Abstract
BackgroundMany cancer patients seek complementary and alternative medicine (CAM) including acupuncture to manage their cancer-related symptoms or side effects of treatments. Acupuncture is used to manage cancer pain and improve quality of life (QoL). This study aimed to conduct a preliminary study on a case series to evaluate the feasibility of acupuncture for treating cancer pain and to collect preliminary data on the effectiveness of acupuncture in treating cancer pain and improving QoL.MethodsA semi-standardized acupuncture treatment comprising one to three treatment sessions (20–30 minutes per session) per week for 8 weeks was provided by four licensed acupuncturists, who had more than 5 years of clinical experience, at the University Health Center. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C3) and a visual analogue scale (VAS) for pain rating were used as the outcome measures to assess pain and QoL. Data were collected at baseline, immediately after 2, 4, 6, and 8 weeks of treatment and at 4 weeks after treatment completion (week 12).ResultsTwo males and five females with a median age of 66 years (range: 44–71 years) completed the study. For the VAS, the percentage of improvement ranged between 18% and 95%. The baseline mean raw score was reduced from 51 mm to 36 mm at the end of week 8 and to 23 mm at the end of week 12. The percentage of overall QoL improvement ranged between 20% and 100%. The mean raw score for QoL improved with time. The baseline score was increased from 55 to 69 at the end of treatment (week 8) and to 73 after the follow-up (week 12).ConclusionsThis pilot study on a case series showed that acupuncture might be beneficial for reducing pain and improving QoL in cancer patients.
Highlights
Many cancer patients seek complementary and alternative medicine (CAM) including acupuncture to manage their cancer-related symptoms or side effects of treatments
Cancer pain is frequently reported among patients, with 53% of patients experiencing pain, and one-third experiencing severe to moderate levels of acute or chronic pain [4]
This study aimed to conduct a case series study to investigate the effects of acupuncture on cancer patients recruited from a CAM institution
Summary
Many cancer patients seek complementary and alternative medicine (CAM) including acupuncture to manage their cancer-related symptoms or side effects of treatments. Acupuncture is used to manage cancer pain and improve quality of life (QoL). Modern therapies for cancer have improved life expectancy, the management of this complex disease [3] and improvement of quality of life (QoL) of patients, especially in managing cancer-related pain, are still limited. The occurrence of pain in cancer patients increases the risk for Opioids are currently used in cancer pain management [7]. The World Health Organization has described a three-step analgesic ladder on how to effectively administer opioids for chronic cancer pain, with the main goal being to prohibit pain by giving high doses of the drugs around-the-clock [8,9]. Long-term administration of opioids can induce tolerance [13], endocrine dysfunction [14], and multisystem adverse effects [15]
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