Effectiveness of Massage Therapy for Cancer Pain, Quality of Life and Anxiety Levels: A Systematic Review and Meta‐Analysis

Abstract

AimTo synthesise the effectiveness of massage therapy for cancer pain, quality of life and anxiety among patients with cancer.DesignSystematic review and meta‐analysis.MethodsThis review was reported according to the PRISMA guidelines. Studies evaluating the effects of massage therapy on cancer pain, quality of life or anxiety in patients with cancer pain were eligible. The Cochrane Risk of Bias tool and Grading of Recommendations Assessment, Development and Evaluation were used to assess the quality of studies. Outcomes were pooled using standardised mean differences and narratively synthesised when meta‐analysis was not possible.Data SourcesPubmed, EMBASE, Web of Science, CINAHL, CENTRAL, Google Scholar, ProQuest Theses and Dissertations were searched for English peer‐reviewed studies and grey literature published from inception to 8 January 2024.ResultsThirty‐six RCTs involving 3671 participants were included. Massage therapy significantly improved pain (pooled SMD = −0.51, 95% CI −0.68 to −0.33), quality of life (pooled SMD = 0.48, 95% CI 0.19–0.78 when higher scores indicate better quality of life; pooled SMD = −0.52, 95% CI −0.88 to −0.16 when higher scores indicate poorer quality of life) and anxiety (pooled SMD = −0.38, 95% CI: −0.57 to −0.18) post‐intervention. All outcomes had very low certainty of evidence. Most studies had unclear or high risk of bias.ConclusionThis review found that massage therapy is beneficial to patients with cancer in improving pain, quality of life and anxiety. Healthcare institutions and healthcare professionals should recognise the value of massage therapy to enhance the care of patients with cancer pain.Reporting MethodPRISMA guidelines.Patient or Public ContributionNo Patient or Public Contribution.RegistrationPROSPERO CRD42023407311.