Invasive or noninvasive? A systematic review and network meta‐analysis of acupuncture and acupressure to treat sleep disturbance in cancer patients

Background Both acupuncture and acupressure have been suggested beneficial for reducing sleep disturbance in cancer patients. While acupuncture is invasive involving needle insertion, acupressure is noninvasive. Their comparative effectiveness is unclear, hindering clinical recommendations. Aims Thi...

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Veröffentlicht in:Worldviews on evidence-based nursing 2023-06, Vol.20 (3), p.202-211
Hauptverfasser: Cheung, Denise Shuk Ting, Xu, Xinyi, Smith, Robert, Takemura, Naomi, Yeung, Wing Fai, Chan, Wing‐lok, Lao, Lixing, Lin, Chia‐Chin
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container_end_page 211
container_issue 3
container_start_page 202
container_title Worldviews on evidence-based nursing
container_volume 20
creator Cheung, Denise Shuk Ting
Xu, Xinyi
Smith, Robert
Takemura, Naomi
Yeung, Wing Fai
Chan, Wing‐lok
Lao, Lixing
Lin, Chia‐Chin
description Background Both acupuncture and acupressure have been suggested beneficial for reducing sleep disturbance in cancer patients. While acupuncture is invasive involving needle insertion, acupressure is noninvasive. Their comparative effectiveness is unclear, hindering clinical recommendations. Aims This study aimed to explore the comparative effectiveness of acupuncture and acupressure on sleep in cancer patients. Methods This is a systematic review and Bayesian network meta‐analysis. Eight key English and Chinese databases were searched. Twenty‐four randomized controlled trials involving 2002 cancer patients comparing the effects of six treatments (manual acupuncture, electroacupuncture, acupressure, sham, enhanced usual care, and no treatment) on sleep were found. Results Compared with enhanced supportive care, acupressure demonstrated the largest effect size for reducing self‐reported sleep disturbance (standardized mean difference [SMD] = −2.67, 95% CrI: −3.46 to −1.90; GRADE = moderate), followed by acupuncture (SMD = −1.87, 95% CrI: −2.94 to −0.81, GRADE = moderate) and electroacupuncture (SMD = −1.60, 95% CrI: −3 to −0.21; GRADE = low). The surface under the cumulative ranking curve indicates that acupressure is most likely to rank highest. Linking Evidence to Action Based on available evidence, acupressure can be recommended as the optimal treatment for reducing sleep disturbance in cancer patients. More rigorous trials are warranted to confirm whether different forms of acupuncture or acupressure have different effects on sleep in cancer patients. Particularly, studies examining acupuncture interventions alone instead of in combination with other therapies are needed.
doi_str_mv 10.1111/wvn.12617
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A systematic review and network meta‐analysis of acupuncture and acupressure to treat sleep disturbance in cancer patients</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Cheung, Denise Shuk Ting ; Xu, Xinyi ; Smith, Robert ; Takemura, Naomi ; Yeung, Wing Fai ; Chan, Wing‐lok ; Lao, Lixing ; Lin, Chia‐Chin</creator><creatorcontrib>Cheung, Denise Shuk Ting ; Xu, Xinyi ; Smith, Robert ; Takemura, Naomi ; Yeung, Wing Fai ; Chan, Wing‐lok ; Lao, Lixing ; Lin, Chia‐Chin</creatorcontrib><description>Background Both acupuncture and acupressure have been suggested beneficial for reducing sleep disturbance in cancer patients. While acupuncture is invasive involving needle insertion, acupressure is noninvasive. Their comparative effectiveness is unclear, hindering clinical recommendations. Aims This study aimed to explore the comparative effectiveness of acupuncture and acupressure on sleep in cancer patients. Methods This is a systematic review and Bayesian network meta‐analysis. Eight key English and Chinese databases were searched. Twenty‐four randomized controlled trials involving 2002 cancer patients comparing the effects of six treatments (manual acupuncture, electroacupuncture, acupressure, sham, enhanced