Comparison of the clinical effectiveness of treatments for aromatase inhibitor-induced arthralgia in breast cancer patients: A systematic review with network meta-analysis

Bae, Kyeore; Lamoury, Gillian; Carroll, Susan; Morgia, Marita; Lim, Stephanie; Baron‐Hay, Sally; Shin, In-Soo; Park, So‐Jung; Oh, Byeongsang

doi:10.1016/j.critrevonc.2022.103898

Cited by 10 publications

(4 citation statements)

References 71 publications

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“…Considerable heterogeneity was noted amongst the trials, and the meta-analysis provided no clear evidence that exercise was beneficial in AIMSS. Other meta-analyses have revealed trends toward improvement in pain scores with physical exercise and acupuncture but no significant signal for mindfulness and relaxation techniques (9,10,33). Briefly, diverse exercise interventions were represented, with the best signal originating from trials of mixed aerobic/resistance programs, while walking interventions and tai chi were less successful.…”

Section: Discussionmentioning

confidence: 99%

Aromatase inhibitor-induced arthralgia ameliorated by Mediterranean diet and active lifestyle guided by continuous glucose monitoring: a case report and review of the literature

Wilson,

Grewelle,

Gupta

et al. 2024

Front. Oncol.

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Aromatase inhibitors (AIs) are a cornerstone adjuvant treatment of many hormone receptor-positive breast cancers, and nearly half of women taking aromatase inhibitors suffer from AI-induced arthralgia (AIA), also known as AI-associated musculoskeletal syndrome (AIMSS), for which there are limited evidence-based treatments. Pharmacologic management and complementary methods including supplements, exercise, physical therapy, yoga, acupuncture, and massage have all shown mixed results. Comprehensive diet and lifestyle strategies are understudied in AIA/AIMSS despite their disease-modifying effects across many chronic conditions. Here we report a case of a woman with stage 2 estrogen and progesterone receptor-positive invasive ductal carcinoma on adjuvant anastrozole whose AI-induced arthralgia was durably controlled through a Mediterranean plant-forward diet and daily physical activity guided by continuous glucose monitoring. We posit that diet and a lifestyle inclusive of daily physical activity constitute a low-cost, low-risk, and potentially high-reward strategy for controlling common AI-induced musculoskeletal symptoms and that more investigation in this arena, including well-designed randomized trials, is warranted.

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Section: Discussionmentioning

confidence: 99%

Aromatase inhibitor-induced arthralgia ameliorated by Mediterranean diet and active lifestyle guided by continuous glucose monitoring: a case report and review of the literature

Wilson,

Grewelle,

Gupta

et al. 2024

Front. Oncol.

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“… 40 An evidence-based guideline strongly recommends acupuncture for arthralgia-induced pain, 13 especially in patients receiving aromatase inhibitors. A network meta-analysis of 17 RCTs involving 1516 participants ranked acupuncture as the top intervention for improving pain intensity, 41 showing acupuncture plays a great role in pain management. Apart from this, multiple RCTs suggested acupuncture can reduce CINV, 42 despite its limited role in prevention.…”

Section: Discussionmentioning

confidence: 99%

Current Perspectives and Trend of Acupuncture in Breast Cancer-Related Symptoms: A Bibliometric Study

Wang,

Qu,

Zhou

et al. 2023

JPR

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Purpose This bibliometric research aims to delineate global publication trends and emerging research interests in the use of acupuncture for breast cancer (BC)-related symptoms treatment over the past three decades. Furthermore, it identifies influential institutions, potential collaborative partners, and future research trends, thereby providing guidance for relevant, novel research directions. Methods Scientific publications related to acupuncture for BC-related symptoms were gathered from the Web of Science Core Collection (WoSCC) from 1993 to 2023. Four software applications were principally used to analyze the resulting data: the “bibliometrix” package in the R environment (version 4.2.3), VOSviewer, CiteSpace6.1.R6, and the bibliometrics website. These applications were employed to evaluate different parameters. Results A total of 621 papers on acupuncture in BC-related symptoms treatment were analyzed. The United States, China, and South Korea contributed the most, with Memorial Sloan Kettering Cancer Center, and Columbia University leading institutions. It is interesting to mention that Mao, Jun J. and Molassiotis, A. feature among the top 10 authors and co-cited authors. JAMA is the leading journal, with an ongoing focus on acupuncture’s effectiveness. Keywords show that the initial research focus was mainly on “vasomotor symptoms”, but in recent years there has been a gradual shift towards “pain”, “chemotherapy-induced peripheral neuropathy (CIPN)”, “electroacupuncture”, and “non-specific effects”. Conclusion Acupuncture has demonstrated a unique value in the process of adjuvant treatment of BC-related symptoms, and has been shown to be effective in reducing pain, eliminating fatigue, and improving quality of life. The study of the mechanisms of acupuncture and the application of electroacupuncture are possible future research priorities in this field. This study offers a deep perspective on acupuncture for BC research, highlighting key points and future trends.

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“…There is evidence that mind-body interventions such as Mindfulness-Based Stress Reduction (LoE 1a/A/+), Yoga (LoE 1b/A/+), or Tai Chi/Qi Gong (LoE 2a/B/+/−) among others, improve quality of life as well as fatigue, etc., in breast cancer patients. Acupuncture is effective in improving side effects of breast cancer treatment such as pain (cancer- and AI-induced) [108], nausea and vomiting (chemotherapy-induced), and fatigue (LoE 1b/B/AGO+). Acupuncture can assist in alleviating sleep problems, cognitive dysfunction (LoE 2b/C/AGO+/−), and polyneuropathy (LoE 2b/B/AGO +/−).…”

Section: Complementary Therapy and Survivorshipmentioning

confidence: 99%

Arbeitsgemeinschaft Gynäkologische Onkologie Recommendations for the Diagnosis and Treatment of Patients with Early Breast Cancer: Update 2024

Park-Simon,

Müller,

Albert

et al. 2024

Breast Care

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Introduction: Each year the interdisciplinary AGO (Arbeitsgemeinschaft Gynäkologische Onkologie, German Gynecological Oncology Group) Breast Committee on Diagnosis and Treatment of Breast Cancer provides updated state-of-the-art recommendations for early and metastatic breast cancer. Methods: The updated evidence-based treatment recommendations for early and metastatic breast cancer have been released in March 2024. Results and Conclusion: This paper concisely captures the updated recommendations for early breast cancer chapter by chapter.

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Comparison of the clinical effectiveness of treatments for aromatase inhibitor-induced arthralgia in breast cancer patients: A systematic review with network meta-analysis

Cited by 10 publications

References 71 publications

Aromatase inhibitor-induced arthralgia ameliorated by Mediterranean diet and active lifestyle guided by continuous glucose monitoring: a case report and review of the literature

Aromatase inhibitor-induced arthralgia ameliorated by Mediterranean diet and active lifestyle guided by continuous glucose monitoring: a case report and review of the literature

Current Perspectives and Trend of Acupuncture in Breast Cancer-Related Symptoms: A Bibliometric Study

Arbeitsgemeinschaft Gynäkologische Onkologie Recommendations for the Diagnosis and Treatment of Patients with Early Breast Cancer: Update 2024

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