Abstract:Objectives: Interstitial Cystitis/Bladder Pain syndrome (IC/BPS) is a considerable issue in urology and gynecology and unfortunately, the treatment options recommended are not fully efficient. Therefore, in this study we aimed to determine the effectiveness of acupuncture treatment in patients with refractory IC/BPS. Results: There was a statistically significant decrease in all of the scores evaluated at first month compared with the baseline. While the change in VAS score in 1, 3, 6 and 12 th months were fou… Show more
“…É comprovado que a Acupuntura é o método de tratamento de dor mais procurado nos quadros de dor lombar. Tem resultados positivos nos tratamentos de dor quando comparado ao grupo controle (Sham Acupuncture) em diferentes etiologias de modo geral (Zucker et al, 2017;Lam et al, 2017;Sönmez & Kozanhan, 2017;Mist & Jones, 2018;Genovese & Mao, 2019;Valente et al, 2020).…”
O desenvolvimento populacional, os maus hábitos alimentares e a falta de exercícios físicos, traz uma baixa qualidade de vida entre a população idosa devido os quadros de dor. Objetivo: buscar as evidências científicas da redução de dor, mediante o uso da acupuntura sistêmica no indivíduo adulto e idoso. Metodologia: estudo de revisão integrativa da literatura de artigos extraídos da base de dados da Biblioteca Virtual em Saúde (BVS), com indexadores da Literatura Latino-Americana e do Caribe na Saúde (LILACS), Medical Literatura Analysis (MEDLINE/Pubmed) e na Base de Dados de Enfermagem (BDENF), a partir dos descritores: Terapia por acupuntura, acupuntura, dor, adulto e idoso. Foi utilizado a estratégica PICO, porém, resume-se a um acrônimo PIO, pois: adultos e idosos é a população (P), a terapia por acupuntura é a intervenção (I) e o desfecho (outcome) é a redução da dor (O). Foram inclusos artigos originais de livre acesso na base de dados nacional e internacional e exclusos editoriais, artigos de relato de opinião e experiência, artigos de revisão e artigos duplicados. O recorte temporal foi de 2016 à 2021. Idiomas Inglês, Espanhol e Português. Resultados: encontrou-se um total de 8 artigos que abordavam o uso da Acupuntura sistêmica, todos publicados em periódicos internacionais, sendo 7 de ensaio clínico randomizado. Conclusão: teve-se um maior número de pesquisa com o padrão ouro, mas com alto risco de viés, sendo que, dos 8 artigos, todos apresentaram resultados positivos da técnica de acupuntura sistêmica no tratamento da dor.
“…É comprovado que a Acupuntura é o método de tratamento de dor mais procurado nos quadros de dor lombar. Tem resultados positivos nos tratamentos de dor quando comparado ao grupo controle (Sham Acupuncture) em diferentes etiologias de modo geral (Zucker et al, 2017;Lam et al, 2017;Sönmez & Kozanhan, 2017;Mist & Jones, 2018;Genovese & Mao, 2019;Valente et al, 2020).…”
O desenvolvimento populacional, os maus hábitos alimentares e a falta de exercícios físicos, traz uma baixa qualidade de vida entre a população idosa devido os quadros de dor. Objetivo: buscar as evidências científicas da redução de dor, mediante o uso da acupuntura sistêmica no indivíduo adulto e idoso. Metodologia: estudo de revisão integrativa da literatura de artigos extraídos da base de dados da Biblioteca Virtual em Saúde (BVS), com indexadores da Literatura Latino-Americana e do Caribe na Saúde (LILACS), Medical Literatura Analysis (MEDLINE/Pubmed) e na Base de Dados de Enfermagem (BDENF), a partir dos descritores: Terapia por acupuntura, acupuntura, dor, adulto e idoso. Foi utilizado a estratégica PICO, porém, resume-se a um acrônimo PIO, pois: adultos e idosos é a população (P), a terapia por acupuntura é a intervenção (I) e o desfecho (outcome) é a redução da dor (O). Foram inclusos artigos originais de livre acesso na base de dados nacional e internacional e exclusos editoriais, artigos de relato de opinião e experiência, artigos de revisão e artigos duplicados. O recorte temporal foi de 2016 à 2021. Idiomas Inglês, Espanhol e Português. Resultados: encontrou-se um total de 8 artigos que abordavam o uso da Acupuntura sistêmica, todos publicados em periódicos internacionais, sendo 7 de ensaio clínico randomizado. Conclusão: teve-se um maior número de pesquisa com o padrão ouro, mas com alto risco de viés, sendo que, dos 8 artigos, todos apresentaram resultados positivos da técnica de acupuntura sistêmica no tratamento da dor.
