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Erschienen in: Journal of Cancer Survivorship 4/2007

01.12.2007

Acupuncture and fatigue: Current basis for shared communication between breast cancer survivors and providers

verfasst von: Michael Francis Johnston, Bo Xiao, Ka-Kit Hui

Erschienen in: Journal of Cancer Survivorship | Ausgabe 4/2007

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Abstract

Introduction

Fatigue is the most common symptom reported by survivors of cancer. At present the medical community lacks evidence-based options for its management.

Materials and methods

This paper describes the rationale, current evidence, and research in progress as related to the use of acupuncture as a potential option.

Results

Preliminary evidence suggests that clinicians and cancer survivors may find benefit in considering acupuncture as an option for managing fatigue; this is especially appealing since acupuncture appears to be a safe medical technique. We draw upon our research and clinical experience to generate a description of considerations for patient and provider when thinking about acupuncture as an option for the management of fatigue in non-anemic, disease-free breast cancer survivors.

Discussion/conclusions

Research examining its relative effectiveness and potential for integration with other approaches is a logical next step if the results from RCTs are positive.

Implications for cancer survivors

Acupuncture is not routinely considered in mainstream discussions of options for fatigue management. While future research will more clearly determine its relative effectiveness, given the present options available clinicians and breast cancer survivors may find benefit in considering and discussing acupuncture as an approach for managing persistent fatigue.
Literatur
1.
Zurück zum Zitat Lawrence D, Kupelnick B, Miller K, Devine D, Lau J. Evidence report on the occurrence, assessment, and treatment of fatigue in cancer patients. J Natl Cancer Inst Monographs. 2004;32:40–50.PubMedCrossRef Lawrence D, Kupelnick B, Miller K, Devine D, Lau J. Evidence report on the occurrence, assessment, and treatment of fatigue in cancer patients. J Natl Cancer Inst Monographs. 2004;32:40–50.PubMedCrossRef
2.
Zurück zum Zitat Gall H. The basis of cancer fatigue: where does it come from? Eur J Cancer Care [Suppl]. 1996;5:31–4.CrossRef Gall H. The basis of cancer fatigue: where does it come from? Eur J Cancer Care [Suppl]. 1996;5:31–4.CrossRef
3.
Zurück zum Zitat Bower JE, Ganz PA, Desmond KA, Rowland JH, Meyerowitz BE, Belin TR. Fatigue in breast cancer survivors: occurrence, correlates, and impact on quality of life. J Clin Oncol. 2000;18(4):743–53.PubMed Bower JE, Ganz PA, Desmond KA, Rowland JH, Meyerowitz BE, Belin TR. Fatigue in breast cancer survivors: occurrence, correlates, and impact on quality of life. J Clin Oncol. 2000;18(4):743–53.PubMed
4.
Zurück zum Zitat Bower JE, Ganz PA, Desmond KA, Bernaards C, Rowland JH, Meyerowitz BE, et al. Fatigue in long-term breast carcinoma survivors: a longitudinal investigation. Cancer. 2006;106(4):751–8.PubMedCrossRef Bower JE, Ganz PA, Desmond KA, Bernaards C, Rowland JH, Meyerowitz BE, et al. Fatigue in long-term breast carcinoma survivors: a longitudinal investigation. Cancer. 2006;106(4):751–8.PubMedCrossRef
5.
Zurück zum Zitat Andrykowski MA, Curran SL, Lightner R. Off-treatment fatigue in breast cancer survivors: a controlled comparison. J Behav Med. 1998;21(1):1–18.PubMedCrossRef Andrykowski MA, Curran SL, Lightner R. Off-treatment fatigue in breast cancer survivors: a controlled comparison. J Behav Med. 1998;21(1):1–18.PubMedCrossRef
