Acupuncture against chemotherapy-induced nausea and vomiting in pediatric oncology

Reindl, Tobias; Geilen, Wilhelm; Hartmann, Reinhard; Wiebelitz, Klaus R.; Kan, Guishi; Wilhelm, Ilca; Lugauer, S.; Behrens, Clemens; Weiberlenn, T.; Hasan, Carola; Gottschling, Sven; Wild-Bergner, Tanja; Henze, Guenter; Driever, Pablo Hernáiz

doi:10.1007/s00520-005-0846-z

Cited by 88 publications

(69 citation statements)

References 13 publications

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“…In the immediate acupuncture group, initial improvements in pain scores did not persist six weeks after they completed acupuncture treatment. Similarly, other acupuncture studies which have implemented a cross-over design did not find evidence of carryover effects of acupuncture [59][60][61]. However, the sample sizes were small and the follow-up was short, and it would be premature to speculate about the long-term effects of acupuncture, since most studies do not assess patients following the intervention.…”

Section: Discussionmentioning

confidence: 89%

Pilot study of acupuncture for the treatment of joint symptoms related to adjuvant aromatase inhibitor therapy in postmenopausal breast cancer patients

et al. 2007

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Section: Discussionmentioning

confidence: 89%

Pilot study of acupuncture for the treatment of joint symptoms related to adjuvant aromatase inhibitor therapy in postmenopausal breast cancer patients

et al. 2007

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“…Study investigators noted that acceptance of acupuncture among this young population was high, and acupuncture aided in higher levels of alertness during chemotherapy. 15 Nausea and vomiting are also a significant side effect after postoperative procedures with local or systemic anesthesia. Within 24 hours of surgery, pediatric patients experience postoperative nausea and vomiting (PONV) in 30% to 80% of cases.…”

Section: Nausea and Vomitingmentioning

confidence: 99%

Safety and Efficacy of Acupuncture in Children

Jindal

Mansky

2008

Journal of Pediatric Hematology/Oncology

202

136

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Acupuncture has been used therapeutically in China for thousands of years and is growing in prominence in Europe and the United States. In a recent review of complementary and alternative medicine use in the US population, an estimated 2.1 million people or 1.1% of the population sought acupuncture care during the past 12 months. Four percent of the US population used acupuncture at any time in their lives. We reviewed 31 different published journal articles, including 23 randomized controlled clinical trials and 8 meta-analysis/systematic reviews. We found evidence of some efficacy and low risk associated with acupuncture in pediatrics. From all the conditions we reviewed, the most extensive research has looked into acupuncture's role in managing postoperative and chemotherapy-induced nausea/vomiting. Postoperatively, there is far more evidence of acupuncture's efficacy for pediatrics than for children treated with chemotherapy. Acupuncture seems to be most effective in preventing postoperative induced nausea in children. For adults, research shows that acupuncture can inhibit chemotherapy-related acute vomiting, but conclusions about its effects in pediatrics cannot be made on the basis of the available published clinical trials data to date. Besides nausea and vomiting, research conducted in pain has yielded the most convincing results on acupuncture efficacy. Musculoskeletal and cancer-related pain commonly affects children and adults, but unfortunately, mostly adult studies have been conducted thus far. Because the manifestations of pain can be different in children than in adults, data cannot be extrapolated from adult research. Systematic reviews have shown that existing data often lack adequate control groups and sample sizes. Vas et al, Alimi et al, and Mehling et al demonstrated some relief for adults treated with acupuncture but we could not find any well-conducted randomized controlled studies that looked at pediatrics and acupuncture exclusively. Pain is often unresolved from drug therapy, thus there is a need for more studies in this setting. For seasonal allergic rhinitis, we reviewed studies conducted by Ng et al and Xue et al in children and adults, respectively. Both populations showed some relief of symptoms through acupuncture, but questions remain about treatment logistics. Additionally, there are limited indications that acupuncture may help cure children afflicted with nocturnal enuresis. Systematic reviews show that current published trials have suffered from low trial quality, including small sample sizes. Other areas of pediatric afflictions we reviewed that suffer from lack of research include asthma, other neurologic conditions, gastrointestinal disorders, and addiction. Acupuncture has become a dominant complementary and alternative modality in clinical practice today, but its associated risk has been questioned. The National Institutes of Health Consensus Statement states "one of the advantages of acupuncture is that the incidence of adverse effects is substantially lower than that o...

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“…It is significant, however, that although acupuncture on children has been shown to be feasible and acceptable, 50,[52][53][54] and children have shown little discomfort or fear, only 5 recent studies on the effectiveness of acupuncturepoint stimulation for CINV have included pediatric subjects. 45,[55][56][57] Cohen 58 has suggested that, to provide the best possible care, the physician balance 7 important factors when deciding whether to recommend a CAM treatment: (1) severity and acuteness of the illness; (2) curability with conventional treatment; (3) invasiveness, toxicities, and adverse effects of conventional treatment; (4) quality and evidence of safety and efficacy of the CAM treatment; (5) degree of understanding of the risks and benefits of conventional and CAM treatments; (6) knowledge and voluntary acceptance of those risks by the patient; and (7) persistence of the patient's intention to use CAM.…”

Section: Clinical Responsementioning

confidence: 99%

Informed Consent: Advising Patients and Parents About Complementary and Alternative Medicine Therapies

Gilmour

Harrison

Asadi³

et al. 2011

Pediatrics

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Acupuncture against chemotherapy-induced nausea and vomiting in pediatric oncology

Abstract: Our data indicate that acupuncture might reduce antiemetic medication and episodes of vomiting in pediatric oncology.

Cited by 88 publications

References 13 publications

Pilot study of acupuncture for the treatment of joint symptoms related to adjuvant aromatase inhibitor therapy in postmenopausal breast cancer patients

Pilot study of acupuncture for the treatment of joint symptoms related to adjuvant aromatase inhibitor therapy in postmenopausal breast cancer patients

Safety and Efficacy of Acupuncture in Children

Informed Consent: Advising Patients and Parents About Complementary and Alternative Medicine Therapies

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