The Effects of Auricular Therapy for Cancer Pain: A Systematic Review and Meta‐Analysis

Yang, Yulan; Wen, Jian; Hong, Jianyun

doi:10.1155/2020/1618767

Cited by 28 publications

(25 citation statements)

References 25 publications

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“…In regards to oncology, in line with similar experiences reported in the literature [38][39][40], experts in our survey believe that CAM is useful to reduce collateral and adverse events during cancer chemo-and/or radiotherapy, as well as to give psychological support to the patients. CAMs are not considered as a therapy for the modification of the natural history of the pathology nor to prevent metastatic diffusion.…”

Section: Discussionsupporting

confidence: 81%

Information Survey on the Use of Complementary and Alternative Medicine

et al. 2022

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Background and Objectives: Complementary and alternative medicines (CAMs) are generally considered non-scientific and poor effective therapies. Nevertheless, CAMs are extensively used in common clinical practice in Western countries. We decided to promote a Delphi consensus to intercept the opinion of Italian physicians on CAM use in clinical practice. Materials and Methods: We run a Delphi-based consensus, interviewing anonymously 97 physicians. Of these, only 78 participate to the questionnaire. Results: Consensus about agreement and disagreement have been reached in several topics, including indication, as well as safety issues concerning CAMs. Conclusions: The use of CAMs in clinical practice still lacks evidence. Experts agree about the possibility to safely use CAMs in combination with conventional medicines to treat non-critical medical conditions.

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Section: Discussionsupporting

confidence: 81%

Information Survey on the Use of Complementary and Alternative Medicine

et al. 2022

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“…Therefore, auricular acupuncture is easier to implement in clinical settings than body acupuncture. In oncology, auricular therapy has been studiedespecially in the treatment of cancer-related pain, but also for constipation-and appears to be effective and safe [33][34][35][36][37].…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Safety of Auricular Acupuncture for the Treatment of Insomnia in Breast Cancer Survivors: A Randomized Controlled Trial

Höxtermann

Buner

Haller

et al. 2021

Cancers

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Among women, breast cancer is the most commonly diagnosed cancer worldwide. Sleep problems impair 40–70% of breast cancer survivors. This randomized controlled trial evaluates the effect of auricular acupuncture on sleep quality in breast cancer survivors suffering from insomnia. Fifty-two female breast cancer survivors with insomnia (mean age 55.73 ± 8.10 years) were randomized either to 10 treatments of auricular acupuncture within five weeks (n = 26), or to a single session of psychoeducation plus an insomnia advice booklet (n = 26). The primary outcome was sleep quality (measured by the Pittsburgh Sleep Quality Index) at week 5. Secondary outcomes were inflammation parameter (interleukin-6), stress, anxiety, depression, quality of life, and fatigue at week 5, and sleep quality, stress, anxiety, depression, quality of life, and fatigue 17 and 29 weeks after randomization. Intention-to-treat analysis showed a significantly stronger increase in sleep quality in the auricular acupuncture group compared to the psychoeducation group (p = 0.031; η²p = 0.094) at week 5. Furthermore, auricular acupuncture improved stress (p = 0.030; η²p = 0.094), anxiety (p = 0.001; η²p = 0.192), and fatigue (p = 0.006; η²p = 0.148) at week 5 compared to psychoeducation. No significant group difference was found concerning the other outcomes at week 5, or in any outcome at week 17 or week 29. No serious adverse events occurred during the study period. In conclusion, a semi-standardized group auricular acupuncture might be an effective and safe intervention in treating insomnia in breast cancer survivors in the short term, and may reduce stress, anxiety, and fatigue as well. Long-term effects remain questionable.

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“…VAS is commonly used in pain evaluation. Previous studies [ 56 ] have suggested that the subjectivity and multidimensionality of pain experience produce individual differences in pain assessment. Some studies showed that analgesic requirements are controlled by healthcare providers and are directly affected by the types of surgery and the economic status of patients.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Transcutaneous Electrical Acupoint Stimulation (TEAS) for Postoperative Pain in Laparoscopy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Meng

Mao

Song

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objectives. This meta-analysis aimed to assess the efficacy and safety of transcutaneous acupoint electrical stimulation (TEAS) for postoperative pain in laparoscopy. The review has been registered on the “INPLASY” website and the registration number is INPLASY202150101. Methods. Relevant randomized controlled trials are selected from seven electronic databases (PubMed, the Cochrane Library, Embase, China National Knowledge Infrastructure, Chongqing VIP Information, WanFang Data, and Chinese Biomedical Database) from their inception up to November 30, 2020. Twenty-eight studies were included in this meta-analysis, and the statistical analyses and the exploration of heterogeneity sources were conducted by Stata 15.0 software. Besides, the bias assessment of the included studies was evaluated using the Cochrane risk of bias tool. Results. In total, 28 RCTs covering 2787 participants were included. The meta-analysis suggested that TEAS can effectively relieve pain in the short term after laparoscopy, reduce the postoperative consumption of rescue analgesics, improve the quality of life of patients, and shorten the length of hospitalization. And no serious adverse events are related to TEAS. Therefore, TEAS is relatively safe and efficacy for clinical application. The most used acupoints were Hegu (LI14), Neiguan (PC6), and Zusanli (ST36). Conclusions. TEAS can be recommended as a complementary and alternative therapy for the treatment of postoperative pain after laparoscopy. However, the included RCTs had some methodological limitations. Therefore, larger-size, more rigorous, and higher-quality RCTs are needed in the future to further explore the efficacy and safety of TEAS for postoperative pain after laparoscopy.

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The Effects of Auricular Therapy for Cancer Pain: A Systematic Review and Meta‐Analysis

Cited by 28 publications

References 25 publications

Information Survey on the Use of Complementary and Alternative Medicine

Information Survey on the Use of Complementary and Alternative Medicine

Efficacy and Safety of Auricular Acupuncture for the Treatment of Insomnia in Breast Cancer Survivors: A Randomized Controlled Trial

Efficacy and Safety of Transcutaneous Electrical Acupoint Stimulation (TEAS) for Postoperative Pain in Laparoscopy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

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