6.
Zurück zum Zitat Groenvold M, Petersen MA, Idler E, Bjorner JB, Fayers PM, Mouridsen HT. Psychological distress and fatigue predicted recurrence and survival in primary breast cancer patients. Breast Cancer Res Treat. 2007;105(2):209–19.PubMedCrossRef Groenvold M, Petersen MA, Idler E, Bjorner JB, Fayers PM, Mouridsen HT. Psychological distress and fatigue predicted recurrence and survival in primary breast cancer patients. Breast Cancer Res Treat. 2007;105(2):209–19.PubMedCrossRef
7.
Zurück zum Zitat Hanna A, Sledge G, Mayer ML, Hanna N, Einhorn L, Monahan P, et al. A phase II study of methylphenidate for the treatment of fatigue. Support Care Cancer. 2006;14(3):210–5.PubMedCrossRef Hanna A, Sledge G, Mayer ML, Hanna N, Einhorn L, Monahan P, et al. A phase II study of methylphenidate for the treatment of fatigue. Support Care Cancer. 2006;14(3):210–5.PubMedCrossRef
9.
Zurück zum Zitat National Comprehensive Cancer Network (NCCN) practice guidelines in oncology for treatment of cancer related fatigue. Version 1.2007, 01/25/07, © 2007 National Comprehensive Cancer Network, Inc. Accessed on February 5, 2007 from: www.nccn.org. National Comprehensive Cancer Network (NCCN) practice guidelines in oncology for treatment of cancer related fatigue. Version 1.2007, 01/25/07, © 2007 National Comprehensive Cancer Network, Inc. Accessed on February 5, 2007 from: www.​nccn.​org.
10.
Zurück zum Zitat Patrick DL, Ferketich SL, Frame PS, Harris JJ, Hendricks CB, Levin B, et al. National institutes of health state-of-the-science conference statement: symptom management in cancer: pain, depression, and fatigue, July 15–17, 2002. J Natl Cancer Inst. 2003;95(15):1110–7.PubMedCrossRef Patrick DL, Ferketich SL, Frame PS, Harris JJ, Hendricks CB, Levin B, et al. National institutes of health state-of-the-science conference statement: symptom management in cancer: pain, depression, and fatigue, July 15–17, 2002. J Natl Cancer Inst. 2003;95(15):1110–7.PubMedCrossRef
11.
Zurück zum Zitat Hui KK, Hui EK, Johnston MF. The potential of a person-centered approach in caring for patients with cancer: A perspective from the UCLA Center for East-West Medicine. Integrative Cancer Therapies. 2006;5(1):56–62.PubMedCrossRef Hui KK, Hui EK, Johnston MF. The potential of a person-centered approach in caring for patients with cancer: A perspective from the UCLA Center for East-West Medicine. Integrative Cancer Therapies. 2006;5(1):56–62.PubMedCrossRef
12.
Zurück zum Zitat Zhao CH, Stillman MJ, Rozen TD. Traditional and evidence-based acupuncture in headache management: theory, mechanism, and practice. Headache. 2005;45(6):716–30.PubMedCrossRef Zhao CH, Stillman MJ, Rozen TD. Traditional and evidence-based acupuncture in headache management: theory, mechanism, and practice. Headache. 2005;45(6):716–30.PubMedCrossRef
13.
Zurück zum Zitat Cheng XN (chief editor). Chinese acupuncture and moxibustion. Beijing: Foreign Languages Press; 1999. Cheng XN (chief editor). Chinese acupuncture and moxibustion. Beijing: Foreign Languages Press; 1999.
14.
Zurück zum Zitat Ma SX. Enhanced nitric oxide concentrations and expression of nitric oxide synthase in acupuncture points/meridians. J Altern Complement Med. 2003;9(2):207–15.PubMedCrossRef Ma SX. Enhanced nitric oxide concentrations and expression of nitric oxide synthase in acupuncture points/meridians. J Altern Complement Med. 2003;9(2):207–15.PubMedCrossRef
