Effects of warm acupuncture on breast cancer–related chronic lymphedema: a randomized controlled trial
Identifieur interne : 000650 ( Pmc/Curation ); précédent : 000649; suivant : 000651Effects of warm acupuncture on breast cancer–related chronic lymphedema: a randomized controlled trial
Auteurs : C. Yao [République populaire de Chine] ; Y. Xu [République populaire de Chine] ; L. Chen [République populaire de Chine] ; H. Jiang [République populaire de Chine] ; C. S. Ki [Corée du Sud] ; J. S. Byun [Corée du Sud] ; W. Bian [République populaire de Chine]Source :
- Current Oncology [ 1198-0052 ] ; 2016.
Abstract
Effective treatment for breast cancer–related chronic lymphedema (
Breast cancer patients who met the inclusion and exclusion criteria (
Measured by the index of effectiveness,
Compared with diosmin, warm acupuncture treatment can effectively reduce the degree of
Url:
DOI: 10.3747/co.23.2788
PubMed: 26966410
PubMed Central: 4754066
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Xu</name><affiliation wicri:level="1"><nlm:aff id="af1-conc-23-e27">Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, P.R.C.;</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing</wicri:regionArea></affiliation></author><author><name sortKey="Chen, L" sort="Chen, L" uniqKey="Chen L" first="L." last="Chen">L. Chen</name><affiliation wicri:level="1"><nlm:aff id="af1-conc-23-e27">Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, P.R.C.;</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing</wicri:regionArea></affiliation></author><author><name sortKey="Jiang, H" sort="Jiang, H" uniqKey="Jiang H" first="H." last="Jiang">H. Jiang</name><affiliation wicri:level="1"><nlm:aff id="af1-conc-23-e27">Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, P.R.C.;</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing</wicri:regionArea></affiliation></author><author><name sortKey="Ki, C S" sort="Ki, C S" uniqKey="Ki C" first="C. S." last="Ki">C. S. Ki</name><affiliation wicri:level="1"><nlm:aff id="af2-conc-23-e27">Hospital of the Catholic University of Daegu, Daegu, South Korea;</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Hospital of the Catholic University of Daegu, Daegu</wicri:regionArea></affiliation></author><author><name sortKey="Byun, J S" sort="Byun, J S" uniqKey="Byun J" first="J. S." last="Byun">J. S. Byun</name><affiliation wicri:level="1"><nlm:aff id="af3-conc-23-e27">Department of Internal Medicine, College of Korean Medicine, Daegu Haany University, Daegu, South Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, College of Korean Medicine, Daegu Haany University, Daegu</wicri:regionArea></affiliation></author><author><name sortKey="Bian, W" sort="Bian, W" uniqKey="Bian W" first="W." last="Bian">W. Bian</name><affiliation wicri:level="1"><nlm:aff id="af1-conc-23-e27">Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, P.R.C.;</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26966410</idno><idno type="pmc">4754066</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4754066</idno><idno type="RBID">PMC:4754066</idno><idno type="doi">10.3747/co.23.2788</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000650</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000650</idno><idno type="wicri:Area/Pmc/Curation">000650</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000650</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Effects of warm acupuncture on breast cancer–related chronic lymphedema: a randomized controlled trial</title><author><name sortKey="Yao, C" sort="Yao, C" uniqKey="Yao C" first="C." last="Yao">C. Yao</name><affiliation wicri:level="1"><nlm:aff id="af1-conc-23-e27">Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, P.R.C.;</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing</wicri:regionArea></affiliation></author><author><name sortKey="Xu, Y" sort="Xu, Y" uniqKey="Xu Y" first="Y." last="Xu">Y. Xu</name><affiliation wicri:level="1"><nlm:aff id="af1-conc-23-e27">Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, P.R.C.;</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing</wicri:regionArea></affiliation></author><author><name sortKey="Chen, L" sort="Chen, L" uniqKey="Chen L" first="L." last="Chen">L. Chen</name><affiliation wicri:level="1"><nlm:aff id="af1-conc-23-e27">Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, P.R.C.;</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing</wicri:regionArea></affiliation></author><author><name sortKey="Jiang, H" sort="Jiang, H" uniqKey="Jiang H" first="H." last="Jiang">H. Jiang</name><affiliation wicri:level="1"><nlm:aff