Integrative Medicine in Interventional Oncology: A Virtuous Alliance

Cornelis, F.; Najdawi, Milan; Ammar, Mohamed; Nouri-Neuville, Maud; Lombart, Bénédicte; Lotz, Jean‐Pierre; Cadranel, Jacquès; Barral, Matthias

doi:10.3390/medicina56010035

Cited by 12 publications

(12 citation statements)

References 64 publications

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“…Performing vertebral fixation appears not challenging and may be further implemented in routine. However, these procedures required general anesthesia [ 14 , 15 ]. The mean KAP 34.6 ± 23.1 Gy.cm 2 (20.2–42.5), mean AK 358.3 ± 240.6 mGy (218.5–422.5) and mean FT of 15.6 ± 7.9 min (11–19.8) calculated in this study were lower to the reference strandards required by the European Directive 2013/59/Euratom in interventional radiology for a vertebroplasty in 1 level (KAP: 60 Gy.cm 2 , AK: 610 mGy and FT: 9 min) or 3 or more levels (110 Gy.cm 2 , 1160 mGy and 14 min) [ 16 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Image-Guided Vertebral Fixation in Cancer-Related Vertebral Compression Fractures: A Case Series Study

et al. 2021

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Background and objectives: Cancer-related vertebral compression fractures (VCF) may cause debilitating back pain and instability, affecting the quality of life of cancer patients. To further drive cement deposition during vertebroplasty, the aims of this restrospective case series study were to report the feasibility, safety and short term efficacy (≤6 months) of percutaneous vertebral fixation in cancer-related vertebral compression fractures using various intravertebral implants. Methods: All consecutive cancer patients treated with percutaneous vertebral fixation for VCF were retrospectively included. Various devices were inserted percutaneously under image guidance and filled by cement. Descriptive statistics were used and a matched paired analysis of pain scores was performed to assess for changes following interventions. Results: A total of 18 consecutive patients (12 women (66.6%) and 6 men (33.3%); mean age 59.7 ± 15.5 years) were included. A total of 42 devices were inserted in 8 thoracic and 16 lumbar vertebrae. Visual analogue scale measurement significantly improved from 5.6 ± 1.8 preoperatively to 1.5 ± 1.7 at 1 week (p < 0.01) and to 1.5 ± 1.3 at 6 months (p < 0.01). No severe adverse events were observed, but three adjacent fractures occurred between 1 week and 5 months after implantation. Conclusions: Percutaneous vertebral fixation of cancer-related VCF is feasible and safe and allows pain relief.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Image-Guided Vertebral Fixation in Cancer-Related Vertebral Compression Fractures: A Case Series Study

et al. 2021

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“…In interventional radiology, the integration of ergonomics in the workplace must balance the ergonomic disadvantages of shielding [ 11 ]. Specific recommendations for the angiographic room must now be provided to preserve the well-being of IRs [ 58 ]. Firstly, equipment dedicated to IRs is needed [ 59 ].…”

Section: Future Developmentsmentioning

confidence: 99%

Ergonomics in Interventional Radiology: Awareness Is Mandatory

et al. 2021

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Ergonomics in interventional radiology has not been thoroughly evaluated. Like any operators, interventional radiologists are exposed to the risk of work-related musculoskeletal disorders. The use of lead shielding to radiation exposure and the lack of ergonomic principles developed so far contribute to these disorders, which may potentially affect their livelihoods, quality of life, and productivity. The objectives of this review were to describe the different situations encountered in interventional radiology and to compile the strategies both available to date and in development to improve ergonomics.

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“…These include music therapy, acupuncture, and massage therapy (11); reflexology and mind-body or energy therapies for oncology patients (12); craniosacral or Korean hand therapy in cardiology (13); and guided imagery, hypnosis, or acupuncture in the surgical setting (14). Other IM modalities shown to relieve stress include yoga, Qi Gong, biofeedback, meditation, and Tai Chi (15)(16)(17). Two recently published trials reported the beneficial effect of various IM therapies for HCPs working in frontline COVID settings in reducing stress levels and improving both emotional well-being and quality of sleep (18,19).…”

Section: Introductionmentioning

confidence: 99%

Parasympathetic vs. sympathetic changes in heart rate variability following a multimodal integrative medicine intervention for frontline COVID-19 personnel

Vagedes

Kassem

Gressel

et al. 2022

Psychosomatic Medicine

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ObjectiveFrontline healthcare providers (HCPs) working in COVID-19 hospital departments need to deal with considerable physical and emotional stress on a daily basis. We conducted a pilot study to examine changes in heart rate variability (HRV) in frontline COVID-19 personnel after an integrative medicine (IM) intervention.MethodsHCPs working in isolated COVID-19 inpatient departments underwent a single 30-minute individually tailored IM sessions combining various IM modalities (acupuncture, mind-body, and/or manual-movement modalities, including anthroposophic medicine). HRV parameters were compared during the first IM session at 3-minute intervals, at the beginning of treatments, and after 20 minutes. Root mean square of successive RR interval differences (RMSSD) was measured, as were domains of time (standard deviation of NN intervals, percentage of successive RR intervals that differ by more than 50 milliseconds) and frequency (low frequency/high frequency [LF/HF] ratio). Preintervention and postintervention concerns were assessed using the Measure Yourself Concerns and Well-being questionnaire, with posttreatment free-text narratives analyzed for clusters of emotional- and spiritual-related keywords (ESKs).ResultsA total of 114 HCPs underwent an IM treatment session, and their HRV values were measured, of which 75 (65.8%) expressed ESKs. The RMSSD increased only in the ESK-expressing group (p < .001). LF/HF ratios decreased in both groups, with HF power increasing in the ESK-expressing (p = .043) and LF power decreasing in the non–ESK-expressing groups (p = .004).ConclusionsIncreased parasympathetic activity was observed in all HCPs after the IM intervention, particularly among those expressing ESKs. LF/HF parameters suggest different relaxation-associated mechanisms, with increased HF (regulated predominantly by parasympathetic tone) in the ESK-expressing and decreased LF (regulated partially by sympathetic tone) in the nonexpressing group. Additional research needs to explore the relationship between subjective effects of the IM intervention and physiological mechanisms of relaxation in HCPs working in stressful environments.Trial RegistrationClinicalTrials.gov identifier NCT05104827.

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Integrative Medicine in Interventional Oncology: A Virtuous Alliance

Cited by 12 publications

References 64 publications

Percutaneous Image-Guided Vertebral Fixation in Cancer-Related Vertebral Compression Fractures: A Case Series Study

Percutaneous Image-Guided Vertebral Fixation in Cancer-Related Vertebral Compression Fractures: A Case Series Study

Ergonomics in Interventional Radiology: Awareness Is Mandatory

Parasympathetic vs. sympathetic changes in heart rate variability following a multimodal integrative medicine intervention for frontline COVID-19 personnel

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