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Acupuncture for Managing Cancer-Related Fatigue in Breast Cancer Patients: A Systematic Review and Meta-Analysis

SIMPLE SUMMARY: Acupuncture (AT) itself is not used to treat cancer. AT is used to help manage various side effects (pain, hot flashes, and fatigue) that occur in cancer treatment. However, the mechanism of action and efficacy of AT are uncertain. The purpose of this systematic review and meta-analy...

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Autores principales: Choi, Tae-Young, Ang, Lin, Jun, Ji Hee, Alraek, Terje, Birch, Stephen, Lu, Weidong, Lee, Myeong Soo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9496910/
https://www.ncbi.nlm.nih.gov/pubmed/36139579
http://dx.doi.org/10.3390/cancers14184419
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author Choi, Tae-Young
Ang, Lin
Jun, Ji Hee
Alraek, Terje
Birch, Stephen
Lu, Weidong
Lee, Myeong Soo
author_facet Choi, Tae-Young
Ang, Lin
Jun, Ji Hee
Alraek, Terje
Birch, Stephen
Lu, Weidong
Lee, Myeong Soo
author_sort Choi, Tae-Young
collection PubMed
description SIMPLE SUMMARY: Acupuncture (AT) itself is not used to treat cancer. AT is used to help manage various side effects (pain, hot flashes, and fatigue) that occur in cancer treatment. However, the mechanism of action and efficacy of AT are uncertain. The purpose of this systematic review and meta-analysis was to explore the benefits of acupuncture in patients with breast cancer-related fatigue (CRF). ABSTRACT: Breast cancer (BC) is the most common cancer in women and is a serious threat to women’s health. Cancer-related fatigue (CRF) is a distressing symptom in BC patients during and after chemotherapy or radiation therapy that severely affects quality of life (QoL). AT is widely used for fatigue management. However, the effect of AT on CRF is still uncertain. This study aimed to evaluate the efficacy and safety of AT in the management of CRF in patients with BC. Eleven databases were searched through June 2022. Two researchers independently performed the database search, study selection, data extraction, and risk of bias assessment. Study selection was performed based on predefined Participants, Intervention, Comparators, Outcomes, Study design (PICOS) criteria, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed when reporting the results. A meta-analysis was performed according to the Cochrane systematic review method using RevMan 5.3. A total of 12 studies including a total of 1084 participants were included. The results showed that AT had a beneficial effect compared with sham AT (n = 256, SMD = −0.26, 95% CI [−0.51, −0.01], p = 0.04, I(2) = 0%) and a long-term effect on fatigue score (n = 209, MD = −0.32, 95% CI [–0.59, −0.04], p = 0.02, I(2) = 0%). Meta-analysis showed that AT had a beneficial effect compared with usual care (UC) on fatigue scores (n = 238, SMD = −0.39, 95% CI [−0.66 to −0.12], p = 0.005, I(2) = 0%). Of the 12 articles, 3 articles were judged as having a low risk of bias in all domains and hence were of high quality. No serious adverse effects were identified. AT is an effective and safe treatment for CRF, and AT is more effective than sham AT or UC or wait-list control (WLC). Nevertheless, the methodological quality of most of these studies was low, and the included studies/sample sizes were small, so the ability to derive decisive implications was limited. Further research is needed to confirm these findings.
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spelling pubmed-94969102022-09-23 Acupuncture for Managing Cancer-Related Fatigue in Breast Cancer Patients: A Systematic Review and Meta-Analysis Choi, Tae-Young Ang, Lin Jun, Ji Hee Alraek, Terje Birch, Stephen Lu, Weidong Lee, Myeong Soo Cancers (Basel) Systematic Review SIMPLE SUMMARY: Acupuncture (AT) itself is not used to treat cancer. AT is used to help manage various side effects (pain, hot flashes, and fatigue) that occur in cancer treatment. However, the mechanism of action and efficacy of AT are uncertain. The purpose of this systematic review and meta-analysis was to explore the benefits of acupuncture in patients with breast cancer-related fatigue (CRF). ABSTRACT: Breast cancer (BC) is the most common cancer in women and is a serious threat to women’s health. Cancer-related fatigue (CRF) is a distressing symptom in BC patients during and after chemotherapy or radiation therapy that severely affects quality of life (QoL). AT is widely used for fatigue management. However, the effect of AT on CRF is still uncertain. This study aimed to evaluate the efficacy and safety of AT in the management of CRF in patients with BC. Eleven databases were searched through June 2022. Two researchers independently performed the database search, study selection, data extraction, and risk of bias assessment. Study selection was performed based on predefined Participants, Intervention, Comparators, Outcomes, Study design (PICOS) criteria, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed when reporting the results. A meta-analysis was performed according to the Cochrane systematic review method using RevMan 5.3. A total of 12 studies including a total of 1084 participants were included. The results showed that AT had a beneficial effect compared with sham AT (n = 256, SMD = −0.26, 95% CI [−0.51, −0.01], p = 0.04, I(2) = 0%) and a long-term effect on fatigue score (n = 209, MD = −0.32, 95% CI [–0.59, −0.04], p = 0.02, I(2) = 0%). Meta-analysis showed that AT had a beneficial effect compared with usual care (UC) on fatigue scores (n = 238, SMD = −0.39, 95% CI [−0.66 to −0.12], p = 0.005, I(2) = 0%). Of the 12 articles, 3 articles were judged as having a low risk of bias in all domains and hence were of high quality. No serious adverse effects were identified. AT is an effective and safe treatment for CRF, and AT is more effective than sham AT or UC or wait-list control (WLC). Nevertheless, the methodological quality of most of these studies was low, and the included studies/sample sizes were small, so the ability to derive decisive implications was limited. Further research is needed to confirm these findings. MDPI 2022-09-11 /pmc/articles/PMC9496910/ /pubmed/36139579 http://dx.doi.org/10.3390/cancers14184419 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Choi, Tae-Young
Ang, Lin
Jun, Ji Hee
Alraek, Terje
Birch, Stephen
Lu, Weidong
Lee, Myeong Soo
Acupuncture for Managing Cancer-Related Fatigue in Breast Cancer Patients: A Systematic Review and Meta-Analysis
title Acupuncture for Managing Cancer-Related Fatigue in Breast Cancer Patients: A Systematic Review and Meta-Analysis
title_full Acupuncture for Managing Cancer-Related Fatigue in Breast Cancer Patients: A Systematic Review and Meta-Analysis
title_fullStr Acupuncture for Managing Cancer-Related Fatigue in Breast Cancer Patients: A Systematic Review and Meta-Analysis
title_full_unstemmed Acupuncture for Managing Cancer-Related Fatigue in Breast Cancer Patients: A Systematic Review and Meta-Analysis
title_short Acupuncture for Managing Cancer-Related Fatigue in Breast Cancer Patients: A Systematic Review and Meta-Analysis
title_sort acupuncture for managing cancer-related fatigue in breast cancer patients: a systematic review and meta-analysis
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9496910/
https://www.ncbi.nlm.nih.gov/pubmed/36139579
http://dx.doi.org/10.3390/cancers14184419
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