id="af1-conc-23-e27">Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, P.R.C.;</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing</wicri:regionArea></affiliation></author><author><name sortKey="Ki, C S" sort="Ki, C S" uniqKey="Ki C" first="C. S." last="Ki">C. S. Ki</name><affiliation wicri:level="1"><nlm:aff id="af2-conc-23-e27">Hospital of the Catholic University of Daegu, Daegu, South Korea;</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Hospital of the Catholic University of Daegu, Daegu</wicri:regionArea></affiliation></author><author><name sortKey="Byun, J S" sort="Byun, J S" uniqKey="Byun J" first="J. S." last="Byun">J. S. Byun</name><affiliation wicri:level="1"><nlm:aff id="af3-conc-23-e27">Department of Internal Medicine, College of Korean Medicine, Daegu Haany University, Daegu, South Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, College of Korean Medicine, Daegu Haany University, Daegu</wicri:regionArea></affiliation></author><author><name sortKey="Bian, W" sort="Bian, W" uniqKey="Bian W" first="W." last="Bian">W. Bian</name><affiliation wicri:level="1"><nlm:aff id="af1-conc-23-e27">Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, P.R.C.;</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing</wicri:regionArea></affiliation></author></analytic><series><title level="j">Current Oncology</title><idno type="ISSN">1198-0052</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Effective treatment for breast cancer–related chronic lymphedema (<sc>bcrl</sc>) remains a clinical challenge. Acupuncture and moxibustion treatments have been shown to be beneficial and safe for treating <sc>bcrl</sc>. In the present randomized controlled trial, we compared the effectiveness of combined acupuncture and moxibustion (“warm acupuncture”) with that of diosmin in <sc>bcrl</sc>.</p></sec><sec><title>Methods</title><p>Breast cancer patients who met the inclusion and exclusion criteria (<italic>n</italic> = 30) were randomized to experimental and control groups (15 per group). On alternate days, patients in the experimental group received 30 minutes of acupuncture at 6 acupoints, with 3 of the needles each being topped by a 3-cm moxa stick. The control treatment was diosmin 900 mg 3 times daily. The control and experimental treatments were administered for 30 days. Outcome measures included arm circumferences (index of effectiveness), range of motion [<sc>rom</sc> (shoulder joint function)], quality of life, clinical safety, and adverse events.</p></sec><sec><title>Results</title><p>Measured by the index of effectiveness, <sc>bcrl</sc> improved by 51.46% in the experimental group and by 26.27% in the control group (<italic>p</italic> < 0.00001). Effects were greatest at 10 cm above the elbow and at the wrist, where the warm needling was provided. Impairments in shoulder joint <sc>rom</sc> were minimal at baseline in both treatment groups. However, the <sc>rom</sc>s of rear protraction, abduction, intorsion, and extorsion in the experimental group improved significantly; they did not change in the control group. Self-reported quality of life was significantly better with warm acupuncture than with diosmin. No adverse effects were reported during the treatment period, and laboratory examinations for clinical safety fell within the normal ranges.</p></sec><sec><title>Conclusions</title><p>Compared with diosmin, warm acupuncture treatment can effectively reduce the degree of <sc>bcrl</sc> at the specific acupoints treated and can promote quality of life. Warm acupuncture showed good clinical safety, without any adverse effects on blood or the cardiovascular system.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Curr Oncol</journal-id><journal-id journal-id-type="iso-abbrev">Curr Oncol</journal-id><journal-id journal-id-type="publisher-id">CO</journal-id><journal-title-group><journal-title>Current Oncology</journal-title></journal-title-group><issn pub-type="ppub">1198-0052</issn><publisher><publisher-name>Multimed Inc.</publisher-name><publisher-loc>66 Martin St. Milton, ON, Canada L9T 2R2</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26966410</article-id><article-id pub-id-type="pmc">4754066</article-id><article-id pub-id-type="doi">10.3747/co.23.2788</article-id><article-id pub-id-type="publisher-id">conc-23-e27</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject><subj-group subj-group-type="heading"><subject>Integrative Oncology</subject></subj-group></subj-group></article-categories><title-group><article-title>Effects of warm acupuncture on breast cancer–related chronic lymphedema: a randomized controlled trial</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Yao</surname><given-names>C.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="af1-conc-23-e27"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Xu</surname><given-names>Y.