Acupuncture therapies for cancer-related fatigue: A Bayesian network meta-analysis and systematic review
BackgroundCancer-related fatigue (CRF) is one of the most commonly reported symptoms impacting cancer survivors. This study evaluated and compared the effectiveness and safety of acupuncture treatments for CRF.MethodsWe searched PubMed, Embase, Web of Science, Cochrane Library, China Biology Medicin...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1071326/full |
| _version_ | 1827979207935787008 |
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| author | Hao Tian Hao Tian Hao Tian Yunhui Chen Yunhui Chen Yunhui Chen Mingsheng Sun Mingsheng Sun Mingsheng Sun Liuyang Huang Liuyang Huang Liuyang Huang Guixing Xu Guixing Xu Guixing Xu Chunyang Yang Chunyang Yang Chunyang Yang Chunyang Yang Qin Luo Qin Luo Qin Luo Qin Luo Ling Zhao Ling Zhao Ling Zhao Ling Zhao Zheng Wei Fanrong Liang Fanrong Liang Fanrong Liang |
| author_facet | Hao Tian Hao Tian Hao Tian Yunhui Chen Yunhui Chen Yunhui Chen Mingsheng Sun Mingsheng Sun Mingsheng Sun Liuyang Huang Liuyang Huang Liuyang Huang Guixing Xu Guixing Xu Guixing Xu Chunyang Yang Chunyang Yang Chunyang Yang Chunyang Yang Qin Luo Qin Luo Qin Luo Qin Luo Ling Zhao Ling Zhao Ling Zhao Ling Zhao Zheng Wei Fanrong Liang Fanrong Liang Fanrong Liang |
| author_sort | Hao Tian |
| collection | DOAJ |
| description | BackgroundCancer-related fatigue (CRF) is one of the most commonly reported symptoms impacting cancer survivors. This study evaluated and compared the effectiveness and safety of acupuncture treatments for CRF.MethodsWe searched PubMed, Embase, Web of Science, Cochrane Library, China Biology Medicine China National Knowledge Infrastructure, China Science and Technology Journal Database, and WanFang Database from inception to November 2022 to identify eligible randomized controlled trials (RCTs) comparing acupuncture treatments with sham interventions, waitlist (WL), or usual care (UC) for CRF treatment. The outcomes included the Cancer Fatigue Scale (CFS) and Pittsburgh Sleep Quality Index (PSQI), and pair-wise and Bayesian network meta-analyses were performed using STATA v17.0.ResultsIn total, 34 randomized controlled trials featuring 2632 participants were included. In the network meta-analysis, the primary analysis using CFS illustrated that point application (PA) + UC (standardized mean difference [SMD] = −1.33, 95% CI = −2.02, −0.63) had the highest probability of improving CFS, followed by manual acupuncture (MA) + PA (SMD = −1.21, 95% CI = −2.05, −0.38) and MA + UC (SMD = −0.80, 95% CI = −1.50, −0.09). Moreover, the adverse events of these interventions were acceptable.ConclusionThis study demonstrated that acupuncture was effective and safe on CRF treatment. However, further studies are still warranted by incorporating more large-scale and high-quality RCTs.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO, identifier CRD42022339769. |
| first_indexed | 2024-04-09T21:33:38Z |
| format | Article |
| id | doaj.art-5299eecbf98040ecb53fec045bf901fd |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-09T21:33:38Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-5299eecbf98040ecb53fec045bf901fd2023-03-27T05:20:55ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-03-011310.3389/fonc.2023.10713261071326Acupuncture therapies for cancer-related fatigue: A Bayesian network meta-analysis and systematic reviewHao Tian0Hao Tian1Hao Tian2Yunhui Chen3Yunhui Chen4Yunhui Chen5Mingsheng Sun6Mingsheng Sun7Mingsheng Sun8Liuyang Huang9Liuyang Huang10Liuyang Huang11Guixing Xu12Guixing Xu13Guixing Xu14Chunyang Yang15Chunyang Yang16Chunyang Yang17Chunyang Yang18Qin Luo19Qin Luo20Qin Luo21Qin Luo22Ling Zhao23Ling Zhao24Ling Zhao25Ling Zhao26Zheng Wei27Fanrong Liang28Fanrong Liang29Fanrong Liang30College of Acupuncture and Tuina, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of International Education, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Acupuncture and Tuina, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of International Education, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Acupuncture and Tuina, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of International Education, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Acupuncture and Tuina, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of International Education, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Acupuncture and