15.
Zurück zum Zitat Vickers AJ, Straus DJ, Fearon B, Cassileth BR. Acupuncture for postchemotherapy fatigue: a phase II study. J Clin Oncol. 2004;22(9):1731–5.PubMedCrossRef Vickers AJ, Straus DJ, Fearon B, Cassileth BR. Acupuncture for postchemotherapy fatigue: a phase II study. J Clin Oncol. 2004;22(9):1731–5.PubMedCrossRef
16.
Zurück zum Zitat Harris RE, Tian X, Williams DA, Tian TX, Cupps TR, Petzke F, et al. Treatment of fibromyalgia with formula acupuncture: investigation of needle placement, needle stimulation, and treatment frequency. J Altern Complement Med. 2005;11(4):663–71.PubMedCrossRef Harris RE, Tian X, Williams DA, Tian TX, Cupps TR, Petzke F, et al. Treatment of fibromyalgia with formula acupuncture: investigation of needle placement, needle stimulation, and treatment frequency. J Altern Complement Med. 2005;11(4):663–71.PubMedCrossRef
17.
Zurück zum Zitat Assefi NP, Sherman KJ, Jacobsen C, Goldberg J, Smith WR, Buchwald D. A randomized clinical trial of acupuncture compared with sham acupuncture in fibromyalgia. Ann Intern Med. 2005;143(1):10–9.PubMed Assefi NP, Sherman KJ, Jacobsen C, Goldberg J, Smith WR, Buchwald D. A randomized clinical trial of acupuncture compared with sham acupuncture in fibromyalgia. Ann Intern Med. 2005;143(1):10–9.PubMed
18.
Zurück zum Zitat Hays RD, Brodsky M, Johnston MF, Spritzer KL, Hui KK. Evaluating the statistical significance of health-related quality-of-life change in individual patients. Eval Health Prof. 2005;28(2):160–71.PubMedCrossRef Hays RD, Brodsky M, Johnston MF, Spritzer KL, Hui KK. Evaluating the statistical significance of health-related quality-of-life change in individual patients. Eval Health Prof. 2005;28(2):160–71.PubMedCrossRef
19.
Zurück zum Zitat Macpherson H, Scullion A, Thomas KJ, Walters S. Patient reports of adverse events associated with acupuncture treatment: a prospective national survey. Qual Saf Health Care. 2004;13(5):349–55.PubMedCrossRef Macpherson H, Scullion A, Thomas KJ, Walters S. Patient reports of adverse events associated with acupuncture treatment: a prospective national survey. Qual Saf Health Care. 2004;13(5):349–55.PubMedCrossRef
20.
Zurück zum Zitat White A. A cumulative review of the range and incidence of significant adverse events associated with acupuncture. Acupunct Med. 2004;22(3):122–33.PubMedCrossRef White A. A cumulative review of the range and incidence of significant adverse events associated with acupuncture. Acupunct Med. 2004;22(3):122–33.PubMedCrossRef
22.
Zurück zum Zitat Hui K-K. Principal investigator, UCLA Center for East-West Medicine. Improving fatigue: a pilot study of acupuncture and patient education for breast cancer survivors. Susan G. Komen Breast Cancer Foundation. Hui K-K. Principal investigator, UCLA Center for East-West Medicine. Improving fatigue: a pilot study of acupuncture and patient education for breast cancer survivors. Susan G. Komen Breast Cancer Foundation.
23.
Zurück zum Zitat Carlson LE, Speca M, Patel KD, Goodey E. Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosom Med. 2003;65:571–81.PubMedCrossRef Carlson LE, Speca M, Patel KD, Goodey E. Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosom Med. 2003;65:571–81.PubMedCrossRef
24.
Zurück zum Zitat Speca M, Carlson LE, Goodey E, Angen M. A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosom Med. 2000;62:613–622.PubMed Speca M, Carlson LE, Goodey E, Angen M. A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosom Med. 2000;62:613–622.PubMed
