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Reiki and massage clinically provide similar improvements in pain, nausea, fatigue, anxiety, depression, and overall well-being while reiki improved fatigue and anxiety more than massage therapy in a heterogeneous hospitalized patient population. Controlled trials should be considered to validate the data.

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Conclusion. Children with advanced cancer from low-income families experience higher symptom distress and worse quality of life. This disparity may be partially related to uncontrolled pain, which may respond to more intensive management. Implications for Research, Policy, or Practice. Further research is needed to evaluate reasons for poverty-related disparities in symptom distress and quality of life and explore avenues to improve equity.