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Evaluation of an acupuncture service in oncology

Published online by Cambridge University Press:  08 September 2011

J Salmon
J Salmon*
Affiliation:
Clinical Oncology, Royal Cornwall Hospitals NHS Trust, Truro, Cornwall, UK
*
Correspondence to: Jenny Salmon, Sunrise Office, Sunrise Centre/Clinical Oncology, RCHT, Truro, Cornwall, TR1 3LJ, United Kingdom. Tel: 01872 258310. Fax: 01872 252641 E-mail: [email protected]
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Abstract

Background and aims: Current evidence suggests that acupuncture may provide some palliation of the symptoms and side effects of cancer and its treatments. Therefore, consideration of the potential benefit of the introduction of an acupuncture service in oncology at Cornwall was investigated. This study describes the experience of patients using the service.

Methods: Between April 2005 and October 2007, 107 oncology patients experiencing one or more of the following symptoms, such as nausea, vomiting, hot flushes, pain, breathlessness, dry mouth, anxiety, depression, fatigue, diarrhoea, constipation or difficulties in coping, were referred for up to 10 weekly acupuncture treatments. About 103 had acupuncture treatment. This observational study utilised responses to questionnaires and self assessment of symptoms at the start (baseline), on completion of treatment and at two months post-acupuncture treatment.

Results: Complete data were returned for 47 participants. Improvement in vasomotor symptoms was seen in 86% of patients presenting with hot flushes. There was a significant (p = < 0.001) reduction in anxiety following acupuncture. The mean difference between scores on the Fatigue Scale (18) across the study period showed improvement in patients experiencing fatigue (p = 0.039).

Conclusion: An acupuncture service for Oncology is practicable and is of benefit to patients. A future randomised controlled trial focusing on the use of acupuncture for hot flushes associated with hormonal treatments for cancer would be worthwhile as these patients form the bulk of referrals and many reported improvement in their hot flushes. A pilot study to compare acupuncture and Venlafaxine for hot flushes in breast cancer patients taking anti-oestrogen treatment is currently being planned. The results of this study demonstrate that acupuncture may benefit patients experiencing anxiety and/or fatigue associated with cancer. A larger randomised controlled trial would more adequately investigate this hypothesis.

Keywords

Cancer and acupunctureAcupuncture and... painhot flushes/flashesnausea and vomitingdepression and anxietyconstipation and diarrhoeaoncologyxerostomiadry mouthdyspnoeaCOPDfatiguequality of lifeacupuncture mechanisms
Type
Original Article
Information
Journal of Radiotherapy in Practice , Volume 12 , Issue 1 , March 2013 , pp. 39 - 55
Copyright
Copyright © Cambridge University Press 2013

