Acupuncture for Management of Symptom Clusters in a Patient with Metastatic Breast Cancer: A Case Report

Huang, Tina; Hung, Tony; Kim, S. Irene; Hui, Ka Kit

doi:10.21926/obm.icm.2001011

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…However, there were limited effective strategies for pain management for most patients with moderate to severe cancer pain, which significantly reduce the quality of life of patients. Acupuncture can be effective in the management of not only pain, but also symptoms such as insomnia, anxiety, and joint pain [ 73 ]. The non-drug treatment and acupuncture therapy were demonstrated to be effective based on available clinical evidence, which offered new avenues for options of managing cancer pain.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture for cancer pain: an evidence-based clinical practice guideline

et al. 2022

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Background This study aims to develop an evidence-based clinical practice guideline of acupuncture in the treatment of patients with moderate and severe cancer pain. Methods The development of this guideline was triggered by a systematic review published in JAMA Oncology in 2020. We searched databases and websites for evidence on patient preferences and values, and other resources of using acupuncture for treatment of cancer pain. Recommendations were developed through a Delphi consensus of an international multidisciplinary panel including 13 western medicine oncologists, Chinese medicine/acupuncture clinical practitioners, and two patient representatives. The certainty of evidence, patient preferences and values, resources, and other factors were fully considered in formulating the recommendations. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was employed to rate the certainty of evidence and the strength of recommendations. Results The guideline proposed three recommendations: (1) a strong recommendation for the treatment of acupuncture rather than no treatment to relieve pain in patients with moderate to severe cancer pain; (2) a weak recommendation for the combination treatments with acupuncture/acupressure to reduce pain intensity, decrease the opioid dose, and alleviate opioid-related side effects in moderate to severe cancer pain patients who are using analgesics; and (3) a strong recommendation for acupuncture in breast cancer patients to relieve their aromatase inhibitor-induced arthralgia. Conclusion This proposed guideline provides recommendations for the management of patients with cancer pain. The small sample sizes of evidence limit the strength of the recommendations and highlights the need for additional research.

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Section: Discussionmentioning

confidence: 99%

Acupuncture for cancer pain: an evidence-based clinical practice guideline

et al. 2022

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“…At present, acupuncture is recommended in oncology care for pain, cancer-related fatigue, chemotherapy-related nausea and vomiting, possibly xerostomia, as well as palliative care and cancer survivorship. (38,39) Current rigorous evidence for use of other integrative modalities in hospice and palliative care is lacking. More well-designed studies are needed to assess the effects of these therapies on the course of disease.…”

Section: East-west Integrative Palliative Care Modelmentioning

confidence: 99%