.7%) Collaborative networks among various countries were visualized using VOSviewer. As illustrated in Fig. 3 , the United States engages in active collaboration with numerous countries, including England, Germany, Italy, China, and the Netherlands. Further analysis revealed that these articles were contributed by a total of 948 institutions. Figure 4 visually depicts the collaborative network, illustrating the quantity and interrelationships of publications from each institution. Journals and Co-Cited Journals A total of 479 studies included in our bibliometric analysis were distributed across 283 journals. Table 2 presents the top 10 journals and co-cited journals in the research field of music therapy applied in surgery. The most prolific journal was Journal of Perianesthesia Nursing (n = 17, 3.5%), followed by Complementary Therapies in Clinical Practice (n = 11, 2.3%) and Journal of Clinical Nursing (n = 10, 2.1%). Analysis of co-cited journals using VOSviewer revealed that the Cochrane Database of Systematic Reviews had the highest co-citation count (309), followed by Journal of Clinical Nursing (286), and Journal of Music Theory (272). Figure 5 displays the network of journals (Fig. 5 A) and co-cited journals (Fig. 5 B). The significant co-citation count signifies the journals with the most significant academic influence in the field, with the Cochrane Database of Systematic Reviews holding key positions in this research domain. Table 2 Top 10 journals and co-cited journals for research of music therapy applied in surgery Rank Journal Count Co-Cited Journal Co-citation 1 Journal Of Perianesthesia Nursing 17(3.5%) Cochrane Database Of Systematic Reviews 309 2 Complementary Therapies In Clinical Practice 11(2.3%) Journal Of Clinical Nursing 286 3 Journal Of Clinical Nursing 10(2.1%) Journal Of Music Theory 272 4 Complementary Therapies In Medicine 9(1.9%) Anesthesia & Analgesia 247 5 Holistic Nursing Practice 9(1.9%) Journal Of Advanced Nursing 226 6 Pain Management Nursing 8(1.7%) Plos One 188 7 Cochrane Database Of Systematic Reviews 6(1.3%) Pain 184 8 Burns 6(1.3%) Pain Management Nursing 183 9 Journal Of Voice 6(1.3%) Aorn Journal 181 10 Supportive Care In Cancer 6(1.3%) Journal Of Perianesthesia Nursing 153 CiteSpace software was utilized to visually depict the dual-map overlaps of the journals and co-cited journals. As illustrated in Fig. 6 , four main citation trajectories were identified, journals in medicine / medical / clinical is mainly cited by Health / Nursing / Medicine, Psychology / Education / Social and Psychology / Education / Social and Molecular / Biology / Genetics fields. Additionally, journals in Psychology / Education / Health is mainly influenced by journals in Health / Nursing / Medicine fields. Authors and Co-Cited Authors A total of 2,433 authors contributed to the 479 selected publications. Author Cao Hua published the highest number of studies (n = 8), followed by Chen Qiang (n = 8), Johannes Jeekel (n = 6), and David C. Miller (n = 5). There were a total of 14184 co-cited authors, Among them, Nilsson U (n = 131) and Bradt J (n = 125) emerged as the top two co-cited authors. A cooperative network based on authors and co-cited authors was constructed using VOSviewer (Fig. 7 ). The network map illustrates authors who have demonstrated high levels of cooperation in their productivity, forming distinct clusters. Co-Cited References Over the past 16 years, there have been 17738 co-cited references related to the application of music therapy in surgery. Table 3 presents the top 10 co-cited references in this area, with seven references being co-cited more than 30 times. Figure 8 illustrates the co-citation network map based on selected references co-cited 10 times or more, resulting in 4 clusters (105 items). “nilsson Ulrica, 2008, AORN J” demonstrates active co-cited relationships with “sendelbach se, 2006, J CARDIOV”, and “allred kd, 2010, PAIN MANAG NURS” etc. Table 3 Top 10 co-cited references on application of music therapy in surgery Rank Co-cited reference citations 1 nilsson ulrica, 2008, aorn j, v87, p780 doi 10.1016/j.aorn.2007.09.013 62 2 sendelbach se, 2006, j cardiovasc nurs, v21, p194 doi 10.1097/00005082-200605000-00007 46 3 hole j, 2015, lancet, v386, p1659 doi 10.1016/s0140-6736(15)60169-6 39 4 kühlmann ayr, 2018, brit j surg, v105, p773 doi 10.1002/bjs.10853 35 5 bradt j, 2013, cochrane db syst rev doi 10.1002/14651858.cd006908.pub2 34 6 nilsson u, 2009, j clin nurs, v18, p2153 doi 10.1111/j.1365-2702.2008.02718.x 34 7 leardi s, 2007, brit j surg, v94, p943 doi 10.1002/bjs.5914 31 8 allred kd, 2010, pain manag nurs, v11, p15 doi 10.1016/j.pmn.2008.12.002 29 9 nilsson u, 2009, heart lung, v38, p201 doi 10.1016/j.hrtlng.2008.07.008 28 10 Özer n, 2013, pain manag nurs, v14, p20 doi 10.1016/j.pmn.2010.05.002 25 Reference with citation burst In Fig. 9 , by using CiteSpace, we present 14 references that exhibited the most significant citation bursts in our study. The initial occurrence of a citation burst was observed as early as 2009, the bursts strength of these references ranged from 2.78 to 8.15, with endurance strength with from 2 to 5 years. Notably, The reference with the strongest citation burst (strength = 8.15) was titled “Meta-analysis evaluating music interventions for anxiety and pain in surgery” published in British Journal of Surgery by A Y R Kühlmann et al. with citation bursts spanning from 2009 to 2013. Table 4 presents a concise overview of the principal research themes delineated across the 14 references, arranged in accordance with the sequence depicted in Fig. 9 of the literature. Table 4 The main research contents of the 14 references with strong citations bursts. Rank Strength Main research content 1 8.15 Meta-analysis evaluating music interventions for anxiety and pain in surgery 2 7.33 The Anxiety- and Pain-Reducing Effects of Music Interventions: A Systematic Review 3 6.95 Music as an aid for postoperative recovery in adults: a systematic review and meta-analysis 4 5.06 Effects of music therapy on pain, anxiety, and vital signs in patients after thoracic surgery 5 4.83 Soothing music can increase oxytocin levels during bed rest after open-heart surgery: a randomised control trial 6 4.5 The Effect of Music on Postoperative Pain and Anxiety 7 4.42 Effect of Music on Postoperative Pain and Physiologic Parameters of Patients after Open Heart Surgery 8 4.05 The Effects of Music on Pain: A Meta-Analysis 9 3.66 Effects of Music Therapy on Physiological and Psychological Outcomes for Patients Undergoing Cardiac Surgery 10 3.46 Randomized clinical trial examining the effect of music therapy in stress response to day surgery 11 3.29 Music interventions for improving psychological and physical outcomes in cancer patients 12 3.22 Music as a Nursing Intervention for Postoperative Pain: A Systematic Review 13 2.95 Music interventions for preoperative anxiety 14 2.78 The Effects of Perioperative Music Interventions in Pediatric Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Hotspots and Frontiers The results of the keywords analysis revealed the research hotspots within the field. Table 5 presents the top 10 keywords with the strongest citation bursts from 2009 to 2023. Notably, "anxiety" received the most sustained attention (counts = 171), followed closely by "therapy" (counts = 149), "music therapy" (counts = 147), "pain" (counts = 127), and "music" (counts = 116). Keywords with counts lower than 100 were observed for the remaining terms. Furthermore, we filtered all keywords with a minimum occurrence of 10 and conducted cluster analysis using VOSviewer. This process yielded five major clusters, indicating five distinct research fields (Fig. 10 A). Additionally, we utilized the online bibliometrics website ( https://bibliometric.com/ ) to further explore the trending topics. The results indicated that from 2020 to 2023, research during this period predominantly focused on music therapy, indicating