The effect of acupuncture on postoperative nausea and vomiting after pediatric tonsillectomy: A meta‐analysis and systematic review

Shin, Hwang Cheol; Kim, Jong Seung; Lee, Sang Kyi; Kwon, Sam Hyun; Kim, Min Su; Lee, Eun Jung; Yoon, Yong Joo

doi:10.1002/lary.25883

Cited by 33 publications

(18 citation statements)

References 40 publications

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“…These reviews have addressed the evidence base for a range of conditions including back and neck pain [9–11], osteoarthritis [12, 13], nausea [14, 15], dental pain [16], menstrual cramps [17], and infertility [18, 19], among others. However, less is known at a broader scale regarding gross tends in research efforts.…”

Section: Introductionmentioning

confidence: 99%

Publication Trends in Acupuncture Research: A 20-Year Bibliometric Analysis Based on PubMed

Dong²,

et al. 2016

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ObjectiveAcupuncture has become popular and widely practiced in many countries around the world. Despite the large amount of acupuncture-related literature that has been published, broader trends in the prevalence and scope of acupuncture research remain underexplored. The current study quantitatively analyzes trends in acupuncture research publications in the past 20 years.MethodsA bibliometric approach was used to search PubMed for all acupuncture-related research articles including clinical and animal studies. Inclusion criteria were articles published between 1995 and 2014 with sufficient information for bibliometric analyses. Rates and patterns of acupuncture publication within the 20 year observational period were estimated, and compared with broader publication rates in biomedicine. Identified eligible publications were further analyzed with respect to study type/design, clinical condition addressed, country of origin, and journal impact factor.ResultsA total of 13,320 acupuncture-related publications were identified using our search strategy and eligibility criteria. Regression analyses indicated an exponential growth in publications over the past two decades, with a mean annual growth rate of 10.7%. This compares to a mean annual growth rate of 4.5% in biomedicine. A striking trend was an observed increase in the proportion of randomized clinical trials (RCTs), from 7.4% in 1995 to 20.3% in 2014, exceeding the 4.5% proportional growth of RCTs in biomedicine. Over the 20 year period, pain was consistently the most common focus of acupuncture research (37.9% of publications). Other top rankings with respect to medical focus were arthritis, neoplasms/cancer, pregnancy or labor, mood disorders, stroke, nausea/vomiting, sleep, and paralysis/palsy. Acupuncture research was conducted in 60 countries, with the top 3 contributors being China (47.4%), United States (17.5%), and United Kingdom (8.2%). Retrieved articles were published mostly in complementary and alternative medicine (CAM) journals with impact factors ranging between 0.7 and 2.8 in the top 20 journals, followed by journals specializing in neuroscience, pain, anesthesia/analgesia, internal medicine and comprehensive fields.ConclusionAcupuncture research has grown markedly in the past two decades, with a 2-fold higher growth rate than for biomedical research overall. Both the increases in the proportion of RCTs and the impact factor of journals support that the quality of published research has improved. While pain was a consistently dominant research focus, other topics gained more attention during this time period. These findings provide a context for analyzing strengths and gaps in the current state of acupuncture research, and for informing a comprehensive strategy for further advancing the field.

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Section: Introductionmentioning

confidence: 99%

Publication Trends in Acupuncture Research: A 20-Year Bibliometric Analysis Based on PubMed

Dong²,

et al. 2016

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“…15,16 In a 2016 study, Shin et al evaluated the antiemetic effects of acupuncture in pediatric patients who had undergone tonsillectomies. 17 Their metaanalysis of 8 articles revealed that the incidence of PONV was significantly lower in the patients who received acupuncture treatment compared to the control group who received traditional antiemetic medications. The researchers concluded that administering acupuncture at pericardium 6 (PC6), located 3 fingerbreadths below the wrist on the inner forearm, is safe and effective at reducing PONV in pediatric patients after tonsillectomies.…”

Section: Results Acupuncturementioning

confidence: 99%

Role of Complementary and Alternative Medicine in Otolaryngologic Perioperative Care

Kallush

Riley

Kacker

2018

TOJ

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Background: During the perioperative period for otolaryngologic surgical cases, complications and delays can occur as the result of anxiety, pain, nausea, and vomiting. Conventional methods used to treat these symptoms include medications that can be expensive and invasive or that can cause adverse effects. Because of the concerns about opioid use in the United States, providers might want to consider using complementary and alternative medicine (CAM) as adjunctive or primary treatment plans. Methods: To assess the current knowledge about the clinical effectiveness of CAM for patients undergoing otolaryngologic procedures, we searched the literature using MEDLINE, PubMed, and Google Scholar. We excluded studies published prior to 1990 and articles about surgeries that were unrelated to otolaryngology. Results: An analysis of the selected studies revealed that CAM therapies-acupuncture, aromatherapy, hypnosis, and music therapy-have been shown to be effective at reducing preoperative anxiety, postoperative pain, and postoperative nausea and vomiting. No adverse side effects were associated with CAM use in these studies. Conclusion: The use of CAM in patients undergoing otolaryngologic surgeries may relieve common perioperative symptoms. While further study is warranted, otolaryngology providers might consider implementing CAM with patients electing surgery. METHODSIn January-February 2018, we searched the literature pertaining to CAM utilization in the perioperative period for patients undergoing otolaryngologic surgeries. Using MEDLINE, PubMed, and Google Scholar, we searched the following words and terms: otolaryngology, perioperative care, acupuncture, complementary medicine, postoperative tonsillectomy pain, postoperative management following otolaryngologic surgery, aromatherapy for management of preoperative stress and anxiety, and alternative forms of care for PONV following otolaryngologic surgeries. We excluded articles about surgeries that were unrelated to otolaryngology. We also excluded studies published prior to 1990 to limit the review to the contemporary literature.

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“…For example, a 2015 systematic review of randomized trials utilizing wrist acupuncture for postoperative nausea and vomiting in both children and adults found a significant reduction in symptoms and need for rescue antiemetics compared to sham treatment [ 49 ]. Studies involving exclusively pediatric patients remain limited, although a meta-analysis of clinical studies investigating acupuncture for postoperative nausea/vomiting in children following tonsillectomy further supported these findings [ 50 ]. Of note, acupuncture has proven to be well tolerated and safe in the pediatric population.…”

Section: Integrative Medicine For Distressing Symptoms In Criticalmentioning

confidence: 99%

Integrative Approaches in Pediatric Palliative Care

et al. 2018

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Pediatric palliative care is a field which focuses on caring for and treating the symptoms and distress typically associated with life-limiting illness. Integrative medicine is supported by evidence and aims to heal the whole person, including all aspects of one’s lifestyle. Therapies offered by integrative medicine often empower patients and families, allowing for a sense of control. This review addresses the merging of integrative medicine philosophy and modalities with the care given to children with life-limiting illness. We review an introduction to integrative medicine, trends in its incorporation in the healthcare setting, application to patients receiving palliative care and the management of specific symptoms. A case study is offered to illustrate these principles.

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The effect of acupuncture on postoperative nausea and vomiting after pediatric tonsillectomy: A meta‐analysis and systematic review

Cited by 33 publications

References 40 publications

Publication Trends in Acupuncture Research: A 20-Year Bibliometric Analysis Based on PubMed

Publication Trends in Acupuncture Research: A 20-Year Bibliometric Analysis Based on PubMed

Role of Complementary and Alternative Medicine in Otolaryngologic Perioperative Care

Integrative Approaches in Pediatric Palliative Care

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