Acupuncture for Treating Common Side Effects Associated With Breast Cancer Treatment: A Systematic Review

Santos, Stéphanie Dos; Hill, Nancy; Morgan, Ashley; Smith, Jenna; Thai, Carolyn; Cheifetz, Oren

doi:10.1089/acu.2009.0730

Cited by 21 publications

(37 citation statements)

References 30 publications

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“…However, no statistical differences were found in the response rates of acupuncture and related therapies and those of conventional analgesic treatment (pooled RR, 1.12; 95% CI, 0.98 to 1.28). No significant difference was seen in the pain score Meta-analysis was not conducted in the other SRs [6][7][8]13,21,27,32 (Tables 5-7 and Appendix 4). Three SRs 8,21,27 (Tables 5 and 7 and Appendix 4) identified one RCT with a low RoB and mentioned that auricular acupuncture provided statistically significant relief on CRP when compared with sham acupuncture.…”

Section: Sr Search and Screening Resultsmentioning

confidence: 99%

“…Sixteen SRs summarised the evidence on a single outcome, including CRP 8,13,21,22,26,27 , fatigue 9,24,31 , hot flashes 17,18 , chemotherapy-induced nausea and vomiting (CINV) 14,20 , hiccups 29 and irradiation-induced xerostomia 19 . The remaining seven SRs 6,7,12,20,28,30,32 reported evidence on a wide range of outcomes in the palliative care of patients with cancer. The characteristics of these SRs can be found in Tables 1-3.…”

Section: Sr Search and Screening Resultsmentioning

confidence: 99%

“…Cancer-related pain. Ten SRs [6][7][8]12,13,21,22,26,27,32 synthesised clinical evidence on the use of acupuncture and related therapies in the reduction of CRP, of which only two 22,26 conducted a meta-analysis (Table 7, Appendix 4). Zheng and colleagues 26 included five studies (395 patients) that evaluated the effectiveness of wrist-ankle acupuncture on the symptom improvement rate.…”

Section: Sr Search and Screening Resultsmentioning

confidence: 99%

“…Five SRs 7,9,24,28,31 summarised evidence on the effectiveness of acupuncture and related therapies in the treatment of CRF, and two conducted meta-analyses (Tables 5-7 and Appendix 4). Zeng and colleagues 28 assessed the effectiveness of acupuncture for CRF in various types of cancer patients (Table 5 and Appendix 4).…”

Section: Sr Search and Screening Resultsmentioning

confidence: 99%

“…Five SRs 6,7,17,18,25 summarised evidence on acupuncture and related therapies for the treatment of hot flashes in patients with breast cancer 6,7,17 , prostate cancer 18 , or both 25 ( Tables 5 and 7 First author and year of publication and Appendix 4). Only one study 17 conducted a meta-analysis to compare acupuncture with sham acupuncture (Table 5 and Appendix 4).…”

Section: Sr Search and Screening Resultsmentioning

confidence: 99%

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Effectiveness of acupuncture and related therapies for palliative care of cancer: overview of systematic reviews

Chung

Hui

et al. 2017

Deutsche Zeitschrift für Akupunktur

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Acupuncture and related therapies such as moxibustion and transcutaneous electrical nerve stimulation are often used to manage cancer-related symptoms, but their effectiveness and safety are controversial. We conducted this overview to summarise the evidence on acupuncture for palliative care of cancer. Our systematic review synthesised the results from clinical trials of patients with any type of cancer. The methodological quality of the 23 systematic reviews in this overview, assessed using the Methodological Quality of Systematic Reviews Instrument, was found to be satisfactory. There is evidence for the therapeutic effects of acupuncture for the management of cancer-related fatigue, chemotherapy-induced nausea and vomiting and leucopenia in patients with cancer. There is conflicting evidence regarding the treatment of cancer-related pain, hot flashes and hiccups, and improving patients' quality of life. The available evidence is currently insufficient to support or refute the potential of acupuncture and related therapies in the management of xerostomia, dyspnea and lymphedema and in the improvement of psychological well-being. No serious adverse effects were reported in any study. Because acupuncture appears to be relatively safe, it could be considered as a complementary form of palliative care for cancer, especially for clinical problems for which conventional care options are limited.

