FOLLOWUS
Effectiveness of acupuncture for palliative care in cancer patients: A systematic review
Effectiveness of acupuncture for palliative care in cancer patients: A systematic review
- 中国结合医学杂志（英文版） 2014年20卷第2期 页码：136-147
- Affiliations：
1. School of Chinese Medicine, LKS Faculty of Medicine, University of Hong Kong,Hong Kong,China
2. First School of Clinical Medicine, Guangzhou University of Chinese Medicine,Guangzhou,China
- Author bio：
- Funds：
DOI：10.1007/s11655-013-1439-1
中图分类号：纸质出版日期：2014，
网络出版日期：2013-12-13，
Scan for full text
Lian, WL., Pan, Mq., Zhou, Dh. et al. Effectiveness of acupuncture for palliative care in cancer patients: A systematic review., Chin. J. Integr. Med. 20, 136–147 (2014). https://doi.org/10.1007/s11655-013-1439-1
Wei-Ling Lian, Min-qi Pan, Dai-han Zhou, et al. Effectiveness of acupuncture for palliative care in cancer patients: A systematic review[J]. Chinese Journal of Integrative Medicine, 2014,20(2):136-147.
Lian, WL., Pan, Mq., Zhou, Dh. et al. Effectiveness of acupuncture for palliative care in cancer patients: A systematic review., Chin. J. Integr. Med. 20, 136–147 (2014). https://doi.org/10.1007/s11655-013-1439-1 DOI：
Wei-Ling Lian, Min-qi Pan, Dai-han Zhou, et al. Effectiveness of acupuncture for palliative care in cancer patients: A systematic review[J]. Chinese Journal of Integrative Medicine, 2014,20(2):136-147. DOI： 10.1007/s11655-013-1439-1.
摘要
To critically evaluate the currently available randomized clinical trials regarding the effectiveness of acupuncture in palliative care for cancer patients
hence
to provide sufficient evidences for the widespread use of acupuncture in cancer treatment. Two independent reviewers extracted data from all of the randomized clinical trials (RCTs) that assessed the efficacy of acupuncture in palliative care for cancer patients. Seven databases were searched from their respective inception to December 2010. All eligible trials identified were evaluated by two independent reviewers using the Jadad scale
and data from the articles were validated and extracted. In total
33 RCTs met the inclusion criteria. The effects of acupuncture on different cancer-related aspects were shown
including chemotherapy or radiotherapy-induced side effects (13/33
39.4%)
cancer pain (6/33
18.2%)
post-operative urinary retention (4/33
12.1%)
quality of life (2/33
6.1%)
vasomotor syndrome (2/33
6.1%)
post-operative gastrointestinal dysfunction (2/33
6.1%)
prevention of prolonged postoperative ileus (2/33
6.1%)
joint symptoms (1/33
3.0%)
and immunomodulation (1/33
3.0%). The result of our systematic review suggested that the effectiveness of acupuncture in palliative care for cancer patients is promising
especially in reducing chemotherapy or radiotherapyinduced side effects and cancer pain. Acupuncture may be an appropriate adjunctive treatment for palliative care.
Abstract
To critically evaluate the currently available randomized clinical trials regarding the effectiveness of acupuncture in palliative care for cancer patients
hence
to provide sufficient evidences for the widespread use of acupuncture in cancer treatment. Two independent reviewers extracted data from all of the randomized clinical trials (RCTs) that assessed the efficacy of acupuncture in palliative care for cancer patients. Seven databases were searched from their respective inception to December 2010. All eligible trials identified were evaluated by two independent reviewers using the Jadad scale
and data from the articles were validated and extracted. In total
33 RCTs met the inclusion criteria. The effects of acupuncture on different cancer-related aspects were shown
including chemotherapy or radiotherapy-induced side effects (13/33
39.4%)
cancer pain (6/33
18.2%)
post-operative urinary retention (4/33
12.1%)
quality of life (2/33
6.1%)
vasomotor syndrome (2/33
6.1%)
post-operative gastrointestinal dysfunction (2/33
6.1%)
prevention of prolonged postoperative ileus (2/33
6.1%)
joint symptoms (1/33
3.0%)
and immunomodulation (1/33
3.0%). The result of our systematic review suggested that the effectiveness of acupuncture in palliative care for cancer patients is promising
especially in reducing chemotherapy or radiotherapyinduced side effects and cancer pain. Acupuncture may be an appropriate adjunctive treatment for palliative care.
关键词
acupuncturepalliative carecancertumor
Keywords
acupuncturepalliative carecancertumor
references
US National Cancer Institute (2010). Available from http://www.cancer.gov.
Globocan Project 2008. The International Agency for Research on Cancer (IARC) (2010). Available from http://globocan.iarc.fr/.
Rheingold SR, Neugut AI, Meadows AT. “Chapter 156: secondary cancers: incidence, risk factors, and management”. in Frei E, Kufe DW, Holland JF. Cancer medicine. Hamilton: BC Decker; 2000: 2399. Available from http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=cmed.section.41087.
