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A feasibility study to examine the role of acupuncture to reduce symptoms of lymphoedema after breast cancer: a randomised controlled trial.

Identifieur interne : 006814 ( Ncbi/Merge ); précédent : 006813; suivant : 006815

A feasibility study to examine the role of acupuncture to reduce symptoms of lymphoedema after breast cancer: a randomised controlled trial.

Auteurs : Caroline A. Smith [Australie] ; Marie Pirotta [Australie] ; Sharon Kilbreath [Australie]

Source :

RBID : pubmed:24990160

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English descriptors

Abstract

To determine the feasibility, acceptability and safety of using acupuncture to treat arm lymphoedema in women following treatment for breast cancer.

DOI: 10.1136/acupmed-2014-010593
PubMed: 24990160

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pubmed:24990160

Le document en format XML

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<nlm:affiliation>National Institute for Complementary Medicine, University of Western Sydney, Penrith, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
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<name sortKey="Pirotta, Marie" sort="Pirotta, Marie" uniqKey="Pirotta M" first="Marie" last="Pirotta">Marie Pirotta</name>
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<nlm:affiliation>Department of General Practice, University of Melbourne, Melbourne, Australia.</nlm:affiliation>
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<name sortKey="Kilbreath, Sharon" sort="Kilbreath, Sharon" uniqKey="Kilbreath S" first="Sharon" last="Kilbreath">Sharon Kilbreath</name>
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<term>Acupuncture Points</term>
<term>Acupuncture Therapy (adverse effects)</term>
<term>Aged</term>
<term>Arm</term>
<term>Breast Neoplasms (complications)</term>
<term>Extracellular Fluid (metabolism)</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (metabolism)</term>
<term>Lymphedema (therapy)</term>
<term>Middle Aged</term>
<term>Outcome Assessment (Health Care)</term>
<term>Patient Acceptance of Health Care</term>
<term>Patient Compliance</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Acceptation des soins par le patient</term>
<term>Adulte d'âge moyen</term>
<term>Bras</term>
<term>Femelle</term>
<term>Humains</term>
<term>Liquide extracellulaire (métabolisme)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (métabolisme)</term>
<term>Observance thérapeutique</term>
<term>Points d'acupuncture</term>
<term>Sujet âgé</term>
<term>Thérapie par acupuncture (effets indésirables)</term>
<term>Tumeurs du sein ()</term>
<term>Études de faisabilité</term>
<term>Évaluation de résultat (soins)</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Acupuncture Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Thérapie par acupuncture</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Extracellular Fluid</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr">
<term>Liquide extracellulaire</term>
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Acupuncture Points</term>
<term>Aged</term>
<term>Arm</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Outcome Assessment (Health Care)</term>
<term>Patient Acceptance of Health Care</term>
<term>Patient Compliance</term>
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<term>Acceptation des soins par le patient</term>
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<term>Lymphoedème</term>
<term>Observance thérapeutique</term>
<term>Points d'acupuncture</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein</term>
<term>Études de faisabilité</term>
<term>Évaluation de résultat (soins)</term>
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<front>
<div type="abstract" xml:lang="en">To determine the feasibility, acceptability and safety of using acupuncture to treat arm lymphoedema in women following treatment for breast cancer.</div>
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<Month>09</Month>
<Day>26</Day>
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<Title>Acupuncture in medicine : journal of the British Medical Acupuncture Society</Title>
<ISOAbbreviation>Acupunct Med</ISOAbbreviation>
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<ArticleTitle>A feasibility study to examine the role of acupuncture to reduce symptoms of lymphoedema after breast cancer: a randomised controlled trial.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the feasibility, acceptability and safety of using acupuncture to treat arm lymphoedema in women following treatment for breast cancer.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a randomised controlled trial of acupuncture compared with treatment as usual. Twenty women with stable unilateral intransient lymphoedema present for at least 6 months were recruited from Sydney, Australia. The women received 12 acupuncture treatments administered to body and arm points on the non-lymphoedematous limb over 8 weeks, twice weekly for 4 weeks then once weekly for 4 weeks. Outcome measures included an assessment of interest to participate in the trial, identification of successful recruitment strategies, the appropriateness of eligibility criteria and compliance with treatment attendance. Clinical outcomes were assessed at baseline and 8 weeks and included extracellular fluid, lymphoedema symptoms, well-being and safety.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Acupuncture was an acceptable intervention in women with upper limb lymphoedema. Compliance with the treatment protocol was high, with nine women completing all 12 treatments. Outcome forms were completed by 17 women at 8 weeks. No major adverse occurrences, as defined by the study protocol, were reported from the acupuncture group although one woman found the needling uncomfortable, and no study participant experienced an increase in swelling of >10%. There was no change in extracellular fluid or any patient-reported outcome measurement.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Lymphoedema is a persistent symptom experienced by women recovering from breast cancer. Our study suggests that acupuncture may stabilise symptoms and no major safety concerns were identified, so further research is needed.</AbstractText>
<AbstractText Label="TRIAL REGISTRATION NUMBER" NlmCategory="BACKGROUND">Australian New Zealand Clinical Trials Registry, http://www.anzctr.org.au ACTRN12612000607875.</AbstractText>
<CopyrightInformation>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</CopyrightInformation>
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<LastName>Smith</LastName>
<ForeName>Caroline A</ForeName>
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<Affiliation>National Institute for Complementary Medicine, University of Western Sydney, Penrith, Australia.</Affiliation>
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<Affiliation>Department of General Practice, University of Melbourne, Melbourne, Australia.</Affiliation>
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<DescriptorName UI="D005240" MajorTopicYN="N">Feasibility Studies</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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<DescriptorName UI="D010349" MajorTopicYN="Y">Patient Compliance</DescriptorName>
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</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">ACUPUNCTURE</Keyword>
<Keyword MajorTopicYN="N">COMPLEMENTARY MEDICINE</Keyword>
<Keyword MajorTopicYN="N">ONCOLOGY</Keyword>
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