25.
Zurück zum Zitat Gielissen MF, Verhagen S, Witjes F, Bleijenberg G. Effects of cognitive behavior therapy in severely fatigued disease-free cancer patients compared with patients waiting for cognitive behavior therapy: a randomized controlled trial. J Clin Oncol. 2006;24(30):4882–7.PubMedCrossRef Gielissen MF, Verhagen S, Witjes F, Bleijenberg G. Effects of cognitive behavior therapy in severely fatigued disease-free cancer patients compared with patients waiting for cognitive behavior therapy: a randomized controlled trial. J Clin Oncol. 2006;24(30):4882–7.PubMedCrossRef
26.
Zurück zum Zitat Stanton AL, Ganz PA, Kwan L, Meyerowitz BE, Bower JE, Krupnick JL, et al. Outcomes from the moving beyond cancer psychoeducational, randomized, controlled trial with breast cancer patients. J Clin Oncol. 2005;23(25):6009–18.PubMedCrossRef Stanton AL, Ganz PA, Kwan L, Meyerowitz BE, Bower JE, Krupnick JL, et al. Outcomes from the moving beyond cancer psychoeducational, randomized, controlled trial with breast cancer patients. J Clin Oncol. 2005;23(25):6009–18.PubMedCrossRef
27.
Zurück zum Zitat McNeely ML, Campbell KL, Rowe BH, Klassen TP, Mackey JR, Courneya KS. Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. CMAJ. 2006;175(1):34–41.PubMed McNeely ML, Campbell KL, Rowe BH, Klassen TP, Mackey JR, Courneya KS. Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. CMAJ. 2006;175(1):34–41.PubMed
28.
Zurück zum Zitat Courneya KS, Mackey JR, Bell GJ, Jones LW, Field CJ, Fairey AS. Randomized controlled trial of exercise training in postmenopausal breast cancer survivors: cardiopulmonary and quality of life outcomes. J Clin Oncol. 2003;21(9):1660–8.PubMedCrossRef Courneya KS, Mackey JR, Bell GJ, Jones LW, Field CJ, Fairey AS. Randomized controlled trial of exercise training in postmenopausal breast cancer survivors: cardiopulmonary and quality of life outcomes. J Clin Oncol. 2003;21(9):1660–8.PubMedCrossRef
29.
Zurück zum Zitat Pinto BM, Frierson GM, Rabin C, Trunzo JJ, Marcus BH. Home-based physical activity intervention for breast cancer patients. J Clin Oncol. 2005;23(15):3577–87.PubMedCrossRef Pinto BM, Frierson GM, Rabin C, Trunzo JJ, Marcus BH. Home-based physical activity intervention for breast cancer patients. J Clin Oncol. 2005;23(15):3577–87.PubMedCrossRef
30.
Zurück zum Zitat Leonard BE, McCartan D, White J, King DJ. Methylphenidate: a review of its neuropharmacological, neuropsychological and adverse clinical effects. Hum Psychopharmacol. 2004;19(3):151–80.PubMedCrossRef Leonard BE, McCartan D, White J, King DJ. Methylphenidate: a review of its neuropharmacological, neuropsychological and adverse clinical effects. Hum Psychopharmacol. 2004;19(3):151–80.PubMedCrossRef
31.
Zurück zum Zitat Hansten P, Horn J. Hansten and Horn’s drug interaction analysis and management. St. Louis, MO: Wolters Kluwer Health, Inc.; 2006. Hansten P, Horn J. Hansten and Horn’s drug interaction analysis and management. St. Louis, MO: Wolters Kluwer Health, Inc.; 2006.
32.
Zurück zum Zitat O’Connor A, Llewellyn-Thomas HA, Flood AB. Modifying unwarranted variations in health care: shared decision making using patient decision aids: a review of the evidence base for shared decision making. Health Aff 63–72, October 2004. O’Connor A, Llewellyn-Thomas HA, Flood AB. Modifying unwarranted variations in health care: shared decision making using patient decision aids: a review of the evidence base for shared decision making. Health Aff 63–72, October 2004.
