Complementary and Alternative Medicine for Cancer Pain: An Overview of Systematic Reviews
Open Access
- 13 April 2014
- journal article
- review article
- Published by Hindawi Limited in Evidence-Based Complementary and Alternative Medicine
- Vol. 2014, 1-9
- https://doi.org/10.1155/2014/170396
Abstract
Background and Objective. Now with more and more published systematic reviews of Complementary and Alternative Medicine (CAM) on adult cancer pain, it is necessary to use the methods of overview of systematic review to summarize available evidence, appraise the evidence level, and give suggestions to future research and practice. Methods. A comprehensive search (the Cochrane Library, PubMed, Embase, and ISI Web of Knowledge) was conducted to identify all systematic reviews or meta-analyses of CAM on adult cancer pain. And the evidence levels were evaluated using GRADE approach. Results. 27 systematic reviews were included. Based on available evidence, we could find that psychoeducational interventions, music interventions, acupuncture plus drug therapy, Chinese herbal medicine plus cancer therapy, compound kushen injection, reflexology, lycopene, TENS, qigong, cupping, cannabis, Reiki, homeopathy (Traumeel), and creative arts therapies might have beneficial effects on adult cancer pain. No benefits were found for acupuncture (versus drug therapy or shame acupuncture), and the results were inconsistent for massage therapy, transcutaneous electric nerve stimulation (TENS), and Viscum album L plus cancer treatment. However, the evidence levels for these interventions were low or moderate due to high risk of bias and/or small sample size of primary studies. Conclusion. CAM may be beneficial for alleviating cancer pain, but the evidence levels were found to be low or moderate. Future large and rigor randomized controlled studies are needed to confirm the benefits of CAM on adult cancer pain.This publication has 74 references indexed in Scilit:
- Health-Related Quality-of-Life Outcomes: A Reflexology Trial With Patients With Advanced-Stage Breast CancerOncology Nursing Forum, 2012
- The Use of Massage Therapy for Reducing Pain, Anxiety, and Depression in Oncological Palliative Care Patients: A Narrative Review of the LiteratureISRN Nursing, 2011
- Issues of design and statistical analysis in controlled clinical acupuncture trials: an analysis of English‐language reports from Western journalsStatistics in Medicine, 2011
- Cupping for Treating Pain: A Systematic ReviewEvidence-Based Complementary and Alternative Medicine, 2011
- From Systematic Reviews to Clinical Recommendations for Evidence- Based Health Care: Validation of Revised Assessment of Multiple Systematic Reviews (R-AMSTAR) for Grading of Clinical Relevance~!2009-10-24~!2009-10-03~!2010-07-16~!The Open Dentistry Journal, 2010
- AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviewsJournal of Clinical Epidemiology, 2009
- External Validation of a Measurement Tool to Assess Systematic Reviews (AMSTAR)PLOS ONE, 2007
- The efficacy of physiotherapy upon shoulder function following axillary dissection in breast cancer, a randomized controlled studyBMC Cancer, 2007
- The use of complementary and alternative medicine by cancer patientsInternational Seminars in Surgical Oncology, 2007