Acupuncture for cancer-related fatigue: a systematic review of randomized clinical trials

@article{Posadzki2013AcupunctureFC,
  title={Acupuncture for cancer-related fatigue: a systematic review of randomized clinical trials},
  author={Paul Posadzki and T. Moon and Tae-Young Choi and Tae-Yong Park and Myeong Soo Lee and Edzard Ernst},
  journal={Supportive Care in Cancer},
  year={2013},
  volume={21},
  pages={2067-2073}
}
PurposeManaging cancer-related fatigue (CRF) is an important element of the palliative care of cancer patients. The aim of this systematic review was to critically evaluate the effectiveness of acupuncture (AT) or electroacupuncture (EA) for CRF.MethodsFourteen databases were searched from their respective inception to November 2012. Randomized clinical trials (RCTs) of AT or EA for the treatment of CRF were considered for inclusion. The risk of bias/methodological quality was assessed using… 
Meta-Analysis of Randomized Controlled Trials of Acupuncture for Cancer-Related Fatigue
TLDR
There were 4 sets of comparison for the effectiveness of acupuncture for CRF; statistical pooling of the reduction in CRF from baseline to follow-up showed in favor of acupuncture, and it is unclear whether this pooled positive outcome is attributable to the effects of acupuncture or to the education intervention.
The Effects of Acupuncture on Cancer-Related Fatigue: Updated Systematic Review and Meta-Analysis
TLDR
Promotion of acupuncture in cancer care to manage CRF may improve the quality of life of cancer survivors and acupuncture has therapeutic potential in management of CRF for cancer survivors.
Acupuncture for Managing Cancer-Related Insomnia: A Systematic Review of Randomized Clinical Trials
TLDR
There is a low level of evidence that acupuncture may be superior to sham acupuncture, drugs or hormones therapy, however, the number of studies and effect size are small for clinical significance.
The effectiveness and safety of moxibustion for treating cancer-related fatigue: a systematic review and meta-analyses
TLDR
Because of a high risk of bias and low reporting quality of the studies included in this review, it is difficult to draw the conclusion that moxibustion is an effective and safe treatment for patients with CRF.
Acupuncture for Symptom Management in Cancer Care: an Update
TLDR
How concerns such as blinding, separating non-specific placebo effects from specific needling effects, determining biologic mechanisms and dosing parameters, evaluating determinants of response such as expectation, controlling for sources of bias, and the lack of standardization in treatment and study methods may affect the interpretation of study results are discussed.
Defining the Quality of Acupuncture
TLDR
The research evaluating acupuncture for cancer-related fatigue meets some criteria for a quality acupuncture intervention, however, frequently elements of the intervention were not addressed, and it is possible that the dosage trialed was suboptimal.
Effects of acupuncture and acupressure on cancer-related fatigue: a systematic review.
TLDR
Although results are inconclusive, acupuncture and acupressure tend to be effective in relieving CRF, with the former producing a greater improvement.
Acupuncture and Moxibustion for Cancer-Related Fatigue: An Overview of Systematic Reviews and Meta-Analysis
TLDR
The evidence suggests that, despite the advantages of AT in terms of the improvement in and the safety of the treatment of CRF, the methodological quality of most of these studies is low, which limits the ability to draw definitive meanings.
Patient education programs for cancer-related fatigue: A systematic review.
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