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="af1-conc-23-e27"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Chen</surname><given-names>L.</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="af1-conc-23-e27"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Jiang</surname><given-names>H.</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="af1-conc-23-e27"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Ki</surname><given-names>C.S.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="af2-conc-23-e27"><sup>†</sup></xref></contrib><contrib contrib-type="author"><name><surname>Byun</surname><given-names>J.S.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="af3-conc-23-e27"><sup>‡</sup></xref></contrib><contrib contrib-type="author"><name><surname>Bian</surname><given-names>W.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="af1-conc-23-e27"><sup>*</sup></xref><xref rid="c1-conc-23-e27" ref-type="corresp"></xref></contrib></contrib-group><aff id="af1-conc-23-e27"><label>*</label>Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, P.R.C.;</aff><aff id="af2-conc-23-e27"><label>†</label>Hospital of the Catholic University of Daegu, Daegu, South Korea;</aff><aff id="af3-conc-23-e27"><label>‡</label>Department of Internal Medicine, College of Korean Medicine, Daegu Haany University, Daegu, South Korea.</aff><author-notes><corresp id="c1-conc-23-e27">Correspondence to: Weihe Bian, Department of Breast Disease, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, 155 Han Zhong Road, Nanjing, P.R.C., or Joon-Seok Byun, Department of Internal Medicine, College of Korean Medicine, Daegu Haany University, 165 Sang-dong, Suseong-gu, Daegu 706-828, South Korea. E-mail: <email>bweihe@163.com</email> or <email>bjseok@nate.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>2</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>18</day><month>2</month><year>2016</year></pub-date><volume>23</volume><issue>1</issue><fpage>e27</fpage><lpage>e34</lpage><permissions><copyright-statement>2016 Multimed Inc.</copyright-statement><copyright-year>2016</copyright-year></permissions><abstract><sec><title>Background</title><p>Effective treatment for breast cancer–related chronic lymphedema (<sc>bcrl</sc>) remains a clinical challenge. Acupuncture and moxibustion treatments have been shown to be beneficial and safe for treating <sc>bcrl</sc>. In the present randomized controlled trial, we compared the effectiveness of combined acupuncture and moxibustion (“warm acupuncture”) with that of diosmin in <sc>bcrl</sc>.</p></sec><sec><title>Methods</title><p>Breast cancer patients who met the inclusion and exclusion criteria (<italic>n</italic> = 30) were randomized to experimental and control groups (15 per group). On alternate days, patients in the experimental group received 30 minutes of acupuncture at 6 acupoints, with 3 of the needles each being topped by a 3-cm moxa stick. The control treatment was diosmin 900 mg 3 times daily. The control and experimental treatments were administered for 30 days. Outcome measures included arm circumferences (index of effectiveness), range of motion [<sc>rom</sc> (shoulder joint function)], quality of life, clinical safety, and adverse events.</p></sec><sec><title>Results</title><p>Measured by the index of effectiveness, <sc>bcrl</sc> improved by 51.46% in the experimental group and by 26.27% in the control group (<italic>p</italic> < 0.00001). Effects were greatest at 10 cm above the elbow and at the wrist, where the warm needling was provided. Impairments in shoulder joint <sc>rom</sc> were minimal at baseline in both treatment groups. However, the <sc>rom</sc>s of rear protraction, abduction, intorsion, and extorsion in the experimental group improved significantly; they did not change in the control group. Self-reported quality of life was significantly better with warm acupuncture than with diosmin. No adverse effects were reported during the treatment period, and laboratory examinations for clinical safety fell within the normal ranges.</p></sec><sec><title>Conclusions</title><p>Compared with diosmin, warm acupuncture treatment can effectively reduce the degree of <sc>bcrl</sc> at the specific acupoints treated and can promote quality of life. Warm acupuncture showed good clinical safety, without any adverse effects on blood or the cardiovascular system.</p></sec></abstract><kwd-group><kwd>Warm acupuncture</kwd><kwd>breast cancer–related lymphedema</kwd><kwd>range of motion</kwd><kwd>quality of life</kwd><kwd>clinical safety</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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