OBJECTIVE: We sought to determine whether an acupuncture technique specially developed for a surgical oncology population (intervention) reduces pain or analgesic use after thoracotomy compared with a sham acupuncture technique (control). METHODS:One hundred sixty-two patients with cancer undergoing thoracotomy were randomized to group A (preoperative implantation of small intradermal needles that were retained for 4 weeks) or group B (preoperative placement of sham needles at the same schedule). The numeric rating scale of pain and total opioid use was evaluated during the in-patient stay, and the Brief Pain Inventory and Medication Quantification Scale were evaluated after discharge up to 3 months after the operation. RESULTS: The principal analysis, a comparison of Brief Pain Inventory pain intensity scores at the 30-day follow-up, showed no significant difference between the intervention and control groups. Pain scores were marginally higher in the intervention group (0.05; 95% confidence interval, 0.74 to -0.64; P = .9). There were also no statistically significant differences between groups for secondary end points, including chronic pain assessments at 60 and 90 days, in-patient pain, and medication use in the hospital and after discharge. CONCLUSION: A special acupuncture technique, as provided in this study, did not reduce pain or use of pain medication after thoracotomy more than a sham technique.
RCT Entities:
OBJECTIVE: We sought to determine whether an acupuncture technique specially developed for a surgical oncology population (intervention) reduces pain or analgesic use after thoracotomy compared with a sham acupuncture technique (control). METHODS: One hundred sixty-two patients with cancer undergoing thoracotomy were randomized to group A (preoperative implantation of small intradermal needles that were retained for 4 weeks) or group B (preoperative placement of sham needles at the same schedule). The numeric rating scale of pain and total opioid use was evaluated during the in-patient stay, and the Brief Pain Inventory and Medication Quantification Scale were evaluated after discharge up to 3 months after the operation. RESULTS: The principal analysis, a comparison of Brief Pain Inventory pain intensity scores at the 30-day follow-up, showed no significant difference between the intervention and control groups. Pain scores were marginally higher in the intervention group (0.05; 95% confidence interval, 0.74 to -0.64; P = .9). There were also no statistically significant differences between groups for secondary end points, including chronic pain assessments at 60 and 90 days, in-patientpain, and medication use in the hospital and after discharge. CONCLUSION: A special acupuncture technique, as provided in this study, did not reduce pain or use of pain medication after thoracotomy more than a sham technique.
Authors: A S Dajani; K A Taubert; W Wilson; A F Bolger; A Bayer; P Ferrieri; M H Gewitz; S T Shulman; S Nouri; J W Newburger; C Hutto; T J Pallasch; T W Gage; M E Levison; G Peter; G Zuccaro Journal: Circulation Date: 1997-07-01 Impact factor: 29.690
Authors: Andrew J Vickers; Valerie W Rusch; Vivek T Malhotra; Robert J Downey; Barrie R Cassileth Journal: BMC Anesthesiol Date: 2006-05-03 Impact factor: 2.217
Authors: M Kay Garcia; Jennifer McQuade; Robin Haddad; Sonya Patel; Richard Lee; Peiying Yang; J Lynn Palmer; Lorenzo Cohen Journal: J Clin Oncol Date: 2013-01-22 Impact factor: 44.544
Authors: Erica Nicole Reed; Jessa Landmann; Devesh Oberoi; Katherine-Ann L Piedalue; Peter Faris; Linda E Carlson Journal: Evid Based Complement Alternat Med Date: 2020-04-13 Impact factor: 2.629
Authors: Alex Moroz; Brian Freed; Laura Tiedemann; Heejung Bang; Melanie Howell; Jongbae J Park Journal: Evid Based Complement Alternat Med Date: 2013-03-03 Impact factor: 2.629
Authors: Xian-Liang Liu; Jing-Yu Tan; Alex Molassiotis; Lorna K P Suen; Yan Shi Journal: Evid Based Complement Alternat Med Date: 2015-10-12 Impact factor: 2.629