Tuina, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of International Education, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Acupuncture and Tuina, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of International Education, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaClinical Research Center for Acupuncture and Moxibustion in Sichuan Province, Chengdu, Sichuan, ChinaCollege of Acupuncture and Tuina, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of International Education, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaClinical Research Center for Acupuncture and Moxibustion in Sichuan Province, Chengdu, Sichuan, ChinaCollege of Acupuncture and Tuina, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of International Education, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaClinical Research Center for Acupuncture and Moxibustion in Sichuan Province, Chengdu, Sichuan, ChinaTraditional Chinese Medicine Department, People’s Hospital of Deyang City, Deyang, Sichuan, ChinaCollege of Acupuncture and Tuina, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaCollege of International Education, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaBackgroundCancer-related fatigue (CRF) is one of the most commonly reported symptoms impacting cancer survivors. This study evaluated and compared the effectiveness and safety of acupuncture treatments for CRF.MethodsWe searched PubMed, Embase, Web of Science, Cochrane Library, China Biology Medicine China National Knowledge Infrastructure, China Science and Technology Journal Database, and WanFang Database from inception to November 2022 to identify eligible randomized controlled trials (RCTs) comparing acupuncture treatments with sham interventions, waitlist (WL), or usual care (UC) for CRF treatment. The outcomes included the Cancer Fatigue Scale (CFS) and Pittsburgh Sleep Quality Index (PSQI), and pair-wise and Bayesian network meta-analyses were performed using STATA v17.0.ResultsIn total, 34 randomized controlled trials featuring 2632 participants were included. In the network meta-analysis, the primary analysis using CFS illustrated that point application (PA) + UC (standardized mean difference [SMD] = −1.33, 95% CI = −2.02, −0.63) had the highest probability of improving CFS, followed by manual acupuncture (MA) + PA (SMD = −1.21, 95% CI = −2.05, −0.38) and MA + UC (SMD = −0.80, 95% CI = −1.50, −0.09). Moreover, the adverse events of these interventions were acceptable.ConclusionThis study demonstrated that acupuncture was effective and safe on CRF treatment. However, further studies are still warranted by incorporating more large-scale and high-quality RCTs.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO, identifier CRD42022339769.https://www.frontiersin.org/articles/10.3389/fonc.2023.1071326/fullacupunctureacupuncture therapycancer-related fatiguenetwork meta-analysissystematic review |
| spellingShingle | Hao Tian Hao Tian Hao Tian Yunhui Chen Yunhui Chen Yunhui Chen Mingsheng Sun Mingsheng Sun Mingsheng Sun Liuyang Huang Liuyang Huang Liuyang Huang Guixing Xu Guixing Xu Guixing Xu Chunyang Yang Chunyang Yang Chunyang Yang Chunyang Yang Qin Luo Qin Luo Qin Luo Qin Luo Ling Zhao Ling Zhao Ling Zhao Ling Zhao Zheng Wei Fanrong Liang Fanrong Liang Fanrong Liang Acupuncture therapies for cancer-related fatigue: A Bayesian network meta-analysis and systematic review Frontiers in Oncology acupuncture acupuncture therapy cancer-related fatigue network meta-analysis systematic review |
| title | Acupuncture therapies for cancer-related fatigue: A Bayesian network meta-analysis and systematic review |
| title_full | Acupuncture therapies for cancer-related fatigue: A Bayesian network meta-analysis and systematic review |
| title_fullStr | Acupuncture therapies for cancer-related fatigue: A Bayesian network meta-analysis and systematic review |
| title_full_unstemmed | Acupuncture therapies for cancer-related fatigue: A Bayesian network meta-analysis and systematic review |
| title_short | Acupuncture therapies for cancer-related fatigue: A Bayesian network meta-analysis and systematic review |
| title_sort | acupuncture therapies for cancer related fatigue a bayesian network meta analysis and systematic review |
| topic | acupuncture acupuncture therapy cancer-related fatigue network meta-analysis systematic review |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1071326/full |
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