a potential future research direction ( Fig. 10 B). Table 5 Top 10 keywords in research on application of music therapy in surgery. Rank Keywords Counts Rank Keywords Counts 1 anxiety 171 6 surgery 85 2 therapy 149 7 management 57 3 music therapy 147 8 stress 51 4 pain 127 9 postoperative pain 49 5 music 116 10 intervention 46 Discussion In the present study, it was observed that the number of annual publications has been consistently increasing since 2009, reaching its peak in 2021. Notably, the United States and China have emerged as the primary contributors in this field, publishing the majority of articles. Harvard University is recognized as one of the premier research institutions globally. The Journal of Perianesthesia Nursing stands out as a prominent publishing venue in the field. The Cochrane Database of Systematic Reviews holds a distinguished position as the most highly co-cited journal in its domain. Cao hua has published the highest number of studies. Nilsson u was identified as the most co-cited author. Keyword analysis revealed that anxiety, music therapy and pain were the primary research trends in recent years. To the best of our knowledge, this is the inaugural bibliometric analysis focusing on the utilization of music therapy within surgical contexts. In recent years, there has been a surge in bibliometric analyses concerning music therapy, marking a significant trend in research. While earlier studies primarily concentrated on either music therapy itself or its application in other domains, recent investigations have delved deeper into various facets of this field. Kailimi Li et al. undertook a comprehensive bibliometric analysis spanning the past two decades, shedding light on the landscape of music therapy research [ 25 ], Their findings underscored the preeminence of the United States in terms of publications, with institutions within the US exerting substantial influence in this domain. Meanwhile, Shao Yin et al. conducted a bibliometric exploration specifically examining music therapy interventions for patients with dementia [ 26 ], Their analysis highlighted psychological issues and key research directions for the future, such as quality of life enhancement, personalized music therapy approaches, and the psychological well-being of caregivers. Furthermore, bibliometric inquiries into non-pharmacological interventions, such as art therapy [ 27 ] and rhythmic auditory stimulation [ 28 ], have also gained traction. These studies have hinted at the burgeoning interest in employing music therapy across diverse clinical settings, foreshadowing its emergence as a focal point of future research endeavors. The journey of music as a therapeutic tool embarked on its path 110 years ago with Pennsylvanian surgeon Evan Kane's pioneering report on utilizing the phonograph in the operating room [ 3 ]. Since then, music has adorned the sterile, impersonal spaces of surgery rooms across a wide spectrum of procedures. Presently, music transcends its initial role, serving not only as a balm to the impersonal nature of clinical settings but also as a potent modality to ameliorate the stress responses of patients. This dual capability has positioned music therapy at the forefront of burgeoning research interests in recent years. Despite this growing attention, it is apparent that research in music therapy, especially in the context of surgery, is still nascent, with a vast expanse of uncharted territory awaiting exploration. Our analysis indicates that while developed nations are poised to continue their dominance in spearheading research, there is a notable surge in interest from developing countries. This emerging trend suggests a forthcoming expansion in research activities on a global scale. This study offers a prism through which recent advancements and prevailing trends in the application of music therapy in surgical practices can be viewed, serving as a pivotal resource for researchers keen on navigating the current landscape of this field. Nonetheless, our study is not without its limitations. The selection process was confined to the core collection of the Web of Science database, potentially narrowing the scope of our conclusions regarding the field at large. Despite this constraint, it is important to acknowledge the WoSCC database's reputation as one of the most authoritative sources for bibliometric analyses. Furthermore, the restriction to English-language studies may have excluded relevant research published in other languages, slightly skewing the breadth of our review. Declarations Funding This work was sponsored by the Yibin Municipal Health Commission Project (Grant number 2022YW008). Competing Interests The authors have no relevant financial or non-financial interests to disclose. Data availability The datasets utilized in the current study are contained in the article. Authors' contributions All authors contributed to the study conception and design. Data collection and analysis were performed by Xiaoping Xu, Xiaoping Yang and Qingqun Qiu. The manuscript was written by. Xiaoping Xu. The figures and tables were formatted by Zhenglan Zhong. The data and manuscript were reviewed by Yong Yi. All authors read and approved the final manuscript. References De Oliveira G S, Holl J L, McCarthy R J, et al. Overestimation of mortality risk and preoperative anxiety in patients undergoing elective general surgery procedures: A propensity matched analysis. International Journal of Surgery. 2014;12(12):1473-1477. https://doi.org/10.1016/j.ijsu.2014.11.016 Robleda G, Sillero-Sillero A, Puig T, Gich I, Baños J-E. 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Int J Environ Res Public Health. 2022;20(1):https://doi.org/10.3390/ijerph20010215 Additional Declarations No competing interests reported. Cite Share Download PDF Status: Under Review Version 1 posted Editor assigned by journal 23 Jul, 2024 Submission checks completed at journal 23 Jul, 2024 First submitted to journal 17 Jul, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4756354","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":330528614,"identity":"d50fe08f-673c-470f-9d56-34a1e8975e98","order_by":0,"name":"xiaoping 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Yibin","correspondingAuthor":false,"prefix":"","firstName":"Xiaoping","middleName":"","lastName":"Yang","suffix":""},{"id":330528616,"identity":"23030f77-e11e-49b0-b5dc-3ff9c453012b","order_by":2,"name":"Qingqun Qiu","email":"","orcid":"","institution":"Second People’s Hospital of Yibin","correspondingAuthor":false,"prefix":"","firstName":"Qingqun","middleName":"","lastName":"Qiu","suffix":""},{"id":330528617,"identity":"0df978c2-f24c-42fc-b685-c95f6de5da81","order_by":3,"name":"Zhenglan Zhong","email":"","orcid":"","institution":"Second People’s Hospital of Yibin","correspondingAuthor":false,"prefix":"","firstName":"Zhenglan","middleName":"","lastName":"Zhong","suffix":""},{"id":330528618,"identity":"f8dbcd28-33f8-4df7-b444-42109f4b7bf8","order_by":4,"name":"Yong Yi","email":"","orcid":"","institution":"Second People’s Hospital of Yibin","correspondingAuthor":false,"prefix":"","firstName":"Yong","middleName":"","lastName":"Yi","suffix":""}],"badges":[],"createdAt":"2024-07-17 12:47:29","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4756354/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4756354/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":63272112,"identity":"329f4695-92d9-4712-96c1-b045d89d24d9","added_by":"auto","created_at":"2024-08-26 11:29:29","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":263690,"visible":true,"origin":"","legend":"\u003cp\u003eThe study flow diagram for screening\u003c/p\u003e","description":"","filename":"floatimage1.png","url":"https://assets-eu.researchsquare.com/files/rs-4756354/v1/6d5bbed53b2393bdcdf7041b.png"},{"id":63272107,"identity":"e0202412-a854-49e6-b851-678fb18282b3","added_by":"auto","created_at":"2024-08-26 