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References

Molassiotis, A, Fernadez-Ortega, P, Pud, D, Ozden, G, Scott, JA, Panteli, Vet al. (2005). Use of complementary and alternative medicine in cancer patients: a European survey. Ann Oncol 16: 655–663.CrossRefGoogle ScholarPubMed
Berman, BM. (2006) Cochrane Complementary Medicine Field. About The Cochrane Collaboration (Fields), Issue 1. Art. No.: CE000052.Google Scholar
Tovey, P. (2003) Complementary and Alternative Medicines (CAM) and the Care of Patients with Cancer. 1Sep -28 Feb 2006 11–13.Google Scholar
Department of Health (2006) a Study of the Use of Complementary and Alternative Therapies among People Undergoing Cancer Treatment. 15/09/ 39–41.Google Scholar
We Are Macmillan Cancer Support, Department of Health 2010) NHS Improvement National Cancer Survivorship Initiative 17 November http://www.ncsi.org.uk/communicating-the-ncsi-vision/.Google Scholar
Kaptchuk, T J (1999) Chinese Medicine the Web That Has No Weaver London Rider reprinted 1–76.Google Scholar
Filshie, J, White, A. (2001) Medical Acupuncture A Western Scientific Approach. Churchill Livingstone reprinted 155–156.Google Scholar
Filshie, J, Bolton, T, Browne, D, Ashley, S (2005) Acupuncture and self acupuncture for long term treatment of vasomotor symptoms in cancer patient audit and treatment algorithm. Acupunct Med Dec, vol/is. 23/4 (171–80), 0964–5284.Google Scholar
Carlsson, C (2002). Acupuncture mechanisms for clinically relevant long-term effects–reconsideration and a hypothesis. Acupunct Med 20: 82–99.CrossRefGoogle ScholarPubMed
Cabýoglu, MT, Ergene, N and Tan, U (2006). The mechanism of acupuncture and clinical applications. Int J Neurosci 116: 115–125.CrossRefGoogle ScholarPubMed
Ezzo, Jet al. 2010 Acupuncture-point stimulation for chemotherapy-induced nausea or vomiting. Cochrane database of systematic reviews Issue 11. Art N: CD 002285, DOI: 10.1002/14651858.CrossRefGoogle Scholar
Glaus, A, Boehme, Ch, Thürlimann, B, Ruhstaller, T, Hsu Schmitz, SF, Morant, Ret al. (2006). Fatigue and menopausal symptoms in women with breast cancer undergoing hormonal cancer treatment. Ann Oncol 17: 801–806.CrossRefGoogle ScholarPubMed
Filshie, J, Bolton, T, Browne, D, Ashley, S. 2005) Acupuncture and self acupuncture for long term treatment of vasomotor symptoms in cancer patient audit and treatment algorithm. Acupunct Med Dec, vol/is. 23/4 (171–80), 0964–5284.Google Scholar
Lee, MS, Kim, KH, Choi, SM, Ernst, E. 2010 Acupuncture for treating hot flashes in breast cancer patients: a systematic review. Database of Abstracts of Reviews of Effects (DARE) 24 march.Google Scholar
Frisk, J, Spetz, AC, Hjertberg, H, Petersson, B and Hammar, M (2009). Two modes of acupuncture as a treatment for hot flushes in men with prostate cancer–a prospective multicenter study with long-term follow-up. Eur Urol 55: 156–163.CrossRefGoogle ScholarPubMed
O Sullivan, EM, Higginson, IJ. 2010) Clinical effectiveness and safety of acupuncture in the treatment of irradiation-induced xerostomia in patients with head and neck cancer a systematic review Acupuncture in Medicine Dec, vol/is. 28/4(191–9) 0964–5284.Google Scholar
Bausewein, C, Booth, S, Gysels, M, Higginsin, IJ 2004) Non-Pharmacological interventions for breathlessness in advanced stages of malignant and non-malignant diseases Database of Abstracts of Reviews of Effects (DARE) 31 July.Google Scholar
Lim, B, Manheimer, E, Lao, L, Ziea, E, Wisniewski, J, Liu, Jet al. (2006). Acupuncture for treatment of irritable bowel syndrome. Cochrane Database Syst Rev <Volume>: CD005111.CrossRefGoogle ScholarPubMed
Carr, Det al. 2010 Management of cancer symptoms: pain, depression and fatigue. Cochrane database of systematic reviews Issue 11 Art. No.: CD005623.DOI:10.1002/14651858.CD005623. pub2.CrossRefGoogle Scholar
Smith, CA, Hay, PPJ, MacPherson, H. 2010 Acupuncture for depression. Cochrane database of systematic reviews Issue 1. Art. No.: CD004046. DOI: 10.1002/14651858.CD004046.pub3.CrossRefGoogle Scholar
Pilkington, K, Kirkwood, G, Rampes, H, Cummings, M and Richardson, J (2007). Acupuncture for anxiety and anxiety disorders–a systematic literature review. Acupunct Med 25: 1–10.CrossRefGoogle ScholarPubMed
Dean-Clower, E, Doherty-Gilman, AM, Keshaviah, A, Baker, F, Kaw, C, Lu, Wet al. (2010). Acupuncture as palliative therapy for physical symptoms and quality of life for advanced cancer patients. Integr Cancer Ther 9: 158–167.CrossRefGoogle ScholarPubMed
Allberry, J 2008 Cancer Reform Strategy: Maintaining Momentum, Building for the Future – First Annual Report. Department of Health, December 2008. The Cancer Reform Strategy.Google Scholar
Johnstone, PA, Polston, GR, Niemtzow, RC and Martin, PJ (2002). Integration of acupuncture into the oncology clinic. Palliat Med 16: 235–239.CrossRefGoogle ScholarPubMed
Salmon, J How Can Acupuncture Help? A guide for Patients with Cancer. Royal Cornwall Hospitals NHS Trust 821 c Design and Publications 2005 Printed 03/05.Google Scholar
Schag, CC, Heinrich, RL and Ganz, PA (1984). Karnofsky performance status revisited: reliability, validity, and guidelines. J Clin Oncol 2: 187–193.CrossRefGoogle ScholarPubMed
van Agt, HM, Essink-Bot, ML, Krabbe, PF and Bonsel, GJ (1994). Test-retest reliability of health state valuations collected with the EuroQol questionnaire. Soc Sci Med 39: 1537–1544.CrossRefGoogle ScholarPubMed
National Cancer Institute Common Toxicity Criteria Version 3 Published 2003.Google Scholar
Zigmond, AS and Snaith, RP (1983). The hospital anxiety and depression scale. Acta Psychiatr Scand 67: 361–370.CrossRefGoogle ScholarPubMed
Mendoza, TR, Wang, XS, Cleeland, CS, Morrissey, M, Johnson, BA, Wendt, JKet al. (1999). The rapid assessment of fatigue severity in cancer patients: use of the Brief Fatigue Inventory. Cancer 85: 1186–1196.3.0.CO;2-N>CrossRefGoogle ScholarPubMed
Ship, JA, McCutcheon, JA, Spivakovsky, S and Kerr, AR (2007). Safety and effectiveness of topical dry mouth products containing olive oil, betaine, and xylitol in reducing xerostomia for polypharmacy-induced dry mouth. J Oral Rehabil 34: 724–732.CrossRefGoogle ScholarPubMed
Downer, SM, Cody, MM, McCluskey, P, Wilson, PD, Arnott, SJ, Lister, TAet al. (1994). Pursuit and practice of complementary therapies by cancer patients receiving conventional treatment. BMJ 309: 86–89.CrossRefGoogle ScholarPubMed
Cancer Research UK Breast Cancer UK incidence statistics 14 Feb 2011) http://info.cancerresearchuk.org/cancerstats/types/breast/incidence/.Google Scholar
The Cochrane Collaboration 2002 Issues related to the unit of analysis: Crossover trials <www.cochrane-net.org/openlearning/html/modA2–3.htm>>Google Scholar