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Article: Acupuncture-point stimulation for chemotherapy-induced nausea or vomiting.

TitleAcupuncture-point stimulation for chemotherapy-induced nausea or vomiting.
Authors
Issue Date2006
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www.mrw.interscience.wiley.com/cochrane/cochrane_clsysrev_articles_fs.html
Citation
Cochrane Database Of Systematic Reviews (Online), 2006 n. 2, p. CD002285 How to Cite?
AbstractBACKGROUND: There have been recent advances in chemotherapy-induced nausea and vomiting using 5-HT(3) inhibitors and dexamethasone. However, many still experience these symptoms, and expert panels encourage additional methods to reduce these symptoms. OBJECTIVES: The objective was to assess the effectiveness of acupuncture-point stimulation on acute and delayed chemotherapy-induced nausea and vomiting in cancer patients. SEARCH STRATEGY: We searched MEDLINE, EMBASE, PsycLIT, MANTIS, Science Citation Index, CCTR (Cochrane Controlled Trials Registry), Cochrane Complementary Medicine Field Trials Register, Cochrane Pain, Palliative Care and Supportive Care Specialized Register, Cochrane Cancer Specialized Register, and conference abstracts. SELECTION CRITERIA: Randomized trials of acupuncture-point stimulation by any method (needles, electrical stimulation, magnets, or acupressure) and assessing chemotherapy-induced nausea or vomiting, or both. DATA COLLECTION AND ANALYSIS: Data were provided by investigators of the original trials and pooled using a fixed effect model. Relative risks were calculated on dichotomous data. Standardized mean differences were calculated for nausea severity. Weighted mean differences were calculated for number of emetic episodes. MAIN RESULTS: Eleven trials (N = 1247) were pooled. Overall, acupuncture-point stimulation of all methods combined reduced the incidence of acute vomiting (RR = 0.82; 95% confidence interval 0.69 to 0.99; P = 0.04), but not acute or delayed nausea severity compared to control. By modality, stimulation with needles reduced proportion of acute vomiting (RR = 0.74; 95% confidence interval 0.58 to 0.94; P = 0.01), but not acute nausea severity. Electroacupuncture reduced the proportion of acute vomiting (RR = 0.76; 95% confidence interval 0.60 to 0.97; P = 0.02), but manual acupuncture did not; delayed symptoms for acupuncture were not reported. Acupressure reduced mean acute nausea severity (SMD = -0.19; 95% confidence interval -0.37 to -0.01; P = 0.04) but not acute vomiting or delayed symptoms. Noninvasive electrostimulation showed no benefit for any outcome. All trials used concomitant pharmacologic antiemetics, and all, except electroacupuncture trials, used state-of-the-art antiemetics. AUTHORS' CONCLUSIONS: This review complements data on post-operative nausea and vomiting suggesting a biologic effect of acupuncture-point stimulation. Electroacupuncture has demonstrated benefit for chemotherapy-induced acute vomiting, but studies combining electroacupuncture with state-of-the-art antiemetics and in patients with refractory symptoms are needed to determine clinical relevance. Self-administered acupressure appears to have a protective effect for acute nausea and can readily be taught to patients though studies did not involve placebo control. Noninvasive electrostimulation appears unlikely to have a clinically relevant impact when patients are given state-of-the-art pharmacologic antiemetic therapy.
Persistent Identifierhttp://hdl.handle.net/10722/188580
ISSN
2014 Impact Factor: 6.035
2015 SCImago Journal Rankings: 2.366

 