11:29:28","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":144448,"visible":true,"origin":"","legend":"\u003cp\u003eAnnual output of research on the application of music therapy in surgery\u003c/p\u003e","description":"","filename":"floatimage2.png","url":"https://assets-eu.researchsquare.com/files/rs-4756354/v1/959de36ee6ea8bcb0437c51c.png"},{"id":63272115,"identity":"34805910-53ea-4b0f-8e73-59f12a29c899","added_by":"auto","created_at":"2024-08-26 11:29:29","extension":"png","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":370835,"visible":true,"origin":"","legend":"\u003cp\u003eA network map showing countries involved in research on the application of music therapy in surgery\u003c/p\u003e","description":"","filename":"floatimage3.png","url":"https://assets-eu.researchsquare.com/files/rs-4756354/v1/1ef055ec73f280066329e6ba.png"},{"id":63272111,"identity":"a5cdf5ca-b51f-4a6d-8a1c-2230010a2095","added_by":"auto","created_at":"2024-08-26 11:29:29","extension":"png","order_by":4,"title":"Figure 4","display":"","copyAsset":false,"role":"figure","size":353319,"visible":true,"origin":"","legend":"\u003cp\u003eA network map showing institutions involved in research on the application of music therapy in surgery\u003c/p\u003e","description":"","filename":"floatimage4.png","url":"https://assets-eu.researchsquare.com/files/rs-4756354/v1/50bcc57c89e3a4991a63f41f.png"},{"id":63272109,"identity":"0e400423-375b-47e2-aab2-944213dfb847","added_by":"auto","created_at":"2024-08-26 11:29:29","extension":"png","order_by":5,"title":"Figure 5","display":"","copyAsset":false,"role":"figure","size":251670,"visible":true,"origin":"","legend":"\u003cp\u003eVisualization of journals (A) and co-cited journals (B) in research on the application of music therapy in surgery\u003c/p\u003e","description":"","filename":"floatimage5.png","url":"https://assets-eu.researchsquare.com/files/rs-4756354/v1/d7f7dac044afc945c136498e.png"},{"id":63272108,"identity":"616e38c0-ef46-4db4-bcf0-8e7b6a12c98d","added_by":"auto","created_at":"2024-08-26 11:29:28","extension":"png","order_by":6,"title":"Figure 6","display":"","copyAsset":false,"role":"figure","size":298321,"visible":true,"origin":"","legend":"\u003cp\u003eDual-map overlay of journals in research on the application of music therapy in surgery\u003c/p\u003e","description":"","filename":"floatimage6.png","url":"https://assets-eu.researchsquare.com/files/rs-4756354/v1/9eede7efb69cbd6e93a9d619.png"},{"id":63272105,"identity":"7ea7e3a6-a0c2-4eba-986a-02f5fdf08a34","added_by":"auto","created_at":"2024-08-26 11:29:28","extension":"png","order_by":7,"title":"Figure 7","display":"","copyAsset":false,"role":"figure","size":308270,"visible":true,"origin":"","legend":"\u003cp\u003eVisualization of authors (A) and co-cited authors (B) in research on the application of music therapy in surgery\u003c/p\u003e","description":"","filename":"floatimage7.png","url":"https://assets-eu.researchsquare.com/files/rs-4756354/v1/f41b982a7f7bb2edc8189766.png"},{"id":63272113,"identity":"daba5ff7-6717-499c-9221-8a5dfb8c9a49","added_by":"auto","created_at":"2024-08-26 11:29:29","extension":"png","order_by":8,"title":"Figure 8","display":"","copyAsset":false,"role":"figure","size":841553,"visible":true,"origin":"","legend":"\u003cp\u003eVisualization of co-cited references in research on the application of music therapy in surgery\u003c/p\u003e","description":"","filename":"floatimage8.png","url":"https://assets-eu.researchsquare.com/files/rs-4756354/v1/237679f83a631df63267c1cb.png"},{"id":63272114,"identity":"7af83548-ee46-4651-96c1-787965670114","added_by":"auto","created_at":"2024-08-26 11:29:29","extension":"png","order_by":9,"title":"Figure 9","display":"","copyAsset":false,"role":"figure","size":454694,"visible":true,"origin":"","legend":"\u003cp\u003eTop 14 references with strong citation bursts. A red bar indicates high citations in that year\u003c/p\u003e","description":"","filename":"9.png","url":"https://assets-eu.researchsquare.com/files/rs-4756354/v1/cf6fc8aeebd151ac7b948ca3.png"},{"id":63273076,"identity":"f739fa7c-e642-438c-ae39-0d09e68d5994","added_by":"auto","created_at":"2024-08-26 11:37:29","extension":"png","order_by":10,"title":"Figure 10","display":"","copyAsset":false,"role":"figure","size":112635,"visible":true,"origin":"","legend":"\u003cp\u003eKeyword cluster analysis (A) and trend topic analysis (B)\u003c/p\u003e","description":"","filename":"floatimage10.png","url":"https://assets-eu.researchsquare.com/files/rs-4756354/v1/5250b47be9a7c0a57d843e29.png"},{"id":63273746,"identity":"cc3d66c1-f918-4ce2-b202-c981eb4b42ab","added_by":"auto","created_at":"2024-08-26 11:45:30","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":3829689,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4756354/v1/d7b9b529-3d0d-4238-ae87-af9286394401.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Mapping the Landscape: A Bibliometric Analysis of Music Therapy Applications in Surgery (2009–2023) ","fulltext":[{"header":"Introduction","content":"\u003cp\u003eSurgery constitutes a daunting experience for patients, often accompanied by heightened levels of anxiety, fear, and discomfort. Research indicates that approximately 75% of pre-operative surgical patients experience significant anxiety [\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e, \u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e]. The confluence of high anxiety levels and pain can precipitate negative physiological manifestations, exerting detrimental effects on surgical outcomes and impeding recovery times. In response to the imperative for comprehensive patient care, healthcare professionals have increasingly turned to adjunctive therapies to ameliorate these concerns.\u003c/p\u003e \u003cp\u003eThe genesis of integrating music within surgical settings can be traced back to the early 20th century, with pioneering efforts aimed at alleviating patient stress and improving clinical outcomes. Evan Kane's early exploration of music's soothing effects in the operating room marks a significant milestone in this journey [\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e]. Subsequent research endeavors have robustly validated the efficacy of music therapy in surgery, demonstrating its capacity to mitigate preoperative anxiety, alleviate pain, and facilitate patient recovery processes [\u003cspan additionalcitationids=\"CR5 CR6 CR7\" citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e]. The intricate mechanisms underlying music's therapeutic effects in the surgical milieu continue to be elucidated through neuroscientific inquiry. Music's ability to modulate autonomic nervous system activity, regulate stress hormone secretion, and engage reward pathways in the brain underscores its potential as a non-invasive adjunctive intervention in surgical care [\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e, \u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eIn recent years, the integration of music therapy within medical settings has garnered escalating attention for its potential to enhance patient outcomes and well-being across diverse healthcare contexts. In comparison to pharmacological interventions, music intervention represents a non-invasive, safe, and cost-effective approach devoid of known specific side effects. Empirical studies have underscored its significant positive effects on various surgical procedures [\u003cspan additionalcitationids=\"CR12 CR13 CR14 CR15\" citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e]. A meta-analysis comprising 73 randomized controlled trials involving 6902 patients revealed that music therapy was associated with modest reductions in patient-reported postoperative pain and anxiety, decreased analgesia usage, and heightened patient satisfaction. Notably, none of the included studies reported adverse side effects [\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eThe application of bibliometric analysis presents a systematic avenue to scrutinize the scholarly landscape surrounding the application of music therapy in surgery. By dissecting publication trends, citation patterns, and thematic content, such analyses provide invaluable insights into the evolutionary trajectory of research in this domain, identify seminal contributions, and assess the impact of music therapy on surgical outcomes. There has been a surge in bibliometric analyses concerning music therapy, marking a significant trend in research. While earlier studies primarily concentrated on either music therapy itself or its application in other domains, However, a report on the application of music therapy in surgery using bibliometric analysis has not been found yet. Therefore, this study aims to conduct a bibliometric analysis of publications focused on the application of music therapy in surgery over the past fifteen years, spanning from 2009 to 2023. The primary objective is to discern the major contributors and current research status within this domain, while also endeavoring to explore future research trends and prospects for development.