Phoebe Lyssandra Tan Lee1, Ka-Wai Tam2, Mei-Ling Yeh3, Wei-Wen Wu4. 1. School of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, No. 365 Min-Te Road, Taipei 11219, Taiwan, ROC. Electronic address: phoebeelee@gmail.com. 2. Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taiwan, ROC; Division of General Surgery, Department of Surgery, Taipei Medical University-Shuang Ho Hospital, No. 250, Wu-Hsing Street., Wu-Hsing District, Taipei 11031, Taiwan, ROC. Electronic address: kelvintam@h.tmu.edu.tw. 3. Graduate Institute of Integration of Traditional Chinese Medicine with Western Nursing, College of Nursing, National Taipei University of Nursing & Health Sciences, No. 365, Min-Te Road, Taipei 11219, Taiwan, ROC. Electronic address: meiling@ntunhs.edu.tw. 4. School of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, No. 365 Min-Te Road, Taipei 11219, Taiwan, ROC. Electronic address: weiwen@ntunhs.edu.tw.
Abstract
UNLABELLED: Researches have accumulated using non-pharmacologic interventions including acupoint stimulation, massage therapy and expressive writing to manage breast cancer-related symptoms. Results from randomized controlled trials (RCTs) can get contradictory. OBJECTIVE: A systematic review and meta-analysis were conducted to determine the effects on the quality of life, negative emotions and disease-related symptoms among women with breast cancer. METHODS: Two independent researchers performed a structured search using data sources including MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, EMBASE, PubMed and PsychINFO from the beginning of time until the first week of January 2015. A total of 23 acupoint stimulation, massage therapy and expressive writing RCTs were included in the review. RESULTS: The study showed that no single intervention could be put under the spotlight exhibiting an overall effective result on all measured outcomes; however, looking into each one in detail shows different results in specific outcomes. Among the three interventions, acupoint stimulation has a treatment effect for general pain (MD=-1.46, 95% CI=-2.38 to -0.53) and fatigue (MD=-2.22, 95% CI=-3.68 to -0.77), massage therapy has a treatment effect for anxiety (MD=-0.50, 95% CI=-0.77 to -0.24), and expressive writing has a treatment effect for quality of life (MD=7.18, 95% CI=0.38 to 13.98). The measurement other outcomes showed either ineffective or equivocal results. CONCLUSION: Non-pharmacologic interventions including acupoint stimulation, massage therapy and expressive writing have an effect on a middle-age woman with breast cancer. However, because of limitations, the seemingly promising results should be interpreted with caution.
UNLABELLED: Researches have accumulated using non-pharmacologic interventions including acupoint stimulation, massage therapy and expressive writing to manage breast cancer-related symptoms. Results from randomized controlled trials (RCTs) can get contradictory. OBJECTIVE: A systematic review and meta-analysis were conducted to determine the effects on the quality of life, negative emotions and disease-related symptoms among women with breast cancer. METHODS: Two independent researchers performed a structured search using data sources including MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, EMBASE, PubMed and PsychINFO from the beginning of time until the first week of January 2015. A total of 23 acupoint stimulation, massage therapy and expressive writing RCTs were included in the review. RESULTS: The study showed that no single intervention could be put under the spotlight exhibiting an overall effective result on all measured outcomes; however, looking into each one in detail shows different results in specific outcomes. Among the three interventions, acupoint stimulation has a treatment effect for general pain (MD=-1.46, 95% CI=-2.38 to -0.53) and fatigue (MD=-2.22, 95% CI=-3.68 to -0.77), massage therapy has a treatment effect for anxiety (MD=-0.50, 95% CI=-0.77 to -0.24), and expressive writing has a treatment effect for quality of life (MD=7.18, 95% CI=0.38 to 13.98). The measurement other outcomes showed either ineffective or equivocal results. CONCLUSION: Non-pharmacologic interventions including acupoint stimulation, massage therapy and expressive writing have an effect on a middle-age woman with breast cancer. However, because of limitations, the seemingly promising results should be interpreted with caution.
Authors: Becky Kinkead; Pamela J Schettler; Erika R Larson; Dedric Carroll; Margaret Sharenko; James Nettles; Sherry A Edwards; Andrew H Miller; Mylin A Torres; Boadie W Dunlop; Jeffrey J Rakofsky; Mark Hyman Rapaport Journal: Cancer Date: 2017-10-17 Impact factor: 6.860
Authors: Christina A Dilaveri; Ivana T Croghan; Molly J Mallory; Liza J Dion; Karen M Fischer; Darrell R Schroeder; Jorys Martinez-Jorge; Minh-Doan T Nguyen; Shawn C Fokken; Brent A Bauer; Dietlind L Wahner-Roedler Journal: J Altern Complement Med Date: 2020-07 Impact factor: 2.579