DC FieldValueLanguage
dc.contributor.authorEzzo, JMen_US
dc.contributor.authorRichardson, MAen_US
dc.contributor.authorVickers, Aen_US
dc.contributor.authorAllen, Cen_US
dc.contributor.authorDibble, SLen_US
dc.contributor.authorIssell, BFen_US
dc.contributor.authorLao, Len_US
dc.contributor.authorPearl, Men_US
dc.contributor.authorRamirez, Gen_US
dc.contributor.authorRoscoe, Jen_US
dc.contributor.authorShen, Jen_US
dc.contributor.authorShivnan, JCen_US
dc.contributor.authorStreitberger, Ken_US
dc.contributor.authorTreish, Ien_US
dc.contributor.authorZhang, Gen_US
dc.date.accessioned2013-09-03T04:10:25Z-
dc.date.available2013-09-03T04:10:25Z-
dc.date.issued2006en_US
dc.identifier.citationCochrane Database Of Systematic Reviews (Online), 2006 n. 2, p. CD002285en_US
dc.identifier.issn1469-493Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/188580-
dc.description.abstractBACKGROUND: There have been recent advances in chemotherapy-induced nausea and vomiting using 5-HT(3) inhibitors and dexamethasone. However, many still experience these symptoms, and expert panels encourage additional methods to reduce these symptoms. OBJECTIVES: The objective was to assess the effectiveness of acupuncture-point stimulation on acute and delayed chemotherapy-induced nausea and vomiting in cancer patients. SEARCH STRATEGY: We searched MEDLINE, EMBASE, PsycLIT, MANTIS, Science Citation Index, CCTR (Cochrane Controlled Trials Registry), Cochrane Complementary Medicine Field Trials Register, Cochrane Pain, Palliative Care and Supportive Care Specialized Register, Cochrane Cancer Specialized Register, and conference abstracts. SELECTION CRITERIA: Randomized trials of acupuncture-point stimulation by any method (needles, electrical stimulation, magnets, or acupressure) and assessing chemotherapy-induced nausea or vomiting, or both. DATA COLLECTION AND ANALYSIS: Data were provided by investigators of the original trials and pooled using a fixed effect model. Relative risks were calculated on dichotomous data. Standardized mean differences were calculated for nausea severity. Weighted mean differences were calculated for number of emetic episodes. MAIN RESULTS: Eleven trials (N = 1247) were pooled. Overall, acupuncture-point stimulation of all methods combined reduced the incidence of acute vomiting (RR = 0.82; 95% confidence interval 0.69 to 0.99; P = 0.04), but not acute or delayed nausea severity compared to control. By modality, stimulation with needles reduced proportion of acute vomiting (RR = 0.74; 95% confidence interval 0.58 to 0.94; P = 0.01), but not acute nausea severity. Electroacupuncture reduced the proportion of acute vomiting (RR = 0.76; 95% confidence interval 0.60 to 0.97; P = 0.02), but manual acupuncture did not; delayed symptoms for acupuncture were not reported. Acupressure reduced mean acute nausea severity (SMD = -0.19; 95% confidence interval -0.37 to -0.01; P = 0.04) but not acute vomiting or delayed symptoms. Noninvasive electrostimulation showed no benefit for any outcome. All trials used concomitant pharmacologic antiemetics, and all, except electroacupuncture trials, used state-of-the-art antiemetics. AUTHORS' CONCLUSIONS: This review complements data on post-operative nausea and vomiting suggesting a biologic effect of acupuncture-point stimulation. Electroacupuncture has demonstrated benefit for chemotherapy-induced acute vomiting, but studies combining electroacupuncture with state-of-the-art antiemetics and in patients with refractory symptoms are needed to determine clinical relevance. Self-administered acupressure appears to have a protective effect for acute nausea and can readily be taught to patients though studies did not involve placebo control. Noninvasive electrostimulation appears unlikely to have a clinically relevant impact when patients are given state-of-the-art pharmacologic antiemetic therapy.en_US
dc.languageengen_US
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www.mrw.interscience.wiley.com/cochrane/cochrane_clsysrev_articles_fs.htmlen_US
dc.relation.ispartofCochrane database of systematic reviews (Online)en_US
dc.subject.meshAcupuncture Pointsen_US
dc.subject.meshAntiemetics - Therapeutic Useen_US
dc.subject.meshAntineoplastic Agents - Adverse Effectsen_US
dc.subject.meshElectroacupunctureen_US
dc.subject.meshHumansen_US
dc.subject.meshNausea - Chemically Induced - Therapyen_US
dc.subject.meshRandomized Controlled Trials As Topicen_US
dc.subject.meshVomiting - Chemically Induced - Therapyen_US
dc.titleAcupuncture-point stimulation for chemotherapy-induced nausea or vomiting.en_US
dc.typeArticleen_US
dc.identifier.emailLao, L: lxlao1@hku.hken_US
dc.identifier.authorityLao, L=rp01784en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid16625560-
dc.identifier.scopuseid_2-s2.0-33745043057en_US
dc.identifier.issue2en_US
dc.identifier.spageCD002285en_US
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridEzzo, JM=6701568225en_US
dc.identifier.scopusauthoridRichardson, MA=35596470500en_US
dc.identifier.scopusauthoridVickers, A=35417733500en_US
dc.identifier.scopusauthoridAllen, C=55057683300en_US
dc.identifier.scopusauthoridDibble, SL=7004325448en_US
dc.identifier.scopusauthoridIssell, BF=6603735418en_US
dc.identifier.scopusauthoridLao, L=7005681883en_US
dc.identifier.scopusauthoridPearl, M=7005756045en_US
dc.identifier.scopusauthoridRamirez, G=7101902444en_US
dc.identifier.scopusauthoridRoscoe, J=7006291484en_US
dc.identifier.scopusauthoridShen, J=7404930884en_US
dc.identifier.scopusauthoridShivnan, JC=36832885900en_US
dc.identifier.scopusauthoridStreitberger, K=6603578309en_US
dc.identifier.scopusauthoridTreish, I=6506966195en_US
dc.identifier.scopusauthoridZhang, G=7405269023en_US

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