Acupuncture from the perspective of evidence-based medicine – options of clinical use based on National Comprehensive Cancer Network (NCCN) guidelines

Halámková, Jana; Dymáčková, Radana; Krákorová, Dagmar Adámková

doi:10.48095/ccko202294

Cited by 6 publications

(4 citation statements)

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“…According to the NCCN guidelines, AT can be used to treat the following cancer-related symptoms: neuropathic pain, arthralgia, myalgia (especially in aromatase inhibitor therapy), nausea, vomiting and fatigue [ 48 ]. AT seems to be an effective and safe treatment method for various cancer symptoms and side effects of cancer treatment.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture for Managing Cancer-Related Fatigue in Breast Cancer Patients: A Systematic Review and Meta-Analysis

Choi

Ang

Jun

et al. 2022

Cancers

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Breast cancer (BC) is the most common cancer in women and is a serious threat to women’s health. Cancer-related fatigue (CRF) is a distressing symptom in BC patients during and after chemotherapy or radiation therapy that severely affects quality of life (QoL). AT is widely used for fatigue management. However, the effect of AT on CRF is still uncertain. This study aimed to evaluate the efficacy and safety of AT in the management of CRF in patients with BC. Eleven databases were searched through June 2022. Two researchers independently performed the database search, study selection, data extraction, and risk of bias assessment. Study selection was performed based on predefined Participants, Intervention, Comparators, Outcomes, Study design (PICOS) criteria, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed when reporting the results. A meta-analysis was performed according to the Cochrane systematic review method using RevMan 5.3. A total of 12 studies including a total of 1084 participants were included. The results showed that AT had a beneficial effect compared with sham AT (n = 256, SMD = −0.26, 95% CI [−0.51, −0.01], p = 0.04, I2 = 0%) and a long-term effect on fatigue score (n = 209, MD = −0.32, 95% CI [–0.59, −0.04], p = 0.02, I2 = 0%). Meta-analysis showed that AT had a beneficial effect compared with usual care (UC) on fatigue scores (n = 238, SMD = −0.39, 95% CI [−0.66 to −0.12], p = 0.005, I2 = 0%). Of the 12 articles, 3 articles were judged as having a low risk of bias in all domains and hence were of high quality. No serious adverse effects were identified. AT is an effective and safe treatment for CRF, and AT is more effective than sham AT or UC or wait-list control (WLC). Nevertheless, the methodological quality of most of these studies was low, and the included studies/sample sizes were small, so the ability to derive decisive implications was limited. Further research is needed to confirm these findings.

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Section: Discussionmentioning

confidence: 99%

Acupuncture for Managing Cancer-Related Fatigue in Breast Cancer Patients: A Systematic Review and Meta-Analysis

Choi

Ang

Jun

et al. 2022

Cancers

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“…The USA National Comprehensive Cancer Network (NCCN) guidelines listed acupuncture as one of the alternative methods that can be used as a supplementation treatment when a patient experiences neuropathic pain, arthralgia or myalgia [99,[113][114][115]. The Society for Integrative Oncology in ASCO Guidelines recommends (moderate strength of the recommendation) acupuncture to patients suffering from joint pain after aromatase-inhibitor therapy in breast cancer survivors; general pain or musculoskeletal pain caused by cancer; and pain during systemic cancer therapy.…”

Section: Acupuncturementioning

confidence: 99%

The use of cannabinoids and alternative therapies in chronic pain management: a narrative review

Łukasik,

Guziak,

Bastrzyk

et al. 2024

Palliat Med Pract

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Palliative care patients experience pain daily which significantly lowers their quality of life. Chronic pain is one of the main reasons why people contact health professionals, and its prevalence is about 20% in Europe and the United States. Comprehensive and sufficient pain management is often limited to medical facilities whereas patients suffering from chronic pain staying in their households often receive incomplete analgesia. Pharmacological recommendations were described with specific indications and contraindications for therapeutic regimens in relation to cancer patients under palliative care. The addition of alternative pain management techniques to the pharmacological treatment can contribute to better pain control and even lower doses of opioids administered. On the other hand, state-of-the-art studies evaluating their efficiency and mechanism of action are missing. This study summarizes a variety of alternative pain management methods and mechanisms behind their analgesic and co-analgesic effects that contribute to maximizing the pharmacological effect of analgesic drugs. This study aimed to gather alternative pain control options and assess their efficiency, status, and potential in palliative care settings. Moreover, this review tries to evaluate whether they are scientifically evidence-based or not.

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“…There is growing evidence that acupuncture is being recognized in the National Comprehensive Cancer Network guidelines as one of the complementary and alternative therapies for the treatment of cancer pain and improving function due to its low side effects. [ 7 , 8 ] Acupuncture has been practiced in China for more than 2000 years, and it is a physical intervention which involves insertion fine needles at different acupoints in the skin. Acupuncture is widely used in China for its efficacy and low side effects, and in recent years it has been gradually accepted in other countries as well.…”

Section: Introductionmentioning

confidence: 99%

Global research trends in acupuncture for cancer pain: A bibliometric analysis

Yang,

Liang,

Xue

et al. 2023

Medicine

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Background: In recent years, acupuncture has gained popularity in the management of cancer-related pain (CRP). This study aims to use bibliometric analysis to investigate the historical development, recent hotspots and research trends in this field. Methods: The Web of Science Core Collection database was selected as the data source for this study to retrieve and obtain literature related to acupuncture and CRP. Data analyses were performed with CiteSpace and VOSviewer to conduct the bibliometric analysis. Results: This bibliometric analysis was conducted from 2000 to 2022. A total of 664 publications were included in this work. The number of publications has steadily increased over the last 2 decades. The United States has the largest number of published articles (244 papers), while the People’s Republic of China has the highest centrality (0.48). The primary research institutions were Memorial Sloan-Kettering Cancer Center, Kyung Hee University and Beijing University of Chinese Medicine. Mao Jun J. was the most prolific author, while Heather Greenlee was the most cited one. The most productive journal was Integrative Cancer Therapies. The most frequent keywords excluding the search subject were “electroacupuncture,” “management,” “quality of life,” “breast cancer,” “Aromatase inhibitor,” “neuropathic pain,” “mechanisms,” and “protocol.” Conclusion: This study explored the application value of acupuncture in the management of CRP with bibliometric analysis, offering an intuitive understanding of this topic and revealing the hotspots and research trends.

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Acupuncture from the perspective of evidence-based medicine – options of clinical use based on National Comprehensive Cancer Network (NCCN) guidelines

Cited by 6 publications

References 0 publications

Acupuncture for Managing Cancer-Related Fatigue in Breast Cancer Patients: A Systematic Review and Meta-Analysis

Acupuncture for Managing Cancer-Related Fatigue in Breast Cancer Patients: A Systematic Review and Meta-Analysis

The use of cannabinoids and alternative therapies in chronic pain management: a narrative review

Global research trends in acupuncture for cancer pain: A bibliometric analysis

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