Manual acupuncture as an adjunctive treatment of nausea in patients with cancer in palliative care – a prospective, observational pilot study
Background Good clinical evidence has been reported for the effect of PC6 acupuncture in preventing or attenuating postoperative and pregnancy related nausea. Our primary aim was to examine whether PC6 acupuncture during a period of chemotherapy could complement pharmacological treatment of nausea i...
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| Veröffentlicht in: | Acupuncture in medicine : journal of the British Medical Acupuncture Society 2008-03, Vol.26 (1), p.27-32 |
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| creator | Nystrom, Elisabeth Ridderstrom, Gunilla Leffler, Ann-Sofie |
| description | Background Good clinical evidence has been reported for the effect of PC6 acupuncture in preventing or attenuating postoperative and pregnancy related nausea. Our primary aim was to examine whether PC6 acupuncture during a period of chemotherapy could complement pharmacological treatment of nausea in cancer patients in the palliative stage of their disease. Method We conducted a prospective observational pilot study to measure changes in nausea, and also explored the relationship between nausea, pain and constipation. Twelve patients suffering from nausea and four nausea free patients participated in the study. The nausea free patients were included because they had been troubled by nausea in a previous course of chemotherapy, despite medication with antiemetic drugs, and were about to start a new course of treatment. The patients rated their intensity of nausea, pain and constipation on a numerical rating scale before each of 10 treatment sessions with PC6 acupuncture over the course of three weeks, and at two follow ups during the following week. Results Fifteen patients completed the study. Compared to before treatment, the patients scored a significantly reduced intensity of nausea before the last treatment session (P |
| doi_str_mv | 10.1136/aim.26.1.27 |
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Our primary aim was to examine whether PC6 acupuncture during a period of chemotherapy could complement pharmacological treatment of nausea in cancer patients in the palliative stage of their disease. Method We conducted a prospective observational pilot study to measure changes in nausea, and also explored the relationship between nausea, pain and constipation. Twelve patients suffering from nausea and four nausea free patients participated in the study. The nausea free patients were included because they had been troubled by nausea in a previous course of chemotherapy, despite medication with antiemetic drugs, and were about to start a new course of treatment. The patients rated their intensity of nausea, pain and constipation on a numerical rating scale before each of 10 treatment sessions with PC6 acupuncture over the course of three weeks, and at two follow ups during the following week. Results Fifteen patients completed the study. Compared to before treatment, the patients scored a significantly reduced intensity of nausea before the last treatment session (P<0.01) and at the first follow up (P<0.05). Three out of four nausea free patients were still nausea free before the last treatment session with acupuncture. No relationship could be found between nausea, pain and constipation before, during or after the treatment period had finished. Conclusion The study demonstrated that acupuncture treatment in cancer patients can be associated with a significantly reduced intensity of nausea during a period of chemotherapy in their final phase of life.</description><identifier>ISSN: 0964-5284</identifier><identifier>EISSN: 1759-9873</identifier><identifier>DOI: 10.1136/aim.26.1.27</identifier><identifier>PMID: 18356796</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Acupuncture ; Acupuncture Points ; Acupuncture Therapy - methods ; Adult ; Aged ; Aged, 80 and over ; Antineoplastic Agents - adverse effects ; Cancer patients ; Care and treatment ; Female ; Health aspects ; Humans ; Male ; Middle Aged ; Nausea ; Nausea - chemically induced ; Nausea - prevention & control ; Neoplasms - drug therapy ; Palliative Care - methods ; Pilot Projects ; Prospective Studies ; Treatment Outcome ; Vomiting - chemically induced ; Vomiting - prevention & control</subject><ispartof>Acupuncture in medicine : journal of the British Medical Acupuncture Society, 2008-03, Vol.26 (1), p.27-32</ispartof><rights>British Medical Acupuncture Society</rights><rights>COPYRIGHT 2008 British Medical Acupuncture Society</rights><rights>Copyright British Medical