“…[ 23 , 24 ] A previous study has also reported that acupuncture is an effective treatment method in IC/BPS patients. [ 17 ] Therefore, we assumed that the positive effects of CHM and acupuncture might alleviate the psychological burden of patients with IC/BPS and subsequently decrease the risk of mental disorders. However, there was no statistically significant difference in the risk of mental disorders between IC/BPS patients with and without CHM granules or acupuncture treatment (adjusted HR: 0.99, 95% CI: 0.58–1.68).…”
Section: Discussionmentioning
confidence: 99%
“…[ 16 ] Acupuncture demonstrated positive effect on bladder volume, suppressed bladder contraction, and changed the firing properties of the micturition center. [ 17 , 18 ] Despite these positive effects on urinary symptoms, clinical research regarding the effects of TCM on IC/BPS is scarce. Previous case series were often limited by ambiguous enrollment criteria and short follow-up duration.…”
Traditional Chinese medicine (TCM) is commonly used for urinary symptoms in Eastern countries. Since there are few effective treatments available for patients with interstitial cystitis/bladder pain syndrome (IC/BPS), the psychological burden leads to increased healthcare-seeking behavior. Some patients may therefore seek TCM treatment for related urinary symptoms. Due to limited clinical research evaluating the effects of TCM on IC/BPS, we conducted a nationwide population-based cohort study to investigate the relationship between TCM and mental disorders among these patients. The IC/BPS cohort and its matched non-IC/BPS comparison cohort were recruited from the National Health Insurance (NHI) Research Database between 2000 and 2011. Patients with the use of Chinese herbal medicine (CHM) granules or acupuncture over 90 days per year were enrolled as the TCM users. Multivariable Cox proportional hazards models were used to evaluate the hazard ratio (HR) of mental disorders related to interstitial cystitis. The incidence of mental disorders in the 2 cohorts was assessed with Kaplan–Meier curves. A total of 1123 patients with IC/BPS and 4492 matched non-IC/BPS subjects were included in this study. The IC/BPS cohort demonstrated higher incidence rate of mental disorders than the cohort without IC/BPS (adjusted HR: 2.21, 95% confidence interval [CI]: 1.73–2.81). There was no statistically significant difference in the risk of mental disorders between IC/BPS patients with and without CHM granules or acupuncture treatment (adjusted HR: 0.99, 95% CI: 0.58–1.68). Our results indicated that CHM and acupuncture showed insignificant efficacy in the prevention of mental disorders in IC/BPS patients.
“…Similarly to physical therapy, because of safety and relatively affordability, acupuncture can be considered an option in women affected by IC/BPS based on studies suggesting the effectiveness of the technique, although the evidence is limited and more data are required [11,29,[33][34][35].…”
Interstitial cystitis or bladder pain syndrome (IC/BPS) is a chronic pelvic pain syndrome related to the urinary bladder. The ideal treatment should match as much as possible with the pathophysiologic causes of the IC/BPS, but the scarcely available evidence limits this approach, with the majority of available treatments that are primarily targeted to the control of symptoms. The treatment strategies have traditionally focused on the bladder, which is considered the primary end-organ and source of pain. Nevertheless, the growing body of evidence suggests a multifaceted nature of the disease with systemic components. In general, guidelines recommend the personalized and progressive approach, that starts from the more conservative options and then advances toward more invasive and combined treatments. The behavioral changes represent the first and most conservative steps. They can be combined with oral medications or progressively with intravesical instillation of drugs, up to more invasive techniques in a combined way. Despite the multiple available options, the optimal treatment is not easy to be found. Only further investigation on the etiopathogenetic mechanisms, taking into account the differences among subgroups, and the interaction between central and peripherical factors may allow providing a real improvement in the treatment and management of these patients.
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