Background: The previous effects of acupuncture-related interventions in improving chemotherapy-induced peripheral neuropathy (CIPN) symptoms and quality of life (QoL) remain unclear in terms of pairwise comparisons.
Aims: This systematic review and network meta-analysis aimed to determine the hierarchical effects of acupuncture-related interventions on symptoms, pain, and QoL associated with CIPN in cancer patients undergoing chemotherapy.
Methods: Nine electronic databases were searched, including PubMed, Embase, Cochrane Library, EBSCO, Medline Ovid, Airiti Library, China National Knowledge Infrastructure (CNKI), China Journal full-text database (CJFD), and Wanfang. Medical subject heading terms and text words were used to search for eligible randomized controlled trials published from database inception to May 2023.
Results: A total of 33 studies involving 2,027 participants were included. Pairwise meta-analysis revealed that acupuncture-related interventions were superior to usual care, medication, or dietary supplements in improving CIPN symptoms, CIPN pain, and QoL. Furthermore, network meta-analysis indicated that acupuncture plus electrical stimulation (acupuncture-E) had the greatest overall effect among the various interventions. The surface under the cumulative ranking curve (SUCRA) revealed that acupuncture-E ranked the highest in improving CINP symptoms. Acupuncture alone was most effective in reducing CIPN pain, and acupuncture plus moxibustion (acupuncture-M) ranked highest in enhancing QoL.
Conclusion: This finding suggests that acupuncture-related interventions can provide patients with benefits in improving CIPN symptoms, pain, and QoL. In particular, acupuncture-E could be the most effective approach in which the provided evidence offers diverse options for cancer patients and healthcare professionals.
Implication For The Profession And/or Patient Care: These findings provide valuable insights into the potential benefits of acupuncture-related interventions for managing symptoms, pain, and QoL associated with CIPN in patients undergoing chemotherapy. Among the various interventions studied, overall, acupuncture-E had the most significant impact and was effective for a minimum duration of 3 weeks. On the other hand, transcutaneous electrical acupoint/nerve stimulation (TEAS) was identified as a noninvasive and feasible alternative for patients who had concerns about needles or the risk of bleeding. It is recommended that TEAS interventions should be carried out for a longer period, preferably lasting 4 weeks, to achieve optimal outcomes.
Trial Registration: The study protocol was registered in the International Prospective Register of Systematic Reviews.
Registration Number: CRD42022319871.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11334450 | PMC |
| http://dx.doi.org/10.1186/s12906-024-04603-1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Acupuncture for allergic rhinitis: protocol for a systematic review and network meta-analysis.
Front Allergy
December 2024
Department of Traditional Chinese Pediatrics, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.
Introduction: Allergic rhinitis (AR) is a widespread inflammatory disorder of the nasal mucosa affecting millions globally. The increasing prevalence of AR underscores the need for effective treatment modalities. Acupuncture has been identified as a potential non-pharmacological intervention for AR due to its effects on autonomic nerve functions and neuroendocrine and immune networks.
View Article and Find Full Text PDFInternet as a Source of Public Health Information on Acupuncture for Pain Relief: Credibility Assessment and Readability Analysis.
Med Acupunct
December 2024
Department of Health Information Technology and Management, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Background: In recent years, there has been a notable increase in the number of patients seeking information from online health websites. As the information available on these websites can significantly impact the overall health of individuals in a society, it is vital for online health information to be presented in a manner that is readable and credible to the general public. To address this concern, the objective of the study was to examine and assess the credibility and readability of websites about acupuncture as a pain management approach.
View Article and Find Full Text PDFEfficacy of different acupuncture-related therapies for tension-type headache: a systematic review and network meta-analysis.
Front Neurol
December 2024
Department of Acupuncture, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Article Synopsis
- - Tension-type headache (TTH) is a common and challenging health issue, often treated with acupuncture, but the effectiveness of different acupuncture techniques varies significantly, necessitating a comprehensive evaluation.
- - This study systematically analyzed 42 randomized controlled trials involving over 4,100 participants to assess the efficacy and safety of various acupuncture treatments for TTH using advanced statistical methods.
- - Results showed that certain acupuncture combinations, like electro-acupuncture with cupping and manual acupuncture with bloodletting, had notably high responder rates, indicating their potential effectiveness in managing TTH symptoms.
Acupuncture and related therapies for anxiety and depression in patients with premature ovarian insufficiency and diminished ovarian reserve: a systematic review and meta-analysis.
Front Psychiatry
December 2024
School of Life Sciences, Faculty of Science, University of Technology Sydney, Sydney, NSW, Australia.
Background: The decreased ovarian function has a negative impact on the mental health of women and increases the risk of anxiety and depression. A growing number of clinical studies have demonstrated that acupuncture-related therapies can effectively and safely restore hormone levels and improve ovarian reserve function. However, the effectiveness of acupuncture-related therapies in alleviating anxiety and depression symptoms in patients with ovarian hypofunction has not been thoroughly evaluated.
View Article and Find Full Text PDFThe effects of acupuncture on patients with premature ovarian insufficiency and polycystic ovary syndrome: an umbrella review of systematic reviews and meta-analyses.
Front Med (Lausanne)
November 2024
Department of Acupuncture-Moxibustion and Tuina, Gaomi Maternity and Child Health Hospital, Gaomi, Shandong, China.
Background: Previous studies have suggested that acupuncture could improve the clinical outcomes of women with premature ovarian insufficiency (POI) and polycystic ovary syndrome (PCOS). However recent meta-analyses have provided inconclusive findings. This umbrella meta-analysis aimed to explore the effect of acupuncture therapies on PCOS and POI outcomes.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!