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 |
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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 |
format | Article |
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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. Particularly, studies examining acupuncture interventions alone instead of in combination with other therapies are needed.</description><subject>Acupressure</subject><subject>Acupuncture</subject><subject>Cancer</subject><subject>complementary and alternative medicine</subject><subject>Electroacupuncture</subject><subject>Meta-analysis</subject><subject>Sleep</subject><subject>Systematic review</subject><issn>1545-102X</issn><issn>1741-6787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp1kc9u1DAQxi0Eon8PvACyxKU9pLUdO05OqKpaqFTRSwu9RV5nIrkkdvA4u9obj8CFF-RJ8HYXDkjMZeaTfvpGMx8hbzg747nOV0t_xkXF9Quyz7XkRaVr_TLPSqqCM_G4Rw4QnxgTlRbla7JXVkpyJsU--XnjlwbdEmiI1AfvdvI9vaC4xgSjSc7SCEsHK2p8Rz2kVYhf6QjJ_Pr-w3gzrNEhDT01dp5mb9Mc4Rnd6AiIG50CTRFMojgATLRzmLGF8Rao89RuhkinvAx8wiPyqjcDwvGuH5KH66v7y4_F7d2Hm8uL28KWqtRFXStWctWoXurOLmolG6HVojOVBd6LuslnqoY1TAOTxjYyg4zL0ghjNDR9eUhOtr5TDN9mwNSODi0Mg_EQZmyzW5VfxmWd0Xf_oE9hjvn4TNUiv5XVvMnU6ZayMSBG6NsputHEdctZu8mqzVm1z1ll9u3OcV6M0P0l_4STgfMtsHIDrP_v1H75_Glr-Ru3mKEP</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>Cheung, Denise Shuk Ting</creator><creator>Xu, Xinyi</creator><creator>Smith, Robert</creator><creator>Takemura, Naomi</creator><creator>Yeung, Wing Fai</creator><creator>Chan, Wing‐lok</creator><creator>Lao, Lixing</creator><creator>Lin, Chia‐Chin</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9551-0991</orcidid><orcidid>https://orcid.org/0000-0002-3604-7906</orcidid><orcidid>https://orcid.org/0000-0003-0198-9714</orcidid><orcidid>https://orcid.org/0000-0002-8497-216X</orcidid><orcidid>https://orcid.org/0000-0002-2950-5251</orcidid><orcidid>https://orcid.org/0000-0001-9793-9273</orcidid><orcidid>https://orcid.org/0000-0002-7980-3126</orcidid><orcidid>https://orcid.org/0000-0002-8741-9271</orcidid></search><sort><creationdate>202306</creationdate><title>Invasive or noninvasive? 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 & 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. 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.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36541042</pmid><doi>10.1111/wvn.12617</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-9551-0991</orcidid><orcidid>https://orcid.org/0000-0002-3604-7906</orcidid><orcidid>https://orcid.org/0000-0003-0198-9714</orcidid><orcidid>https://orcid.org/0000-0002-8497-216X</orcidid><orcidid>https://orcid.org/0000-0002-2950-5251</orcidid><orcidid>https://orcid.org/0000-0001-9793-9273</orcidid><orcidid>https://orcid.org/0000-0002-7980-3126</orcidid><orcidid>https://orcid.org/0000-0002-8741-9271</orcidid></addata></record> |
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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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