Definition of palliative care. WHO (2010). Available from http://www.who.int/cancer/palliative/definition/en/.
NIH Consensus Conference. Acupuncture. J Am Med Assoc 1998;4:1518.
Harriet B, Efrem K. Chinese medicine and cancer care. Alternat Therap Health Med 2003;9:38.
Stephen MS. Acupuncture as an evidence-based option for symptom control in cancer patients. Curr Treat Opt Oncol 2008;9:117–126.
Lu WD, Elizabeth DC, Anne DG, David SR. The value of acupuncture in cancer care. Hemat Oncol Clin North Am 2008;22:631–viii.
Andrea JC, Alexander M, Lyndsey H. Acupuncture: role in comprehensive cancer care-a primer for the oncologist and review of the literature. Integr Cancer Ther 2005;4:131.
Leanna JS, Leila K, Sean C. Acupuncture is underutilized in hospice and palliative medicine. Am J Hosp Palliat Med 2008;25:298–308.
Robb KA, Bennett MI, Johnson MI, Simpson KJ, Oxberry SG. Transcutaneous electric nerve stimulation (TENS) for cancer pain in adults. Cochrane Database Systematic Reviews 2008;3.
Ezzo J, Richardson MA, Vickers A, Allen C, Dibble S, Issell BF, et al. Acupuncture-point stimulation for chemotherapyinduced nausea or vomiting. Cochrane Database of Systematic Reviews 2006;2.
Bausewein C, Booth S, Gysels M, Higginson IJ. Nonpharmacological interventions for breathlessness in advanced stages of malignant and non-malignant diseases. Cochrane Database Systematic Reviews 2008;2.
Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. Brit Med J 2003;327:57–60.
Konrad S, Mireen FR, Hubert B. Effect of acupuncture compared with placebo-acupuncture at P6 as additional antiemetic prophylaxis in high-dose chemotherapy and autologous peripheral blood stem cell transplantation. Clin Canc Res 2003;9:2538–2544.
Jill H, Odd Mjåland. Acupuncture for the treatment of hot flashes in breast cancer patients: a randomized, controlled trial. Breast Cancer Res Treat 2009;1116:311–316.
Gary D, Andrew JV, Yeung KS. Randomized controlled trial of acupuncture for the treatment of hot flashes in breast cancer patients. J Clin Oncol 2007;25:5584–5590.
Katherine DC, Jillian LC, Heather G. Randomized, blinded, sham-controlled trial of acupuncture for the management of aromatase inhibitor-associated joint symptoms in women with early-stage breast cancer. J Clin Oncol 2010;28:1154–1160.
Yang Y, Zhang Y, Jing NC, Lu Y, Xiao HY, Xu GL, et al. Electroacupuncture at Zusanli (ST36) for treatment of nausea and vomiting caused by the chemotherapy of the malignant tumor: a multicentral randomized controlled trial. Chin Acupunct Moxibust (Chin) 2009;29:955–958.
Joannie S, Neil W, John G. Electroacupuncture for control of myeloablative chemotherapy-induced emesis: a randomized controlled trial. JAMA 2000;284:2755–2761.
Mai ZF. Clinical observation on efficacy of acupuncture for treatment of cancer chemotherapy-induced peripheral neuritis. Mod Prevent Med (Chin) 2008;35:122–123.
Wang XY. Clinical study of relieving the side effects of chemotherapy on cancer sufferers by electrical acupuncture on the acupoint of Geshu or Zusanli. Guangzhou Univ Chin Med (Chin) 2005;6.
Qiao DP, Liu L, Liang YT. Efficacy of acupuncture associated with drugs for treatment of cancer pain. J Pract Oncol (Chin) 2008;22:446–448.
David A, Carole R, Evelyne PL. Analgesic effect of auricular acupuncture for cancer pain: a randomized, blinded, controlled trial. J Clin Oncol 2003;21:4120–4126.
Guo YP. Study on the influence of acupuncture treatment according to patterns identification on quality of life (QOL) of patients suffering from malign tumors. China Academy of Traditional Chinese Medicine 2009;1.
Li HY, Yang DN, Li H, Wu DH, Zhang GY, Chen TL. The impact of acupuncture at Zusanli on recovery of gastrointestinal function with postoperative esophageal cancer. Jiangsu J Tradit Chin Med (Chin) 2008;40(12):83–84.
Niu CF, Wanf ZP. Clinical studies on electroacupuncture at Zusanli, Shangjuxu, Neiguan for recovery of bowel movement with postoperative colorectal cancer. Chin J Gerontol (Chin) 2008;28:924.
Garcia MK, Skibber JM, Miguel ARB. Acupuncture to prevent prolonged postoperative ileus-a randomized controlled trial. Med Acupunct 2008;20(2):83–88.
Meng ZQ, Garcia MK, Joseph SC. Electro-acupuncture to prevent prolonged postoperative ileus-a randomized clinical trial. World J Gastroenterol 2010;16:104–111.
