Effect of Integrative Medicine Services on Pain for Hospitalized Patients at an Academic Health Center

Clark, Stephanie; Bauer, Brent A.; Vitek, Sairey; Cutshall, Susanne M.

doi:10.1016/j.explore.2018.07.006

Cited by 9 publications

(5 citation statements)

References 9 publications

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“…6,7 The ongoing opioid crisis in the United States exacerbates the challenges surrounding cancer pain management, [8][9][10][11] with government organizations calling for the use of nonpharmacological interventions 12 on the basis of increasing clinical evidence. 13,14 Leading organizations in the field, such as the American Society for Clinical Oncology and the National Comprehensive Cancer Network, recommend nonpharmacological interventions, such as acupuncture, for managing cancer pain. 15,16 Research on acupuncture for cancer pain has been growing, but the findings have been inconsistent.…”

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confidence: 99%

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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confidence: 99%

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

et al. 2020

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“…The prevalence of cancer pain is still estimated to range from 29% to 85% for patients undergoing active cancer treatment and 66% to 85% for those with advanced cancer. Since non-pharmacological/complementary pain treatments are thought to be relatively free of side effects, there is a need for greater understanding of nonpharmaceutical treatments as well as more effective and widely available nonpharmaceutical therapy delivery (Clark, Bauer, Vitek & Cutshall, 2019).…”

Section: Significance Of the Studymentioning

confidence: 99%

Effect of Implementing Acupressure on Pain among Breast Cancer Patients

Abouelatta,

ismail,

bakr

et al. 2023

Port Said Scientific Journal of Nursing

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“…9 In fact, hospitalized patients frequently request and benefit from nonpharmacologic therapies for pain management. 10 One emerging, nonpharmacological pain therapy is virtual reality. Virtual reality is a rapidly developing, multisensory technology that allows users to immerse themselves into a Three-Dimensional (3D) scene.…”

Section: Virtual Reality For Pain Management In Advanced Heart Failure: a Randomized Controlled Study Introductionmentioning

confidence: 99%

“…9 In fact, hospitalized patients frequently request and benefit from nonpharmacologic therapies for pain management. 10…”

Section: Introductionmentioning

confidence: 99%

Virtual reality for pain management in advanced heart failure: A randomized controlled study

et al. 2021

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Background: Hospitalized patients with advanced heart failure often experience acute and/or chronic pain. While virtual reality has been extensively studied across a wide range of clinical settings, no studies have yet evaluated potential impact on pain management on this patient population. Aim: To investigate the impact of a virtual reality experience on self-reported pain, quality-of-life, general distress, and satisfaction compared to a two-dimensional guided imagery active control. Design: Single-center prospective randomized controlled study. The primary outcome was the difference in pre- versus post-intervention self-reported pain scores on a numerical rating scale from 0 to 10. Secondary outcomes included changes in quality-of-life scores, general distress, and satisfaction with the intervention. Setting/participants: Between October 2018 and March 2020, 88 participants hospitalized with advanced heart failure were recruited from an urban tertiary academic medical center. Results: Participants experienced significant improvement in pain score after either 10 minutes of virtual reality (change from pre- to post −2.9 ± 2.6, p < 0.0001) or 10 minutes of guided imagery (change from pre- to post −1.3 ± 1.8, p = 0.0001); the virtual reality arm experienced a 1.5 unit comparatively greater reduction in pain score compared to guided imagery ( p = 0.0011). Total quality-of-life and general distress scores did not significantly change for either arm. Seventy-eight participants (89%) responded that they would be willing to use the assigned intervention again. Conclusion: Virtual reality may be an effective nonpharmacologic adjuvant pain management intervention in hospitalized patients with heart failure. Trial Registration: ClinicalTrials.gov database (NCT04572425).

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Effect of Integrative Medicine Services on Pain for Hospitalized Patients at an Academic Health Center

Cited by 9 publications

References 9 publications

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

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

Effect of Implementing Acupressure on Pain among Breast Cancer Patients

Virtual reality for pain management in advanced heart failure: A randomized controlled study

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