\u003c/p\u003e"},{"header":"Materials and methods","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eData source and search strategy\u003c/h2\u003e \u003cp\u003eThe work has been reported in line with the Standards for Reporting Qualitative Research SRQR Criteria [\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e]. The WoS Core Collection (WoSCC) database stands out for its extensive coverage, robust citation analysis tools, indicators, and advanced visualization capabilities, making it a staple in bibliometric analyses [\u003cspan additionalcitationids=\"CR20\" citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e]. Previous studies have underscored the effectiveness of employing bibliometric analysis using the WoSCC database [\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e, \u003cspan citationid=\"CR23\" class=\"CitationRef\"\u003e23\u003c/span\u003e]. In this study, we leveraged this resource to retrieve pertinent literature published between January 1, 2009, and December 31, 2023. Our search criteria were defined as follows: TS = (\"Music therapy\") AND TS = (\"Surgery\").\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec4\" class=\"Section2\"\u003e \u003ch2\u003eInclusion and exclusion criteria\u003c/h2\u003e \u003cp\u003eFollowing the screening of titles and abstracts, we exclusively focused on articles and reviews, excluding other irrelevant literature such as meeting abstracts, letters, editorial material, book chapters, and non-English papers. Additionally, we eliminated duplicated articles. Prior to analysis, two researchers independently screened the data, resolving any discrepancies through discussion and with the intervention of a third reviewer when necessary. The inclusion criteria flowchart is depicted in Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003e. Ultimately, a total of 479 records were retrieved for the bibliometric analysis.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec5\" class=\"Section2\"\u003e \u003ch2\u003eBibliometric analysis\u003c/h2\u003e \u003cp\u003eThe data were analyzed using a combination of VOSviewer, CiteSpace, Microsoft Excel 2021, and an online bibliometric tool (\u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://bibliometric.com/\u003c/span\u003e\u003cspan address=\"https://bibliometric.com/\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eVOSviewer (version 1.6.20) was employed to examine relationships among authors, countries, institutions, journals, references, and keywords. This software is widely recognized for its ability to extract key insights from extensive publication datasets [\u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eTo uncover the interconnections between different journals within our field of study, we utilized CiteSpace (version: 6.3.1) to generate a dual-map overlay of journals.. Additionally, CiteSpace was utilized to analyze reference patterns, leveraging its Citation Bursts feature to identify significant shifts or bursts in citation activity for specific references over time.\u003c/p\u003e \u003cp\u003eQuantitative analysis of publication metrics was conducted using Microsoft Office Excel 2021.\u003c/p\u003e \u003cp\u003eFor visualizing trend topics, we utilized the online bibliometric website (\u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://bibliometric.com/\u003c/span\u003e\u003cspan address=\"https://bibliometric.com/\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e).\u003c/p\u003e \u003c/div\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec7\" class=\"Section2\"\u003e \u003ch2\u003eQuantitative Analysis of Publication\u003c/h2\u003e \u003cp\u003eIn Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003e, spanning the period from 2009 to 2023, a total of 523 studies were identified within the WoS Core Collection. Following a comprehensive review of full articles, 8 non-English publications and 36 publications in other formats were excluded. Ultimately, a corpus of 479 studies on application of music therapy in surgical settings was compiled, comprising 342 articles and 137 reviews. The yearly distribution of publications is depicted in Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003e, revealing a consistent upward trajectory from 2009 onwards, peaking in 2021 before experiencing a modest decline between 2022 and 2023. This trend underscores the sustained and enduring attention accorded to this subject matter over the years. Notably, the highest number of published articles (n\u0026thinsp;=\u0026thinsp;67) was recorded in 2021.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003eCountry and Institutional Analysis\u003c/h2\u003e \u003cp\u003eTo explore the prominent contributors in this field, an analysis of the distribution of publications by countries and institutions was conducted. Table\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e reveals that among 61 countries, the United States holds the highest number of publications (n\u0026thinsp;=\u0026thinsp;152, 31.7%), followed by China (85, 17.7%) and Italy (48, 10%). Together, the publications from these top three countries represent over half of the total (n\u0026thinsp;=\u0026thinsp;285, 59.5%), while the remaining countries contribute less than 10% of the total publications. These findings underscore the leading role of the USA in music therapy research.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eTop 10 countries and institutions in research on the application of music therapy in surgery\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"6\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRank\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCountry\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eCounts\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eInstitution\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eCounts\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e \u003cp\u003eUSA\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e152(31.7%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eHarvard University\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e16(3.3%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e \u003cp\u003ePeoples R China\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e85(17.7%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eFujian Medical University\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e11(2.3%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e \u003cp\u003eItaly\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e48(10%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eHarvard Medical School\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e10(2.1%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e \u003cp\u003eGermany\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e32(6.7%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eUniversity