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Acupoint stimulation for cancer-related fatigue: A quantitative synthesis of randomised controlled trials.

Complementary therapies in clinical practice
November 1, 2021
Jing-Yu Benjamin Tan et al. (9 authors)
Journal ArticleMeta-AnalysisHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of acupoint stimulation (AS) in managing cancer-related fatigue (CRF).

Results Summary

The study found that AS was more effective than standard treatment/care in alleviating CRF, with significant results in overall and subgroup analyses. True AS showed a trend toward better outcomes compared to sham AS, though the difference was not statistically significant.

Population

Patients with cancer-related fatigue.

Effective Dosage

Not specified

Duration

Varied (short-term and medium-term interventions mentioned)

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
acupoint stimulation (AS)
decrease
cancer-related fatigue (CRF)
patients with cancer-related fatigue
SMD = -0.95, p = 0.008
was more effective in alleviating
#1
acupuncture
decrease
cancer-related fatigue (CRF)
patients with cancer-related fatigue
SMD = -1.25, p = 0.002
was more effective in alleviating
#2
short-term AS
decrease
cancer-related fatigue (CRF)
patients with cancer-related fatigue
SMD = -0.95, p = 0.02
was more effective in alleviating
#3
medium-term AS
decrease
cancer-related fatigue (CRF)
patients with cancer-related fatigue
SMD = -0.96, p = 0.003
was more effective in alleviating
#4
true AS
decrease
cancer-related fatigue (CRF)
patients with cancer-related fatigue
no significant change
favoured the true AS for CRF management, although the difference did not reach statistical significance
#5
Abstract

BACKGROUND AND PURPOSE: This study aimed to identify the research evidence on acupoint stimulation (AS) for cancer-related fatigue (CRF) management. METHODS: Randomised controlled trials that utilised AS for CRF management were retrieved. The Cochrane Back Review Group Risk of Bias Tool was used for quality appraisal. RevMan 5.3 was used for meta-analysis. RESULTS: Fifteen studies were included. Both the overall (SMD = -0.95, p = 0.008) and sub-group (acupuncture: SMD = -1.25, p = 0.002; short-term AS: SMD = -0.95, p = 0.02; medium-term AS: SMD = -0.96, p = 0.003) analyses indicated that AS was more effective in alleviating CRF than standard treatment/care. A comparison between the true and sham AS interventions favoured the true AS for CRF management, although the difference did not reach statistical significance. CONCLUSION: This study identified a promising role of AS in improving CRF. However, the study findings should be interpreted prudently due to the limited quality and sample sizes of some of the included studies.

Medical Subject Headings (MeSH)
AcupunctureAcupuncture PointsAcupuncture TherapyFatigueHumansNeoplasmsRandomized Controlled Trials as Topic
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality70/10
Citation Metrics
Total Citations10
Citations/Year2.5
Relative Citation Ratio0.94
NIH Percentile47.9%
Research Impact Scores
APT Score0.75
Weight Score2.28
Normalized Score0.64
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