Acupuncture for Xerostomia in Patients with Cancer: An Update

Garcia, M. Kay; Niemtzow, Richard C.; McQuade, Jennifer L.; Haddad, Robin; Lee, Richard; Spano, Michael; Cohen, Lorenzo

doi:10.1089/acu.2015.1104

Cited by 5 publications

(6 citation statements)

References 20 publications

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“…The strength of evidence is not yet strong for symptoms other than CINV,10, 11 but it has increased so that authors now recognize that acupuncture may be effective for cancer pain,10, 11 aromatase inhibitor induced arthralgia (in breast cancer), fatigue, recovery after colorectal cancer resection 11 as well as symptoms also seen commonly in cancer patients such as post-operative nausea and vomiting (PONV), anxiety, depression and sleep problems 10, 11. The following symptoms have been found to have clearly positive or trend positive findings in reviews: 5 CINV,12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22 PONV, 14 post-op pain,23, 24, 25 cancer related pain,14, 17, 19, 21, 23, 26, 27, 28, 29 arthralgia from aromatase inhibitors,30, 31, 32, 33 xerostomia,14, 34, 35, 36, 37, 38, 39 hot flashes (especially in breast cancer),12, 14, 17, 22, 23, 31, 40, 41, 42 fatigue,17, 21, 22, 31, 34, 43, 44, 45, 46, 47 depression,48, 49 anxiety,48, 49, 50 sleep problems,48, 49, 50, 51 chemotherapy-induced peripheral neuropathy (CIPN),31, 52, 53,…”

Section: Resultsmentioning

confidence: 99%

Evidence, safety and recommendations for when to use acupuncture for treating cancer related symptoms: a narrative review

Birch

Lee

Alræk

2019

Integrative Medicine Research

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Background Recently research on acupuncture for cancer related symptoms has significantly increased. To what extent have medical professionals recommended to use acupuncture in light of that evidence? Methods Evidence of effectiveness and safety was found by searching Pubmed for reviews to identify for what conditions and general results. Publications that recommend acupuncture in oncology were searched in the database of an ongoing general search for publications that recommend acupuncture. This database was developed by searching google for publications that recommend the use of acupuncture with the terms ‘name of symptom’ and ‘clinical practice guideline’ or ‘treatment guideline’. Results Acupuncture is moderately or weakly effective for 19 symptoms in patients with cancer and cancer survivors. Acupuncture is a safe therapy in cancer care if administered by trained acupuncturists. Acupuncture is targeted to improve symptoms associated with the cancer and different cancer treatments, not to treat the cancer itself. More than 350 publications by clinical practice guideline groups and expert groups, including public health statements made by national and government agencies recommended the use of acupuncture for 61 cancer related symptoms many with positive evidence of effectiveness. Conclusion The strength of evidence is weak for many indications, however the evidence for many standard therapies is either not very strong or if stronger, the incidence of adverse events is more, which makes acupuncture a treatment option despite the weak evidence. We have found evidence that many oncologists around the world have started to incorporate acupuncture into the treatment of various cancer related symptoms.

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Section: Resultsmentioning

confidence: 99%

Evidence, safety and recommendations for when to use acupuncture for treating cancer related symptoms: a narrative review

Birch

Lee

Alræk

2019

Integrative Medicine Research

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“…Numerous established auricular-acupuncture protocols that have proven effective as complementary and alternative approaches for addressing various symptoms and conditions include stimulation of a point within the Zero Zone. 2,3 One may infer that the consistency of results is likely due, in part, to treating the amygdala through the reflex mechanism of the auricular-therapy microsystem.…”

Section: Energetic Blockagesmentioning

confidence: 99%

The Science of Auricular Microsystem Acupuncture: Amygdala Function in Psychiatric, Neuromusculoskeletal, and Functional Disorders

Liebell¹

2019

Medical Acupuncture

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Addressing dysfunction of the amygdala via the auricular acupuncture microsystem has vast potential. Widespread medical consequences of amygdala dysregulation have been well-defined scientifically. Clinical results and a significant quantity of existing amygdala research support the rationale for addressing amygdala function through auricular-acupuncture techniques. Further scientific inquiry into their mechanisms of action, clinical applications, and expansion of both professional and public education of the merits of these techniques is warranted.

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“…Garcia et al .,[ 130 ] highlighted its role to control hot flashes in breast cancer patients, but the strength of the evidence was unconvincing. Similarly, it has shown favorable effects for managing hiccups[ 131 ] and preventing and/or treating xerostomia,[ 132 ] but the methodological quality of studies was low. Stimulation of point Pericardium 6 (P6) by acupressure or needle can reduce chemotherapy-induced nausea/vomiting.…”

Section: Ommon C Omplementary mentioning

confidence: 99%

Complementary therapies for symptom management in cancer patients

Satija

Bhatnagar

2017

Indian J Palliat Care

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Cancer patients are often poly-symptomatic which distressingly affects their quality of lives (QOLs). Alhough, conventional management provides adequate symptom control, yet is coupled with some limitations. Complementary therapies (CTs) have shown beneficial effects in cancer patients for symptomatic relief. The aim of this article is to provide evidence-based review of commonly used CTs for symptom management in cancer care. Hypnosis has promising evidence to be used for managing symptoms such as pain, chemotherapy-induced nausea/vomiting, distress, fatigue, and hot flashes. Guided imagery increases comfort and can be used as a psycho-supportive therapy. Meditation substantially improves psychological function, mental health, and QOL. Cognitive behavioral therapies effectively reduce pain, distress, fatigue, anxiety, and depression; and improve subjective sleep outcomes along with mood and QOL. Yoga has short term beneficial effects for anxiety, depression, fatigue, perceived stress, QOL, and well-being. T'ai Chi and qigong are beneficial adjunctive therapies for supportive cancer care, but their role in reducing cancer pain is not well proven. Acupuncture is effective for reducing treatment related side-effects, pain and fatigue. Other therapies such as massage techniques, energy therapies, and spiritual interventions have also demonstrated positive role in managing cancer-related symptoms and improve overall well-being. However, the clinical effectiveness of these therapies for symptom management in cancer patients cannot be concluded due to poor strength of evidence. Nonetheless, these are relatively free from risks and hence can be given along with conventional treatments. Only by tailoring these therapies as per patient's beliefs and preferences, optimal patient-centered holistic care can be provided.

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Acupuncture for Xerostomia in Patients with Cancer: An Update

Cited by 5 publications

References 20 publications

Evidence, safety and recommendations for when to use acupuncture for treating cancer related symptoms: a narrative review

Evidence, safety and recommendations for when to use acupuncture for treating cancer related symptoms: a narrative review

The Science of Auricular Microsystem Acupuncture: Amygdala Function in Psychiatric, Neuromusculoskeletal, and Functional Disorders

Complementary therapies for symptom management in cancer patients

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