System Of Ohio\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e10(2.1%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e \u003cp\u003eTurkey\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e32(6.7%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eTaipei Medical University\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e10(2.1%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e \u003cp\u003eIran\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e26(5.4%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eUniversity Of Michigan\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e10(2.1%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e \u003cp\u003eEngland\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e24(5%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eUniversity Of Michigan System\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e10(2.1%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e \u003cp\u003eTaiwan\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e21(4.4%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eSichuan University\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e8(1.7%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e \u003cp\u003eCanada\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e18(3.8%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eUniversity Of California System\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e8(1.7%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e \u003cp\u003eNetherlands\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e16(3.3%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eUniversity Of London\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e8(1.7%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eCollaborative networks among various countries were visualized using VOSviewer. As illustrated in Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003e, the United States engages in active collaboration with numerous countries, including England, Germany, Italy, China, and the Netherlands. Further analysis revealed that these articles were contributed by a total of 948 institutions. Figure\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003e visually depicts the collaborative network, illustrating the quantity and interrelationships of publications from each institution.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec9\" class=\"Section2\"\u003e \u003ch2\u003eJournals and Co-Cited Journals\u003c/h2\u003e \u003cp\u003eA total of 479 studies included in our bibliometric analysis were distributed across 283 journals. Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e presents the top 10 journals and co-cited journals in the research field of music therapy applied in surgery. The most prolific journal was Journal of Perianesthesia Nursing (n\u0026thinsp;=\u0026thinsp;17, 3.5%), followed by Complementary Therapies in Clinical Practice (n\u0026thinsp;=\u0026thinsp;11, 2.3%) and Journal of Clinical Nursing (n\u0026thinsp;=\u0026thinsp;10, 2.1%). Analysis of co-cited journals using VOSviewer revealed that the Cochrane Database of Systematic Reviews had the highest co-citation count (309), followed by Journal of Clinical Nursing (286), and Journal of Music Theory (272). Figure\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003e displays the network of journals (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eA) and co-cited journals (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eB). The significant co-citation count signifies the journals with the most significant academic influence in the field, with the Cochrane Database of Systematic Reviews holding key positions in this research domain.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab2\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eTop 10 journals and co-cited journals for research of music therapy applied in surgery\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"5\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRank\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eJournal\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eCount\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eCo-Cited Journal\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eCo-citation\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eJournal Of Perianesthesia Nursing\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e17(3.5%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eCochrane Database Of Systematic Reviews\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e309\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eComplementary Therapies In Clinical Practice\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e11(2.3%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eJournal Of Clinical Nursing\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e286\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eJournal Of Clinical Nursing\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e10(2.1%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eJournal Of Music Theory\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e272\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eComplementary Therapies In Medicine\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e9(1.9%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eAnesthesia \u0026amp; Analgesia\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e247\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eHolistic Nursing Practice\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e9(1.9%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eJournal Of Advanced Nursing\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e226\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003ePain Management Nursing\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e8(1.7%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003ePlos One\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e188\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCochrane Database Of Systematic Reviews\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6(1.3%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003ePain\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e184\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eBurns\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6(1.3%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003ePain Management Nursing\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e183\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eJournal Of Voice\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6(1.3%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eAorn Journal\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e181\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eSupportive Care In Cancer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6(1.3%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eJournal Of Perianesthesia Nursing\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e153\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003eCiteSpace software was utilized to visually depict the dual-map overlaps of the journals and co-cited journals. As illustrated in Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003e, four main citation trajectories were identified, journals in medicine / medical / clinical is mainly cited by Health / Nursing / Medicine, Psychology / Education / Social and Psychology / Education / Social and Molecular / Biology / Genetics fields. Additionally, journals in Psychology / Education / Health is mainly influenced by journals in Health / Nursing / Medicine fields.