33.
Zurück zum Zitat Kirshbaum MN. A review of the benefits of whole body exercise during and after treatment for breast cancer. J Clin Nurs. 2007;16(1):104–21.PubMedCrossRef Kirshbaum MN. A review of the benefits of whole body exercise during and after treatment for breast cancer. J Clin Nurs. 2007;16(1):104–21.PubMedCrossRef
34.
Zurück zum Zitat Weiger WA, Smith M, Boon H, Richardson MA, Kaptchuk TJ, Eisenberg DM. Advising patients who seek complementary and alternative medical therapies for cancer. Ann Intern Med. 2002;137(11):889–903.PubMed Weiger WA, Smith M, Boon H, Richardson MA, Kaptchuk TJ, Eisenberg DM. Advising patients who seek complementary and alternative medical therapies for cancer. Ann Intern Med. 2002;137(11):889–903.PubMed
35.
Zurück zum Zitat Fox R. Informed choice in screening programs: do leaflets help? A critical literature review. J Publ Health. Advance Access Published October 23, 2006. Fox R. Informed choice in screening programs: do leaflets help? A critical literature review. J Publ Health. Advance Access Published October 23, 2006.
36.
Zurück zum Zitat IOM (Institute of Medicine). Complementary and Alternative Medicine (CAM) in the United States. Washington, DC: National Academy Press; 2005. IOM (Institute of Medicine). Complementary and Alternative Medicine (CAM) in the United States. Washington, DC: National Academy Press; 2005.
37.
Zurück zum Zitat IOM (Institute of Medicine). Crossing the quality chasm: a new health system for the 21st Century. Washington, DC: National Academy Press; 2001. IOM (Institute of Medicine). Crossing the quality chasm: a new health system for the 21st Century. Washington, DC: National Academy Press; 2001.
38.
Zurück zum Zitat IOM (Institute of Medicine). From cancer patient to cancer survivor: lost in transition. Washington, DC: National Academy Press; 2006. IOM (Institute of Medicine). From cancer patient to cancer survivor: lost in transition. Washington, DC: National Academy Press; 2006.
39.
Zurück zum Zitat Cohen MH, Hrbek A, Davis RB, Schachter SC, Kemper KJ, Boyer EW, et al. Emerging credentialing practices, malpractice liability policies, and guidelines governing complementary and alternative medical practices and dietary supplement recommendations: a descriptive study of 19 integrative health care centers in the United States. Arch Intern Med. 2005;165(3):289–95. Erratum in: Arch Intern Med. 2005 Apr 11;165(7):730. Kemper, Kathi J [added]; Boyer, Edward W [added]. Cohen MH, Hrbek A, Davis RB, Schachter SC, Kemper KJ, Boyer EW, et al. Emerging credentialing practices, malpractice liability policies, and guidelines governing complementary and alternative medical practices and dietary supplement recommendations: a descriptive study of 19 integrative health care centers in the United States. Arch Intern Med. 2005;165(3):289–95. Erratum in: Arch Intern Med. 2005 Apr 11;165(7):730. Kemper, Kathi J [added]; Boyer, Edward W [added].
40.
Zurück zum Zitat Frosch D, Kaplan R. Shared decision making in clinical medicine: past research and future directions. Am J Prev Med. 1999;17:285–94.PubMedCrossRef Frosch D, Kaplan R. Shared decision making in clinical medicine: past research and future directions. Am J Prev Med. 1999;17:285–94.PubMedCrossRef
41.
Zurück zum Zitat Kaplan R, Frosch D. Decision-making in medicine and health care. Annu Rev Clin Psychol. 2005;1:525–56.PubMedCrossRef Kaplan R, Frosch D. Decision-making in medicine and health care. Annu Rev Clin Psychol. 2005;1:525–56.PubMedCrossRef
