Effectiveness of acupuncture for palliative care in cancer patients: A systematic review

@article{Lian2013EffectivenessOA,
  title={Effectiveness of acupuncture for palliative care in cancer patients: A systematic review},
  author={Wei Lian and Minngui Pan and Daihan Zhou and Zhang-Jin Zhang},
  journal={Chinese Journal of Integrative Medicine},
  year={2013},
  volume={20},
  pages={136-147}
}
ObjectiveTo 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.MethodsTwo 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… 
Acupuncture for palliative cancer pain management: systematic review
TLDR
Acupuncture may be an effective and safe treatment associated with pain reduction in the palliative care of patients with cancer and further high-quality, adequately powered studies are needed in the future.
Effectiveness of Acupuncture for Early Recovery of Bowel Function in Cancer: A Systematic Review and Meta-Analysis
TLDR
Acupuncture and acupressure showed large effect size with significantly poor or inferior quality of included trials for enhancing bowel function in cancer patients after surgery.
Systematic review and meta‐analysis of acupuncture to reduce cancer‐related pain
TLDR
Acupuncture can be adopted as part of a multimodal approach for reducing cancer-related pain, particularly malignancy-related and surgery-induced pain.
Acupuncture for cancer pain in adults.
TLDR
There is insufficient evidence to judge whether acupuncture is effective in treating cancer pain in adults, according to the heterogeneity of methodologies, cancer populations and techniques used in the included studies.
Acupuncture and Derived Therapies for Pain in Palliative Cancer Management: Systematic Review and Meta-Analysis Based on Single-Arm and Controlled Trials.
TLDR
This systematic review supported the application of acupuncture and derived therapies for managing pain during palliative cancer care from two dimensions.
Acupuncture for the Relief of Chronic Pain: A Synthesis of Systematic Reviews
TLDR
It is suggested that an enriched enrolment with randomised withdrawal design may overcome some of these methodological shortcomings of RCTs and improve the quality of evidence so that healthcare providers and commissioners can make informed choices on the interventions which can legitimately be provided to patients living with chronic pain.
...
...

References

SHOWING 1-10 OF 99 REFERENCES
Acupuncture: Role in Comprehensive Cancer Care—A Primer for the Oncologist and Review of the Literature
TLDR
Current cancer treatment providers are provided with information on acupuncture as well as the research conducted on cancer symptoms and side effects of cancer treatments, which shows beneficial effects that warrant further investigation with large trial sizes.
Acupuncture for Cancer Pain
TLDR
The biological mechanisms underpinning acupuncture as a treatment for cancer pain using a Western medical acupuncture model are reviewed, the clinical indications for treatment are discussed, acupuncture techniques and safety issues are considered, as well as the current evidence for clinical efficacy is reviewed.
Acupuncture-point stimulation for chemotherapy-induced nausea or vomiting.
TLDR
This review complements data on post-operative nausea and vomiting suggesting a biologic effect of acupuncture-point stimulation, and studies combining electroacupuncture with state-of-the-art antiemetics and in patients with refractory symptoms are needed to determine clinical relevance.
Randomized, controlled trial of acupuncture for the treatment of hot flashes in breast cancer patients.
  • G. Deng, A. Vickers, B. Cassileth
  • Medicine, Biology
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology
  • 2007
TLDR
Hot flash frequency in breast cancer patients was reduced following acupuncture, however, when compared with sham acupuncture, the reduction by the acupuncture regimen as provided in the current study did not reach statistical significance.
Acupuncture for the treatment of hot flashes in breast cancer patients, a randomized, controlled trial
TLDR
Acupuncture seems to provide effective relief from hot flashes both day and night in women operated for breast cancer, treated with Tamoxifen, and this treatment effect seems to coincide with a general health improvement measured with the validated Kupperman index.
Analgesic effect of auricular acupuncture for cancer pain: a randomized, blinded, controlled trial.
TLDR
The observed reduction in pain intensity measured on the VAS represents a clear benefit from auricular acupuncture for these cancer patients who are in pain, despite stable analgesic treatment.
Acupuncture as an Evidence-Based Option for Symptom Control in Cancer Patients
  • S. Sagar
  • Medicine
    Current treatment options in oncology
  • 2008
TLDR
Safety and quality are priorities, so regulation of the practice of acupuncture is important, as well as excellent communication between practitioners, and continuing research is mandatory, using validated methodology and reporting principles as outlined in the CONSORT and STRICTA recommendations.
Acupuncture to Prevent Prolonged Postoperative Ileus: A Randomized Controlled Trial
TLDR
A Randomized clinical trial comparing bowel function, quality of life, and cost between inpatients treated with acupuncture after surgery and controls (no acupuncture) to determine if acupuncture is effective in preventing PPI among cancer patients undergoing ileostomy/colostomy closure.
The value of acupuncture in cancer care.
Electro-acupuncture to prevent prolonged postoperative ileus: a randomized clinical trial.
TLDR
Acupuncture did not prevent postoperative ileus (PPOI) and was not useful for treating PPOI once it had developed in this population of patients.
...
...