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec10\" class=\"Section2\"\u003e \u003ch2\u003eAuthors and Co-Cited Authors\u003c/h2\u003e \u003cp\u003eA total of 2,433 authors contributed to the 479 selected publications. Author Cao Hua published the highest number of studies (n\u0026thinsp;=\u0026thinsp;8), followed by Chen Qiang (n\u0026thinsp;=\u0026thinsp;8), Johannes Jeekel (n\u0026thinsp;=\u0026thinsp;6), and David C. Miller (n\u0026thinsp;=\u0026thinsp;5). There were a total of 14184 co-cited authors, Among them, Nilsson U (n\u0026thinsp;=\u0026thinsp;131) and Bradt J (n\u0026thinsp;=\u0026thinsp;125) emerged as the top two co-cited authors. A cooperative network based on authors and co-cited authors was constructed using VOSviewer (Fig.\u0026nbsp;\u003cspan refid=\"Fig7\" class=\"InternalRef\"\u003e7\u003c/span\u003e). The network map illustrates authors who have demonstrated high levels of cooperation in their productivity, forming distinct clusters.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec11\" class=\"Section2\"\u003e \u003ch2\u003eCo-Cited References\u003c/h2\u003e \u003cp\u003eOver the past 16 years, there have been 17738 co-cited references related to the application of music therapy in surgery. Table\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e presents the top 10 co-cited references in this area, with seven references being co-cited more than 30 times. Figure\u0026nbsp;\u003cspan refid=\"Fig8\" class=\"InternalRef\"\u003e8\u003c/span\u003e illustrates the co-citation network map based on selected references co-cited 10 times or more, resulting in 4 clusters (105 items). \u0026ldquo;nilsson Ulrica, 2008, AORN J\u0026rdquo; demonstrates active co-cited relationships with \u0026ldquo;sendelbach se, 2006, J CARDIOV\u0026rdquo;, and \u0026ldquo;allred kd, 2010, PAIN MANAG NURS\u0026rdquo; etc.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab3\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 3\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eTop 10 co-cited references on application of music therapy in surgery\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRank\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCo-cited reference\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003ecitations\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003enilsson ulrica, 2008, aorn j, v87, p780\u003c/p\u003e \u003cp\u003edoi \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1016/j.aorn.2007.09.013\u003c/span\u003e\u003cspan address=\"10.1016/j.aorn.2007.09.013\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e62\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003esendelbach se, 2006, j cardiovasc nurs, v21, p194\u003c/p\u003e \u003cp\u003edoi \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1097/00005082-200605000-00007\u003c/span\u003e\u003cspan address=\"10.1097/00005082-200605000-00007\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e46\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003ehole j, 2015, lancet, v386, p1659\u003c/p\u003e \u003cp\u003edoi \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1016/s0140-6736(15)60169-6\u003c/span\u003e\u003cspan address=\"10.1016/s0140-6736(15)60169-6\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e39\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003ek\u0026uuml;hlmann ayr, 2018, brit j surg, v105, p773\u003c/p\u003e \u003cp\u003edoi \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1002/bjs.10853\u003c/span\u003e\u003cspan address=\"10.1002/bjs.10853\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e35\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003ebradt j, 2013, cochrane db syst rev\u003c/p\u003e \u003cp\u003edoi \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1002/14651858.cd006908.pub2\u003c/span\u003e\u003cspan address=\"10.1002/14651858.cd006908.pub2\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e34\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003enilsson u, 2009, j clin nurs, v18, p2153\u003c/p\u003e \u003cp\u003edoi \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1111/j.1365-2702.2008.02718.x\u003c/span\u003e\u003cspan address=\"10.1111/j.1365-2702.2008.02718.x\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e34\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eleardi s, 2007, brit j surg, v94, p943\u003c/p\u003e \u003cp\u003edoi \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1002/bjs.5914\u003c/span\u003e\u003cspan address=\"10.1002/bjs.5914\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e31\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eallred kd, 2010, pain manag nurs, v11, p15\u003c/p\u003e \u003cp\u003edoi \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1016/j.pmn.2008.12.002\u003c/span\u003e\u003cspan address=\"10.1016/j.pmn.2008.12.002\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e29\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003enilsson u, 2009, heart lung, v38, p201\u003c/p\u003e \u003cp\u003edoi \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1016/j.hrtlng.2008.07.008\u003c/span\u003e\u003cspan address=\"10.1016/j.hrtlng.2008.07.008\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e28\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u0026Ouml;zer n, 2013, pain manag nurs, v14, p20\u003c/p\u003e \u003cp\u003edoi \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1016/j.pmn.2010.05.002\u003c/span\u003e\u003cspan address=\"10.1016/j.pmn.2010.05.002\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e25\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e \u003cb\u003eReference with citation burst\u003c/b\u003e \u003c/p\u003e \u003cp\u003eIn Fig.\u0026nbsp;\u003cspan refid=\"Fig9\" class=\"InternalRef\"\u003e9\u003c/span\u003e, by using CiteSpace, we present 14 references that exhibited the most significant citation bursts in our study. The initial occurrence of a citation burst was observed as early as 2009, the bursts strength of these references ranged from 2.78 to 8.15, with endurance strength with from 2 to 5 years. Notably, The reference with the strongest citation burst (strength\u0026thinsp;=\u0026thinsp;8.15) was titled \u0026ldquo;Meta-analysis evaluating music interventions for anxiety and pain in surgery\u0026rdquo; published in British Journal of Surgery by A Y R K\u0026uuml;hlmann et al. with citation bursts spanning from 2009 to 2013. Table\u0026nbsp;\u003cspan refid=\"Tab4\" class=\"InternalRef\"\u003e4\u003c/span\u003e presents a concise overview of the principal research themes delineated across the 14 references, arranged in accordance with the sequence depicted in Fig.\u0026nbsp;\u003cspan refid=\"Fig9\" class=\"InternalRef\"\u003e9\u003c/span\u003e of the literature.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab4\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 4\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eThe main research contents of the 14 references with strong citations bursts.\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRank\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eStrength\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eMain research content\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e8.15\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eMeta-analysis evaluating music interventions for anxiety and pain in surgery\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e7.33\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eThe Anxiety- and Pain-Reducing Effects of Music Interventions: A Systematic Review\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e6.95\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eMusic as an aid for postoperative recovery in adults: a systematic review and meta-analysis\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e5.06\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eEffects of music therapy on pain, anxiety, and vital signs in patients after thoracic surgery\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e4.83\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eSoothing music can increase oxytocin levels during bed rest after open-heart surgery: a randomised control trial\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e4.