Acupuncture Society 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b525t-970c5325c4ef48cfdd5af1663c0f6c6a9683b7ff812683bef145f3a2d86de86f3</citedby><cites>FETCH-LOGICAL-b525t-970c5325c4ef48cfdd5af1663c0f6c6a9683b7ff812683bef145f3a2d86de86f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18356796$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-20936$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:121452183$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Nystrom, Elisabeth</creatorcontrib><creatorcontrib>Ridderstrom, Gunilla</creatorcontrib><creatorcontrib>Leffler, Ann-Sofie</creatorcontrib><title>Manual acupuncture as an adjunctive treatment of nausea in patients with cancer in palliative care – a prospective, observational pilot study</title><title>Acupuncture in medicine : journal of the British Medical Acupuncture Society</title><addtitle>Acupunct Med</addtitle><description>Background Good clinical evidence has been reported for the effect of PC6 acupuncture in preventing or attenuating postoperative and pregnancy related nausea. Our primary aim was to examine whether PC6 acupuncture during a period of chemotherapy could complement pharmacological treatment of nausea in cancer patients in the palliative stage of their disease. Method We conducted a prospective observational pilot study to measure changes in nausea, and also explored the relationship between nausea, pain and constipation. Twelve patients suffering from nausea and four nausea free patients participated in the study. The nausea free patients were included because they had been troubled by nausea in a previous course of chemotherapy, despite medication with antiemetic drugs, and were about to start a new course of treatment. The patients rated their intensity of nausea, pain and constipation on a numerical rating scale before each of 10 treatment sessions with PC6 acupuncture over the course of three weeks, and at two follow ups during the following week. Results Fifteen patients completed the study. Compared to before treatment, the patients scored a significantly reduced intensity of nausea before the last treatment session (P<0.01) and at the first follow up (P<0.05). Three out of four nausea free patients were still nausea free before the last treatment session with acupuncture. No relationship could be found between nausea, pain and constipation before, during or after the treatment period had finished. Conclusion The study demonstrated that acupuncture treatment in cancer patients can be associated with a significantly reduced intensity of nausea during a period of chemotherapy in their final phase of life.</description><subject>Acupuncture</subject><subject>Acupuncture Points</subject><subject>Acupuncture Therapy - methods</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic Agents - adverse effects</subject><subject>Cancer patients</subject><subject>Care and treatment</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nausea</subject><subject>Nausea - chemically induced</subject><subject>Nausea - prevention & control</subject><subject>Neoplasms - drug therapy</subject><subject>Palliative Care - methods</subject><subject>Pilot Projects</subject><subject>Prospective Studies</subject><subject>Treatment Outcome</subject><subject>Vomiting - chemically induced</subject><subject>Vomiting - prevention & control</subject><issn>0964-5284</issn><issn>1759-9873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9ks1u1DAQxyMEokvhxB1ZIHGhWWIntpPjaksp0gJCgl6tiWMXbxMn-KOlN96AA2_Ik-DtrroCAfLBo79_M-P5yLLHuJhjXLKXYIY5YXM8J_xONsOcNnlT8_JuNisaVuWU1NVB9sD7dVEUNafV_ewA1yVlvGGz7PtbsBF6BDJO0coQnULgEVgE3XojmEuFglMQBmUDGjWyEL0CZCyaIJgkenRlwmckwUrltnrfG7jxlJDi_fz2AwGa3OgndRPwCI2tV-4yMaNNySfTjwH5ELvrh9k9Db1Xj3b3Yfbp5NXH5Wm-ev_6zXKxyltKaMgbXkhaEiorpata6q6joDFjpSw0kwwaVpct17rGZGMpjSuqSyBdzTpVM10eZvk2rr9SU2zF5MwA7lqMYMROukiWEpRRwknij_7JH5uzhRjduYhDFKRoSpbw51s8Vf0lKh_EYLxUfQ9WjdELVieMMpzAp3-A6zG61BQvSBolppjQBD3bQufQK2GsHoMDuYkoFphzVrKirhI1_wuVTqcGI0ertEn6bw4vtg4yjcY7pW-rwoXYrJZIqyUIE1gQnugnu5_GdlDdnt3t0r6lxgf19fYd3IVgvORUvDtbCny6qnjz4UQc73vUDuv_Zv4F0NHn9Q</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Nystrom, Elisabeth</creator><creator>Ridderstrom, Gunilla</creator><creator>Leffler, Ann-Sofie</creator><general>BMJ Publishing Group Ltd</general><general>British Medical Acupuncture Society</general><general>Sage Publications Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D93</scope></search><sort><creationdate>20080301</creationdate><title>Manual acupuncture as an adjunctive treatment of nausea in patients with cancer in palliative care – a prospective, observational pilot study</title><author>Nystrom, Elisabeth ; Ridderstrom, Gunilla ; Leffler, Ann-Sofie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b525t-970c5325c4ef48cfdd5af1663c0f6c6a9683b7ff812683bef145f3a2d86de86f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Acupuncture</topic><topic>Acupuncture Points</topic><topic>Acupuncture Therapy - methods</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antineoplastic Agents - adverse effects</topic><topic>Cancer patients</topic><topic>Care and treatment</topic><topic>Female</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nausea</topic><topic>Nausea - chemically induced</topic><topic>Nausea - prevention & control</topic><topic>Neoplasms - drug therapy</topic><topic>Palliative Care - methods</topic><topic>Pilot Projects</topic><topic>Prospective Studies</topic><topic>Treatment Outcome</topic><topic>Vomiting - chemically induced</topic><topic>Vomiting - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nystrom, Elisabeth</creatorcontrib><creatorcontrib>Ridderstrom, Gunilla</creatorcontrib><creatorcontrib>Leffler, Ann-Sofie</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>UK & Ireland Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Umeå universitet</collection><jtitle>Acupuncture in medicine : journal of the British Medical Acupuncture Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nystrom, Elisabeth</au><au>Ridderstrom, Gunilla</au><au>Leffler, Ann-Sofie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Manual acupuncture as an adjunctive treatment of nausea in patients with cancer in palliative care – a prospective, observational pilot study</atitle><jtitle>Acupuncture in medicine : journal of the British Medical Acupuncture Society</jtitle><addtitle>Acupunct Med</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>26</volume><issue>1</issue><spage>27</spage><epage>32</epage><pages>27-32</pages><issn>0964-5284</issn><eissn>1759-9873</eissn><abstract>Background Good clinical evidence has been reported for the effect of PC6 acupuncture in preventing or attenuating postoperative and pregnancy related nausea. Our primary aim was to examine whether PC6 acupuncture during a period of chemotherapy could complement pharmacological treatment of nausea in cancer patients in the palliative stage of their disease. Method We conducted a prospective observational pilot study to measure changes in nausea, and also explored the relationship between nausea, pain and constipation. Twelve patients suffering from nausea and four nausea free patients participated in the study. The nausea free patients were included because they had been troubled by nausea in a previous course of chemotherapy, despite medication with antiemetic drugs, and were about to start a new course of treatment. The patients rated their intensity of nausea, pain and constipation on a numerical rating scale before each of 10 treatment sessions with PC6 acupuncture over the course of three weeks, and at two follow ups during the following week. Results Fifteen patients completed the study. Compared to before treatment, the patients scored a significantly reduced intensity of nausea before the last treatment session (P<0.01) and at the first follow up (P<0.05). Three out of four nausea free patients were still nausea free before the last treatment session with acupuncture. No relationship could be found between nausea, pain and constipation before, during or after the treatment period had finished. Conclusion The study demonstrated that acupuncture treatment in cancer patients can be associated with a significantly reduced intensity of nausea during a period of chemotherapy in their final phase of life.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>18356796</pmid><doi>10.1136/aim.26.1.27</doi><tpages>6</tpages></addata></record> |
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| ispartof | Acupuncture in medicine : journal of the British Medical Acupuncture Society, 2008-03, Vol.26 (1), p.27-32 |
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| subjects | Acupuncture Acupuncture Points Acupuncture Therapy - methods Adult Aged Aged, 80 and over Antineoplastic Agents - adverse effects Cancer patients Care and treatment Female Health aspects Humans Male Middle Aged Nausea Nausea - chemically induced Nausea - prevention & control Neoplasms - drug therapy Palliative Care - methods Pilot Projects Prospective Studies Treatment Outcome Vomiting - chemically induced Vomiting - prevention & control |
| title | Manual acupuncture as an adjunctive treatment of nausea in patients with cancer in palliative care – a prospective, observational pilot study |
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