"I have been seeing Boyd for almost 2 years for severe chronic migraines. I have seen great results in the reduction of my headaches since I've started acupuncture with him when no other treatment or medication would work. Boyd is very knowledgeable about acupuncture and stays up to date with current practices and techniques. I ask him a lot of questions during our sessions, and he's always able to provide a thorough response that I can easily understand. He listens thoroughly to issues and problems and works with me to come up with the best treatment at each appointment. He's a pleasure to talk to during each session and always ensures I am completely at ease during every step. The only problem I have is that I waited so long to begin acupuncture treatment with him!"
Systematic Review of Acupuncture in Cancer Care: A Synthesis of the Evidence.
Abstract
Purpose: Many cancer centers offer acupuncture services. To date, a comprehensive systematic review of acupuncture in cancer care has not been conducted. The purpose of this review was to evaluate the efficacy of acupuncture for symptom management in patients with cancer.
Methods: Medline, Embase, CINAHL, Cochrane (all databases), Scopus, and PubMed were searched from inception through December 2011 for prospective randomized clinical trials (RCT) evaluating acupuncture for symptom management in cancer care. Only studies involving needle insertion into acupuncture points were included. No language limitations were applied. Studies were assessed for risk of bias (ROB) according to Cochrane criteria. Outcomes by symptom were designated as positive, negative, or unclear.
Results: A total of 2,151 publications were screened. Of those, 41 RCTs involving eight symptoms (pain, nausea, hot flashes, fatigue, radiation-induced xerostomia, prolonged postoperative ileus, anxiety/mood disorders, and sleep disturbance) met all inclusion criteria. One positive trial of acupuncture for chemotherapy-induced nausea and vomiting had low ROB. Of the remaining studies, eight had unclear ROB (four positive, three negative, and one with unclear outcomes). Thirty-three studies had high ROB (19 positive, 11 negative, and three with both positive and negative outcomes depending on the symptom).
Conclusion: Acupuncture is an appropriate adjunctive treatment for chemotherapy-induced nausea/vomiting, but additional studies are needed. For other symptoms, efficacy remains undetermined owing to high ROB among studies. Future research should focus on standardizing comparison groups and treatment methods, be at least single-blinded, assess biologic mechanisms, have adequate statistical power, and involve multiple acupuncturists.
M. Kay Garcia, Jennifer McQuade, Robin Haddad, Sonya Patel, Richard Lee, Peiying Yang, J. Lynn Palmer and Lorenzo Cohen; ©American Society of Clinical Oncology; Corresponding author: Lorenzo Cohen, PhD, Integrative Medicine Program, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 0462, Houston, TX 77030; 10.1200/JCO.2012.43.5818