usual care, and no treatment) on sleep were found. Results Compared with enhanced supportive care, acupressure demonstrated the largest effect size for reducing self‐reported sleep disturbance (standardized mean difference [SMD] = −2.67, 95% CrI: −3.46 to −1.90; GRADE = moderate), followed by acupuncture (SMD = −1.87, 95% CrI: −2.94 to −0.81, GRADE = moderate) and electroacupuncture (SMD = −1.60, 95% CrI: −3 to −0.21; GRADE = low). The surface under the cumulative ranking curve indicates that acupressure is most likely to rank highest. Linking Evidence to Action Based on available evidence, acupressure can be recommended as the optimal treatment for reducing sleep disturbance in cancer patients. More rigorous trials are warranted to confirm whether different forms of acupuncture or acupressure have different effects on sleep in cancer patients. Particularly, studies examining acupuncture interventions alone instead of in combination with other therapies are needed.</description><identifier>ISSN: 1545-102X</identifier><identifier>EISSN: 1741-6787</identifier><identifier>DOI: 10.1111/wvn.12617</identifier><identifier>PMID: 36541042</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Acupressure ; Acupuncture ; Cancer ; complementary and alternative medicine ; Electroacupuncture ; Meta-analysis ; Sleep ; Systematic review</subject><ispartof>Worldviews on evidence-based nursing, 2023-06, Vol.20 (3), p.202-211</ispartof><rights>2022 Sigma Theta Tau International.</rights><rights>2023 Sigma Theta Tau International</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3537-885031595f47dcb8549275bda6ce1f289654590907e04ac945f40143a2aa7e9f3</citedby><cites>FETCH-LOGICAL-c3537-885031595f47dcb8549275bda6ce1f289654590907e04ac945f40143a2aa7e9f3</cites><orcidid>0000-0001-9551-0991 ; 0000-0002-3604-7906 ; 0000-0003-0198-9714 ; 0000-0002-8497-216X ; 0000-0002-2950-5251 ; 0000-0001-9793-9273 ; 0000-0002-7980-3126 ; 0000-0002-8741-9271</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fwvn.12617$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fwvn.12617$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36541042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheung, Denise Shuk Ting</creatorcontrib><creatorcontrib>Xu, Xinyi</creatorcontrib><creatorcontrib>Smith, Robert</creatorcontrib><creatorcontrib>Takemura, Naomi</creatorcontrib><creatorcontrib>Yeung, Wing Fai</creatorcontrib><creatorcontrib>Chan, Wing‐lok</creatorcontrib><creatorcontrib>Lao, Lixing</creatorcontrib><creatorcontrib>Lin, Chia‐Chin</creatorcontrib><title>Invasive or noninvasive? A systematic review and network meta‐analysis of acupuncture and acupressure to treat sleep disturbance in cancer patients</title><title>Worldviews on evidence-based nursing</title><addtitle>Worldviews Evid Based Nurs</addtitle><description>Background Both acupuncture and acupressure have been suggested beneficial for reducing sleep disturbance in cancer patients. While acupuncture is invasive involving needle insertion, acupressure is noninvasive. Their comparative effectiveness is unclear, hindering clinical recommendations. Aims This study aimed to explore the comparative effectiveness of acupuncture and acupressure on sleep in cancer patients. Methods This is a systematic review and Bayesian network meta‐analysis. Eight key English and Chinese databases were searched. Twenty‐four randomized controlled trials involving 2002 cancer patients comparing the effects of six treatments (manual acupuncture, electroacupuncture, acupressure, sham, enhanced usual care, and no treatment) on sleep were found. Results Compared with enhanced supportive care, acupressure demonstrated the largest effect size for reducing self‐reported sleep disturbance (standardized mean difference [SMD] = −2.67, 95% CrI: −3.46 to −1.90; GRADE = moderate), followed by acupuncture (SMD = −1.87, 95% CrI: −2.94 to −0.81, GRADE = moderate) and electroacupuncture (SMD = −1.60, 95% CrI: −3 to −0.21; GRADE = low). The surface under the cumulative ranking curve indicates that acupressure is most likely to rank highest. Linking Evidence to Action Based on available evidence, acupressure can be recommended as the optimal treatment for reducing sleep disturbance in cancer patients. More rigorous trials are warranted to confirm whether different forms of acupuncture or acupressure have different effects on sleep in cancer patients. 