Effects of Acupuncture, Tuina, Tai Chi, Qigong, and Traditional Chinese Medicine Five-Element Music Therapy on Symptom Management and Quality of Life for Cancer Patients: A Meta-Analysis
Tao WW, Jiang H, Tao XM, Jiang P, Sha LY, Sun XC
Journal of pain and symptom management · 150 citas
Etiquetas de revisión
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Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2016-02-14 · J Pain Symptom Manage · vol. 51 · número 4 · págs. 728–747
- Editorial
- Elsevier BV
- Citado
- 231 citas · más que el 99% de estudios similares · 7.9× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 76 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Acupuncture Treatment Research Studies · Cancer survivorship and care · Complementary and Alternative Medicine Studies
- Palabras clave
- acupuncture, tuina, Tai Chi, qigong, five-element music therapy, traditional Chinese medicine, cancer patients, quality of life, symptom management, pain, fatigue, sleep disorders, gastrointestinal discomfort, hot flashes, depression, breast cancer survivors, terminal cancer, risk of bias, complementary therapy, vital capacity
- MeSH
- humans, neoplasms, acupuncture therapy, medicine, chinese traditional, tai ji, music therapy, quality of life, disease management, randomized controlled trials as topic, qigong
6 autores
- Wei-Wei Tao🇨🇳 · autor de correspondenciaDalian Medical University
- Hua Jiang🇨🇳Peking University
- Xiao-Mei Tao🇨🇳Beijing Shijitan Hospital
- Ping Jiang🇨🇳 · autor de correspondenciaDalian Medical University
- Liyan Sha🇨🇳Dalian Medical University
- Xiance Sun🇨🇳Dalian Medical University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Context
Most cancer patients suffer from both the disease itself and symptoms induced by conventional treatment. Available literature on the clinical effects on cancer patients of acupuncture, Tuina, Tai Chi, Qigong, and Traditional Chinese Medicine Five-Element Music Therapy (TCM-FEMT) reports controversial results.
Objectives
The primary objective of this meta-analysis was to evaluate the effect of acupuncture, Tuina, Tai Chi, Qigong, and TCM-FEMT on various symptoms and quality of life (QOL) in patients with cancer; risk of bias for the selected trials also was assessed.
Methods
Studies were identified by searching electronic databases (MEDLINE via both PubMed and Ovid, Cochrane Central, China National Knowledge Infrastructure, Chinese Scientific Journal Database, China Biology Medicine, and Wanfang Database). All randomized controlled trials (RCTs) using acupuncture, Tuina, Tai Chi, Qigong, or TCM-FEMT published before October 2, 2014, were selected, regardless of whether the article was published in Chinese or English.
Results
We identified 67 RCTs (5465 patients) that met our inclusion criteria to perform this meta-analysis. Analysis results showed that a significant combined effect was observed for QOL change in patients with terminal cancer in favor of acupuncture and Tuina (Cohen's d: 0.21-4.55, P 0.05). The meta-analysis also demonstrated that acupuncture produced small-to-large effects on adverse symptoms including pain, fatigue, sleep disturbance, and some gastrointestinal discomfort; however, no significant effect was found on the frequency of hot flashes (Cohen's d = -0.02; 95% CI = -1.49 to 1.45; P = 0.97; I(2) = 36%) and mood distress (P > 0.05). Tuina relieved gastrointestinal discomfort. TCM-FEMT lowered depression level. Tai Chi improved vital capacity of breast cancer patients. High risk of bias was present in 74.63% of the selected RCTs. Major sources of risk of bias were lack of blinding, allocation concealment, and incomplete outcome data.
Conclusion
Taken together, although there are some clear limitations regarding the body of research reviewed in this study, a tentative conclusion can be reached that acupuncture, Tuina, Tai Chi, Qigong, or TCM-FEMT represent beneficial adjunctive therapies. Future study reporting in this field should be improved regarding both method and content of interventions and research methods.
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