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Section: Sr Search and Screening Resultsmentioning

confidence: 99%

Section: Sr Search and Screening Resultsmentioning

confidence: 99%

Section: Sr Search and Screening Resultsmentioning

confidence: 99%

Section: Sr Search and Screening Resultsmentioning

confidence: 99%

Section: Sr Search and Screening Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of acupuncture and related therapies for palliative care of cancer: overview of systematic reviews

Chung

Hui

et al. 2017

Deutsche Zeitschrift für Akupunktur

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Clinical Evidence for Association of Acupuncture and Acupressure With Improved Cancer Pain

et al. 2020

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IMPORTANCE Research into acupuncture and acupressure and their application for cancer pain has been growing, but the findings have been inconsistent. OBJECTIVE To evaluate the existing randomized clinical trials (RCTs) for evidence of the association of acupuncture and acupressure with reduction in cancer pain.DATA SOURCES Three English-language databases (PubMed, Embase, and CINAHL) and 4 Chinese-language biomedical databases (Chinese Biomedical Literature Database, VIP Database for Chinese Technical Periodicals, China National Knowledge Infrastructure, and Wanfang) were searched for RCTs published from database inception through March 31, 2019.STUDY SELECTION Randomized clinical trials that compared acupuncture and acupressure with a sham control, analgesic therapy, or usual care for managing cancer pain were included.DATA EXTRACTION AND SYNTHESIS Data were screened and extracted independently using predesigned forms. The quality of RCTs was appraised with the Cochrane Collaboration risk of bias tool. Random-effects modeling was used to calculate the effect sizes of included RCTs. The quality of evidence was evaluated with the Grading of Recommendations Assessment, Development and Evaluation approach.MAIN OUTCOMES AND MEASURES The primary outcome was pain intensity measured by the Brief Pain Inventory, Numerical Rating Scale, Visual Analog Scale, or Verbal Rating Scale. RESULTS A total of 17 RCTs (with 1111 patients) were included in the systematic review, and data from 14 RCTs (with 920 patients) were used in the meta-analysis. Seven sham-controlled RCTs (35%) were notable for their high quality, being judged to have a low risk of bias for all of their domains, and showed that real (compared with sham) acupuncture was associated with reduced pain intensity (mean difference [MD], −1.38 points; 95% CI, −2.13 to −0.64 points; I 2 = 81%). A favorable association was also seen when acupuncture and acupressure were combined with analgesic therapy in 6 RCTs for reducing pain intensity (MD, −1.44 points; 95% CI, −1.98 to −0.89; I 2 = 92%) and in 2 RCTs for reducing opioid dose (MD, −30.00 mg morphine equivalent daily dose; 95% CI, −37.5 mg to −22.5 mg). The evidence grade was moderate because of the substantial heterogeneity among studies. CONCLUSIONS AND RELEVANCEThis systematic review and meta-analysis found that acupuncture and/or acupressure was significantly associated with reduced cancer pain and decreased use of analgesics, although the evidence level was moderate. This finding suggests that more rigorous trials are needed to identify the association of acupuncture and acupressure with specific types of cancer pain and to integrate such evidence into clinical care to reduce opioid use. Research Original InvestigationAssociation of Acupuncture and Acupressure With Improved Cancer Pain 37. Tao WW, Jiang H, Tao XM, Jiang P, Sha LY, Sun XC. Effects of acupuncture, tuina, tai chi, qigong, and traditional Chinese medicine five-element music therapy on symptom management and quality of life for cancer patients: a meta...

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2023

The Greening of Pharmaceutical Engineering Volume 4

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Acupuncture for Treating Common Side Effects Associated With Breast Cancer Treatment: A Systematic Review

Cited by 21 publications

References 30 publications

Effectiveness of acupuncture and related therapies for palliative care of cancer: overview of systematic reviews

Effectiveness of acupuncture and related therapies for palliative care of cancer: overview of systematic reviews

Clinical Evidence for Association of Acupuncture and Acupressure With Improved Cancer Pain

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