There was no significant difference between the acupuncture and sham acupuncture groups. The field of integrative oncology represents a high priority for research as the overarching goal is to identify safe and efficacious integrative and conventional therapies to address unmet patient needs. It is important to note that, as we reviewed the literature, we recognized the difference between statistical and clinical significance. Controls included conventional care, sham acupuncture or no treatment. Other areas that have been analyzed but for which there are no Cochrane Reviews Acupuncture is reported to be beneficial for neuropathy, cancer related fatigue, and xerostomia. The role of acupoint stimulation as an adjunct therapy for lung cancer: A systematic review and meta-analysis.
Asian and American ginsengs are used to boost the immune system and promote well being and stamina. Most meta-analyses of drug interventions have narrow scopes and many focus on specific agents. Cochrane Database of Systematic Reviews 2010, Issue 9. Arch Intern Med 172, 1444—1453, doi: 10. Alternative medicine is the use of a therapy in place of conventional medicine. This increasing cancer incidence and the continual improvement in cancer treatment will lead to an increase in the number of patients living with cancer.
Sham acupuncture is widely used in clinical controlled trial of acupuncture as placebo measures. Ongoing communication and exchange of treatment summaries among all health-care providers should take place. A number of interventions for a diverse set of symptoms attained a Grade C, representing a significant dilemma for patients and health-care providers as they face decisions on whether or not to use or recommend these modalities. Finally, the interpretability of the reported results is also limited because of the wide variations in the choice of outcome measures. There is moderate or high certainty that the harms outweigh the benefits. A 2009 Cochrane meta analysis of acupuncture for treatment of depression pooled 30 trials and 2,812 patients.
The sample sizes of these studies ranged from 30 to 170 participants. The field of integrative oncology is rapidly expanding and since the period of the search, a handful of trials were published on the use of yoga for mood and fatigue and quality of life, which may have upgraded the recommendations ,. Around the tenth century, Chinese medical books were introduced to Korea. Evid Based Complement Alternat Med. Faith in therapy may promote benefits, so if patients express an interest in having acupuncture for certain cancer-related symptoms, we may be doing them a service by fostering that faith. Patients in both the acupuncture and sham acupuncture groups showed statistically significant improvement in their dyspnea scores immediately after treatment. Grade C interventions are supported by some evidence from randomized controlled clinical trials, but do not have a large body of evidence to support their use.
. ResultsThirty participants were enrolled 15:15. Women with breast cancer are among the highest users of such therapies and usage has been increasing. Quality Scoring Criteria Data from the 203 articles were extracted and scored based on study quality. A major challenge to interpreting this literature is the lack of standardization of interventions across trials using similar therapeutic approaches eg, natural products and mind—body therapies. Making the Best Match: Selecting Outcome Measures for Clinical Trials and Outcome Studies. Discourage the use of this modality H Recommends against the service.
Rationale for Selected Interventions A summary of the integrative modalities and clinical outcomes of interest identified and assessed by the expert panel are shown in. One trial has low RoB for allocation concealment while the other two have unclear RoB. Clinical effectiveness and safety of acupuncture in the treatment of irradiation-induced xerostomia in patients with head and neck cancer: a systematic review. Finally, although the methodological quality across the trials varied, it has been demonstrated that yoga is beneficial for reducing psychological distress in a wide variety of noncancer clinical populations, including adult patients with anxiety and depression. The results are as follows : 1 The treatment chapter of Book of Sa-Ahm's 5 Element Acupuncture Method was written down by Sa-Ahm himself, and the chapter for Medical Experience was found to be written down by Ji-San.
By using search criteria that started with articles published in 1990, we placed a higher value on more contemporary studies because these patient populations received treatments more comparable to current breast cancer treatment regimens, while recognizing that future guideline may include a separate set of criteria for meta-analyses and overviews. Patients have also reported significant improvement on the range of movements, including shoulder flexion and abduction of the affected limbs. Below, for each therapy and clinical outcome of interest that received a grade of A or B, we summarize the trials that contributed to the graded recommendation to give the reader an understanding of the specific interventions that were tested. What is the evidence for the use of acupuncture as an intervention for symptom management in cancer supportive and palliative care: an integrative overview of reviews. The other five trials was judged to have high RoB with the Jadad scale, but no rationale were given on how the scoring was given. Stimulation of the wrist acupuncture point P6 for preventing postoperative nausea and vomiting.
This will mandate progress in palliative care strategies for the control of symptoms related to cancer itself, as well as symptoms induced by cancer therapies. Finally, the interpretability of the reported results is also limited because of the wide variations in the choice of outcome measures. For further details, see , available online. More information may allow an estimation of effects on health outcomes. Acupuncture-point stimulation for chemotherapy-induced nausea or vomiting. However, the formulation studied in the trials was a whole root product for which no long-term evidence exists regarding safety or harm. Evidence is lacking, of poor quality, or conflicting, and the balance of benefits and harms cannot be determined.