Acupoint stimulation, massage therapy and expressive writing for breast cancer: A systematic review and meta-analysis of randomized controlled trials

Lee, Phoebe Lyssandra Tan; Tam, Ka Wai; Yeh, Mei Ling; Wu, Wei‐Wen

doi:10.1016/j.ctim.2016.06.003

Cited by 30 publications

(24 citation statements)

References 59 publications

(77 reference statements)

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“…However, these studies have a high level of heterogeneity, insufficient reporting of data, and inconsistent methodologies (i.e. blinding, allocation concealment), making it challenging to make a strong recommendation for the use of massage therapy in this setting [61, 62]. …”

Section: Massagementioning

confidence: 99%

Integrative medicine in cancer survivors

Viscuse¹,

Price

Millstine

et al. 2017

Current Opinion in Oncology

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Purpose of review Due to medical advances and an aging population, the number of cancer survivors continues to rise. Survivors often experience late and long-term sequelae of cancer and its treatment (e.g. fatigue, pain, fear of recurrence, and stress). As a result, some patients have utilized or expressed interest in integrative medicine modalities for prevention of recurrence, optimizing health, enhancing quality of life, and managing symptoms. The purpose of this review is to focus on research published during the past year that informs our understanding of the utility of integrative medicine for cancer survivors. Recent findings Physical activity, diet, dietary supplements, mind-body modalities, acupuncture, and massage therapy all may play a role in the management of the physical (e.g. fatigue and pain) and emotional (e.g. anxiety and fear) issues faced by cancer survivors. Summary Integrative medicine therapies are appealing to and utilized by many cancer survivors and may reduce symptom burden. Clinicians who provide cancer survivorship care may improve patient care by understanding the evidence for and against their use.

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Section: Massagementioning

confidence: 99%

Integrative medicine in cancer survivors

Viscuse¹,

Price

Millstine

et al. 2017

Current Opinion in Oncology

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“…A Cochrane Review found that methylphenidate was the only agent that caused a significant, albeit small, improvement in CRF . There are a growing number of studies investigating nonpharmacologic treatments for CRF; for example, data suggest that exercise causes a small to moderate decrease in CRF . The psychosocial interventions studied have reported small but significant reductions in fatigue .…”

Section: Introductionmentioning

confidence: 99%

“…The psychosocial interventions studied have reported small but significant reductions in fatigue . Overall, methodology and design challenges continue to limit the impact of this work …”

Section: Introductionmentioning

confidence: 99%

“…13 There are a growing number of studies investigating nonpharmacologic treatments for CRF; for example, data suggest that exercise causes a small to moderate decrease in CRF. [14][15][16][17][18][19] The psychosocial interventions studied have reported small but significant reductions in fatigue. 14,20,21 Overall, methodology and design challenges continue to limit the impact of this work.…”

Section: Introductionmentioning

confidence: 99%

“…14,20,21 Overall, methodology and design challenges continue to limit the impact of this work. 19,22,23 Over 50% of patients with cancer use a complementary and alternative medicine (CAM) approach for symptom management. 24 One of the widely employed CAM interventions is massage therapy.…”

Section: Introductionmentioning

confidence: 99%

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Massage therapy decreases cancer‐related fatigue: Results from a randomized early phase trial

Kinkead

Schettler

Larson

et al. 2017

Cancer

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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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Acupoint stimulation, massage therapy and expressive writing for breast cancer: A systematic review and meta-analysis of randomized controlled trials

Cited by 30 publications

References 59 publications

Integrative medicine in cancer survivors

Integrative medicine in cancer survivors

Massage therapy decreases cancer‐related fatigue: Results from a randomized early phase trial

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

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