42.
Zurück zum Zitat Tagliaferri M, Cohen I, Tripathy D. Complementary and alternative medicine in early-stage breast cancer. Sem Oncol. 2001;28(1):121–34.CrossRef Tagliaferri M, Cohen I, Tripathy D. Complementary and alternative medicine in early-stage breast cancer. Sem Oncol. 2001;28(1):121–34.CrossRef
43.
Zurück zum Zitat Bower JE. Cancer-related fatigue: links with inflammation in cancer patients and survivors. Brain Behav Immun. 2007;21(7):863–71.PubMedCrossRef Bower JE. Cancer-related fatigue: links with inflammation in cancer patients and survivors. Brain Behav Immun. 2007;21(7):863–71.PubMedCrossRef
44.
Zurück zum Zitat Bender CM, Ergyn FS, Rosenzweig MQ, Cohen SM, Sereika SM. Symptom clusters in breast cancer across 3 phases of the disease. Cancer Nurs. 2005;28(3):219–25.PubMedCrossRef Bender CM, Ergyn FS, Rosenzweig MQ, Cohen SM, Sereika SM. Symptom clusters in breast cancer across 3 phases of the disease. Cancer Nurs. 2005;28(3):219–25.PubMedCrossRef
45.
Zurück zum Zitat Walling A. Therapeutic modulation of the psychoneuroimmune system by medical acupuncture creates enhanced feelings of well-being. J Am Acad Nurse Pract. 2006;18(4):135–43.PubMedCrossRef Walling A. Therapeutic modulation of the psychoneuroimmune system by medical acupuncture creates enhanced feelings of well-being. J Am Acad Nurse Pract. 2006;18(4):135–43.PubMedCrossRef
46.
Zurück zum Zitat Cho ZH, Hwang SC, Wong EK, Son YD, Kang CK, Park TS. Neural substrates, experimental evidences and functional hypothesis of acupuncture mechanisms. Acta Neurol Scand. 2006;113(6):370–7.PubMedCrossRef Cho ZH, Hwang SC, Wong EK, Son YD, Kang CK, Park TS. Neural substrates, experimental evidences and functional hypothesis of acupuncture mechanisms. Acta Neurol Scand. 2006;113(6):370–7.PubMedCrossRef
47.
Zurück zum Zitat Markes M, Brockow T, Resch KL. Exercise for women receiving adjuvant therapy for breast cancer. Cochrane Database Syst Rev 2006;(4):CD005001. Markes M, Brockow T, Resch KL. Exercise for women receiving adjuvant therapy for breast cancer. Cochrane Database Syst Rev 2006;(4):CD005001.
48.
Zurück zum Zitat Yang JS. Acupuncture and moxibustion. Beijing: Ren Min Wei Sheng Press; 1997. Yang JS. Acupuncture and moxibustion. Beijing: Ren Min Wei Sheng Press; 1997.
49.
Zurück zum Zitat Henderson JW, Donatelle RJ. Complementary and alternative medicine use by women after completion of allopathic treatment for breast cancer. Altern Ther Health Med. 2004;10(1):52–7.PubMed Henderson JW, Donatelle RJ. Complementary and alternative medicine use by women after completion of allopathic treatment for breast cancer. Altern Ther Health Med. 2004;10(1):52–7.PubMed
50.
Zurück zum Zitat Molassiotis A, Sylt P, Diggins H. The management of cancer-related fatigue after chemotheraphy with acupuncture and acupressure: a randomized controlled trial. Complement Ther Med. (in press). Molassiotis A, Sylt P, Diggins H. The management of cancer-related fatigue after chemotheraphy with acupuncture and acupressure: a randomized controlled trial. Complement Ther Med. (in press).
Metadaten
Titel
Acupuncture and fatigue: Current basis for shared communication between breast cancer survivors and providers
verfasst von
Michael Francis Johnston
Bo Xiao
Ka-Kit Hui
Publikationsdatum
01.12.2007
Verlag
Springer US
Erschienen in
Journal of Cancer Survivorship / Ausgabe 4/2007
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-007-0035-9

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