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A systematic review and network meta‐analysis of acupuncture and acupressure to treat sleep disturbance in cancer patients</title><author>Cheung, Denise Shuk Ting ; Xu, Xinyi ; Smith, Robert ; Takemura, Naomi ; Yeung, Wing Fai ; Chan, Wing‐lok ; Lao, Lixing ; Lin, Chia‐Chin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3537-885031595f47dcb8549275bda6ce1f289654590907e04ac945f40143a2aa7e9f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Acupressure</topic><topic>Acupuncture</topic><topic>Cancer</topic><topic>complementary and alternative medicine</topic><topic>Electroacupuncture</topic><topic>Meta-analysis</topic><topic>Sleep</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheung, Denise Shuk Ting</creatorcontrib><creatorcontrib>Xu, Xinyi</creatorcontrib><creatorcontrib>Smith, Robert</creatorcontrib><creatorcontrib>Takemura, Naomi</creatorcontrib><creatorcontrib>Yeung, Wing Fai</creatorcontrib><creatorcontrib>Chan, Wing‐lok</creatorcontrib><creatorcontrib>Lao, Lixing</creatorcontrib><creatorcontrib>Lin, Chia‐Chin</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Worldviews on evidence-based nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheung, Denise Shuk Ting</au><au>Xu, Xinyi</au><au>Smith, Robert</au><au>Takemura, Naomi</au><au>Yeung, Wing Fai</au><au>Chan, Wing‐lok</au><au>Lao, Lixing</au><au>Lin, Chia‐Chin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Invasive or noninvasive? A systematic review and network meta‐analysis of acupuncture and acupressure to treat sleep disturbance in cancer patients</atitle><jtitle>Worldviews on evidence-based nursing</jtitle><addtitle>Worldviews Evid Based Nurs</addtitle><date>2023-06</date><risdate>2023</risdate><volume>20</volume><issue>3</issue><spage>202</spage><epage>211</epage><pages>202-211</pages><issn>1545-102X</issn><eissn>1741-6787</eissn><abstract>Background Both acupuncture and acupressure have been suggested beneficial for reducing sleep disturbance in cancer patients. While acupuncture is invasive involving needle insertion, acupressure is noninvasive. Their comparative effectiveness is unclear, hindering clinical recommendations. Aims This study aimed to explore the comparative effectiveness of acupuncture and acupressure on sleep in cancer patients. Methods This is a systematic review and Bayesian network meta‐analysis. Eight key English and Chinese databases were searched. Twenty‐four randomized controlled trials involving 2002 cancer patients comparing the effects of six treatments (manual acupuncture, electroacupuncture, acupressure, sham, enhanced usual care, and no treatment) on sleep were found. Results Compared with enhanced supportive care, acupressure demonstrated the largest effect size for reducing self‐reported sleep disturbance (standardized mean difference [SMD] = −2.67, 95% CrI: −3.46 to −1.90; GRADE = moderate), followed by acupuncture (SMD = −1.87, 95% CrI: −2.94 to −0.81, GRADE = moderate) and electroacupuncture (SMD = −1.60, 95% CrI: −3 to −0.21; GRADE = low). The surface under the cumulative ranking curve indicates that acupressure is most likely to rank highest. Linking Evidence to Action Based on available evidence, acupressure can be recommended as the optimal treatment for reducing sleep disturbance in cancer patients. 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subjects Acupressure
Acupuncture
Cancer
complementary and alternative medicine
Electroacupuncture
Meta-analysis
Sleep
Systematic review
title Invasive or noninvasive? A systematic review and network meta‐analysis of acupuncture and acupressure to treat sleep disturbance in cancer patients
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