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eThe Effect of Music on Postoperative Pain and Anxiety\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e4.42\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eEffect of Music on Postoperative Pain and Physiologic Parameters of Patients after Open Heart Surgery\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e4.05\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eThe Effects of Music on Pain: A Meta-Analysis\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3.66\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eEffects of Music Therapy on Physiological and Psychological Outcomes for Patients Undergoing Cardiac Surgery\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3.46\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eRandomized clinical trial examining the effect of music therapy in stress response to day surgery\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3.29\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eMusic interventions for improving psychological and physical outcomes in cancer patients\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3.22\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eMusic as a Nursing Intervention for Postoperative Pain: A Systematic Review\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2.95\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eMusic interventions for preoperative anxiety\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e14\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2.78\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eThe Effects of Perioperative Music Interventions in Pediatric Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec12\" class=\"Section2\"\u003e \u003ch2\u003eHotspots and Frontiers\u003c/h2\u003e \u003cp\u003eThe results of the keywords analysis revealed the research hotspots within the field. Table\u0026nbsp;\u003cspan refid=\"Tab5\" class=\"InternalRef\"\u003e5\u003c/span\u003e presents the top 10 keywords with the strongest citation bursts from 2009 to 2023. Notably, \"anxiety\" received the most sustained attention (counts\u0026thinsp;=\u0026thinsp;171), followed closely by \"therapy\" (counts\u0026thinsp;=\u0026thinsp;149), \"music therapy\" (counts\u0026thinsp;=\u0026thinsp;147), \"pain\" (counts\u0026thinsp;=\u0026thinsp;127), and \"music\" (counts\u0026thinsp;=\u0026thinsp;116). Keywords with counts lower than 100 were observed for the remaining terms. Furthermore, we filtered all keywords with a minimum occurrence of 10 and conducted cluster analysis using VOSviewer. This process yielded five major clusters, indicating five distinct research fields (Fig.\u0026nbsp;\u003cspan refid=\"Fig10\" class=\"InternalRef\"\u003e10\u003c/span\u003eA).\u003c/p\u003e \u003cp\u003eAdditionally, we utilized the online bibliometrics website (\u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://bibliometric.com/\u003c/span\u003e\u003cspan address=\"https://bibliometric.com/\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e) to further explore the trending topics. The results indicated that from 2020 to 2023, research during this period predominantly focused on music therapy, indicating a potential future research direction \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig10\" class=\"InternalRef\"\u003e10\u003c/span\u003eB).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab5\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 5\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eTop 10 keywords in research on application of music therapy in surgery.\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"6\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRank\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eKeywords\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eCounts\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eRank\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eKeywords\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eCounts\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eanxiety\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e171\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003esurgery\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e85\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003etherapy\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e149\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003emanagement\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e57\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003emusic therapy\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e147\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003estress\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e51\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003epain\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e127\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003epostoperative pain\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e49\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003emusic\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e116\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eintervention\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e46\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e"},{"header":"Discussion","content":"\u003cp\u003eIn the present study, it was observed that the number of annual publications has been consistently increasing since 2009, reaching its peak in 2021. Notably, the United States and China have emerged as the primary contributors in this field, publishing the majority of articles. Harvard University is recognized as one of the premier research institutions globally. The Journal of Perianesthesia Nursing stands out as a prominent publishing venue in the field. The Cochrane Database of Systematic Reviews holds a distinguished position as the most highly co-cited journal in its domain. Cao hua has published the highest number of studies. Nilsson u was identified as the most co-cited author. Keyword analysis revealed that anxiety, music therapy and pain were the primary research trends in recent years.\u003c/p\u003e \u003cp\u003eTo the best of our knowledge, this is the inaugural bibliometric analysis focusing on the utilization of music therapy within surgical contexts. In recent years, there has been a surge in bibliometric analyses concerning music therapy, marking a significant trend in research. While earlier studies primarily concentrated on either music therapy itself or its application in other domains, recent investigations have delved deeper into various facets of this field. Kailimi Li et al. undertook a comprehensive bibliometric analysis spanning the past two decades, shedding light on the landscape of music therapy research [\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e], Their findings underscored the preeminence of the United States in terms of publications, with institutions within the US exerting substantial influence in this domain. Meanwhile, Shao Yin et al. conducted a bibliometric exploration specifically examining music therapy interventions for patients with dementia [\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e], Their analysis highlighted psychological issues and key research directions for the future, such as quality of life enhancement, personalized music therapy approaches, and the psychological well-being of caregivers. Furthermore, bibliometric inquiries into non-pharmacological interventions, such as art therapy [\u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e] and rhythmic auditory stimulation [\u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e28\u003c/span\u003e], have also gained traction. These studies have hinted at the burgeoning interest in employing music therapy across diverse clinical settings, foreshadowing its emergence as a focal point of future research endeavors.