Wu B, Zhou RX, Zhou MS, Gong QM, Zhou BR, Chen MJ, et al. Effect of acupuncture on immunomodulation in patients with malignant tumors. Chin J Integr Tradit West Med (Chin) 1996;16:139–141.
Liu B, Zhang LW, Xu K, Lou HY, Li Y. Clinical observation on acupuncture for treatment of toxicity of peripheral nervous system caused by chemotherapy drugs. Hebei J Tradit Chin Med (Chin) 2009;31:1040–1041.
Shi Q. Clinical observation on efficacy of acupuncture at Zusanli, Neiguan in prevention of chemotherapy-induced gastrointestinal reactions. J Clin Tradit Chin Med (Chin) 2004;16:481.
Chen C, Zhang ZJ, Li HZ, Tan ZQ, Lu YG, Huang ZF. Clinical cbservation on electro-acupuncture at Zusanli for reduction of toxicity caused by chemotherapy. New J Tradit Chin Med (Chin) 2004;36(3):46–47.
Huang ZF, Shi ZY, Li HZ, Tan ZQ. Clinical observation on acupuncture at Neiguan and Zusanli for prevention and treatment of gastrointestinal reactions induced by Cisplatin and other chemotherapy. Liaoning J Tradit Chin Med (Chin) 2008;35:917–919.
Zhang Q, Wang XW, Hu FS. Clinical observation on acupuncture at specific acupoints for prevention and treatment of cancer patients with vomiting induced by chemotherapy. J Tradit Chin Med (Chin) 2006;47:209–210.
Li H, Yu YC, Dai TC. Clinical study on acupuncture treatment of side reactions of radiotherapy and chemotherapy for malignant tumor. World J Acupunct Moxibust 1998;8(2):8–12.
Xia YQ, Zhang D, Yang CX. An approach to the effect on tumors of acupuncture in combination with radiotherapy or chemotherapy. J Tradit Chin Med (Chin) 1986;6:23–26.
Shen SE. Clinical observation on analgesic effect of wristankle acupuncture associated with drugs for cancer patients. Chin Acupunct Moxibust (Chin) 2000;3:143–144.
Hu X. Clinical studies on efficacy of wrist-ankle acupuncture in relieving the moderate and advanced pain of the patients with hepatocarcinoma. Second Milit Med Univ (Chin) 2005;1.
Dan Y, Liang YQ, Tao Z. Clinical studies on analgesic effect of acupuncture for cancer pain. Chin Acupunct Moxibust (Chin) 1998;1:17–18.
Fu J, Meng ZQ, Chen Z, Peng HT, Liu LM. Clinical observation on electric stimulation of Yongquan (KI1) for prevention of nausea and vomiting caused by Cisplatin. Chin Acupunct Moxibust (Chin) 2006;26:250–252.
He BM, Li WS, Li WY. Effect of previous analgesia of scalp acupuncture on post-operative epidural morphine analgesia in the patient of intestinal cancer. Chin Acupunct Moxibust (Chin) 2007;27:369–371.
Zhou X, Wu Y. Electroacupuncture for treatment of 35 cases of cervical cancer with postoperative urinary retention. Guid Tradit Chin Med Pharm (Chin) 2010;16:54–55.
Chen XY, Wang L, Wen LH, Sun JH, Ji XQ, Li Y. Efficacy of early electroacupuncture for treatment and prevention of cervical cancer with postoperative urinary retention. J Qilu Nurs (Chin) 2008;14(20):47–48.
Shi YL, Chen YQ, Wen L, Wang CP. The impact of acupuncture on urination of rectal cancer patients with postoperative urinary retention. Chin J Integr Tradit West Med (Chin) 2008;28:158–159.
Qin DY, Leng YH, An SJ, Sun L, Shi P. Comparison of different methods in prevention and treatment of cervical cancer postoperative urinary retention. Attend Pract Res (Chin) 2008;5(12):17–19.
Lu Y, Zhang Y, Jing NC, Yang Y. Clinical study on the impact of acupuncture on the quality of life of cancer patients. J Pract Oncol (Chin) 2005;19:299–301.
Ernst E. Acupuncture—a critical analysis. J Intern Med 2006;259:125–137.
Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJM, Gavaghan DJ, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 1996;17:1–12.
0
浏览量
1015
Downloads
33
CSCD
- Meta-XML下载
- BibTeX下载
- Endnote下载
- RefMan 下载
- NoteExpress下载
- NoteFirst下载
关联资源
相关文章
相关作者
相关机构
- 邮编：100091
- 联系电话：010-62886827, 62877592 传真：010-62874291
- 技术支持由北京北大方正电子有限公司提供 京ICP备05067934号-1
京公网安备11010802024621 - 本系统建议在Chrome、 IE9+ 以上版本浏览器阅读本站内容，360浏览器请切换至极速模式
- Cookies帮助我们提供服务并提供个性化体验。使用本网站，即表示您同意我们使用Cookies