\u003c/p\u003e \u003cp\u003eThe journey of music as a therapeutic tool embarked on its path 110 years ago with Pennsylvanian surgeon Evan Kane's pioneering report on utilizing the phonograph in the operating room [\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e]. Since then, music has adorned the sterile, impersonal spaces of surgery rooms across a wide spectrum of procedures. Presently, music transcends its initial role, serving not only as a balm to the impersonal nature of clinical settings but also as a potent modality to ameliorate the stress responses of patients. This dual capability has positioned music therapy at the forefront of burgeoning research interests in recent years. Despite this growing attention, it is apparent that research in music therapy, especially in the context of surgery, is still nascent, with a vast expanse of uncharted territory awaiting exploration. Our analysis indicates that while developed nations are poised to continue their dominance in spearheading research, there is a notable surge in interest from developing countries. This emerging trend suggests a forthcoming expansion in research activities on a global scale.\u003c/p\u003e \u003cp\u003eThis study offers a prism through which recent advancements and prevailing trends in the application of music therapy in surgical practices can be viewed, serving as a pivotal resource for researchers keen on navigating the current landscape of this field. Nonetheless, our study is not without its limitations. The selection process was confined to the core collection of the Web of Science database, potentially narrowing the scope of our conclusions regarding the field at large. Despite this constraint, it is important to acknowledge the WoSCC database's reputation as one of the most authoritative sources for bibliometric analyses. Furthermore, the restriction to English-language studies may have excluded relevant research published in other languages, slightly skewing the breadth of our review.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis work was sponsored by the Yibin Municipal Health Commission Project (Grant number 2022YW008).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting Interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors have no relevant financial or non-financial interests to disclose.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eData availability\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe datasets utilized in the current study are contained in the article.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors\u0026apos; contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll authors contributed to the study conception and design. Data collection and analysis were performed by Xiaoping Xu, Xiaoping Yang and Qingqun Qiu. The manuscript was written by. Xiaoping Xu. The figures and tables were formatted by Zhenglan Zhong. The data and manuscript were reviewed by Yong Yi. All authors read and approved the final manuscript.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eDe Oliveira G S, Holl J L, McCarthy R J, et al. Overestimation of mortality risk and preoperative anxiety in patients undergoing elective general surgery procedures: A propensity matched analysis. International Journal of Surgery. 2014;12(12):1473-1477. https://doi.org/10.1016/j.ijsu.2014.11.016\u003c/li\u003e\n\u003cli\u003eRobleda G, Sillero-Sillero A, Puig T, Gich I, Ba\u0026ntilde;os J-E. Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery. 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The State of Music Therapy Studies in the Past 20 Years: A Bibliometric Analysis. Front Psychol. 2021;12(697726. https://doi.org/10.3389/fpsyg.2021.697726\u003c/li\u003e\n\u003cli\u003eYin S, Zhu F, Li Z, et al. Research Hotspots and Trends in Music Therapy Intervention for Patients With Dementia: A Bibliometrics and Visual Analysis of Papers Published From 2010 to 2021. Front Psychiatry. 2022;13(860758. https://doi.org/10.3389/fpsyt.2022.860758\u003c/li\u003e\n\u003cli\u003eLiu Z, Yang Z, Xiao C, Zhang K, Osmani M. An Investigation into Art Therapy Aided Health and Well-Being Research: A 75-Year Bibliometric Analysis. Int J Environ Res Public Health. 2021;19(1):https://doi.org/10.3390/ijerph19010232\u003c/li\u003e\n\u003cli\u003eZhang M, Li F, Wang D, Ba X, Liu Z. Mapping Research Trends from 20 Years of Publications in Rhythmic Auditory Stimulation. Int J Environ Res Public Health. 2022;20(1):https://doi.org/10.3390/ijerph20010215\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"discover-oncology","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"dion","sideBox":"Learn more about [Discover Oncology](https://www.springer.com/12672)","snPcode":"","submissionUrl":"","title":"Discover Oncology","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Discover Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Music therapy, surgery, bibliometric analysis, VOSviewer, CiteSpace","lastPublishedDoi":"10.21203/rs.3.rs-4756354/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4756354/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eMusic therapy, leveraging the profound influence of music on human emotions and physiology, has gained attention for its potential applications in medical settings, particularly in surgery. This study aims to conduct a comprehensive bibliometric analysis of music therapy's application in surgery. Publications related to application of music therapy in surgery from 2009 to 2023 were searched in the Web of Science Core Collection (WoSCC) databases. Bibliometric analysis was conducted using VOSviewer, CiteSpace, Microsoft Excel, and online bibliometrics websites. This study included 479 publications, with a steady increase in annual publications since 2009, peaking in 2021. The USA had the highest number of publications (n\u0026thinsp;=\u0026thinsp;152, 31.7%), followed by China (85, 17.7%) and Italy (48, 10%). Harvard University emerged as the top research institution, while the Journal of Perianesthesia Nursing was the primary publishing journal, and the Cochrane Database of Systematic Reviews was the highest co-cited journal. Cao Hua had the highest number of studies, and Nilsson U (n\u0026thinsp;=\u0026thinsp;131) was identified as the most co-cited author. Keyword analysis revealed anxiety, therapy, music therapy, and pain as primary research trends in recent years. This bibliometric study provides a comprehensive summary of the existing research landscape, highlighting progress, challenges, and opportunities in integrating music therapy into surgical practice.\u003c/p\u003e","manuscriptTitle":"Mapping the Landscape: A Bibliometric Analysis of Music Therapy Applications in Surgery (2009–2023) ","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-08-26 11:29:21","doi":"10.21203/rs.3.rs-4756354/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"editorAssigned","content":"","date":"2024-07-23T06:21:51+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2024-07-23T06:21:42+00:00","index":"","fulltext":""},{"type":"submitted","content":"Discover Oncology","date":"2024-07-17T12:46:08+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"discover-oncology","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"dion","sideBox":"Learn more about [Discover Oncology](https://www.springer.com/12672)","snPcode":"","submissionUrl":"","title":"Discover Oncology","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Discover Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"c126391d-b437-4c6b-a8b2-bbf60bb62b31","owner":[],"postedDate":"August 26th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2024-08-26T11:29:21+00:00","versionOfRecord":[],"versionCreatedAt":"2024-08-26 11:29:21","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-4756354","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4756354","identity":"rs-4756354","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}