Acupuncture in the treatment of upper-limb lymphedema: results of a pilot study.
Identifieur interne : 001B97 ( PubMed/Curation ); précédent : 001B96; suivant : 001B98Acupuncture in the treatment of upper-limb lymphedema: results of a pilot study.
Auteurs : Barrie R. Cassileth [États-Unis] ; Kimberly J. Van Zee ; K Simon Yeung ; Marci I. Coleton ; Sara Cohen ; Yi H. Chan ; Andrew J. Vickers ; Daniel D. Sjoberg ; Clifford A. HudisSource :
- Cancer [ 1097-0142 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Lymphoedème (), Lymphoedème (étiologie), Membre supérieur, Plan de recherche, Projets pilotes, Résultat thérapeutique, Sujet âgé, Sécurité des patients, Thérapie par acupuncture (effets indésirables), Tumeurs du sein (), Études de suivi.
- MESH :
- effets indésirables : Thérapie par acupuncture.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Lymphoedème, Membre supérieur, Plan de recherche, Projets pilotes, Résultat thérapeutique, Sujet âgé, Sécurité des patients, Tumeurs du sein, Études de suivi.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Acupuncture Therapy.
- etiology : Lymphedema.
- therapy : Breast Neoplasms, Lymphedema.
- Adult, Aged, Female, Follow-Up Studies, Humans, Middle Aged, Patient Safety, Pilot Projects, Research Design, Surveys and Questionnaires, Treatment Outcome, Upper Extremity.
Abstract
Current treatments for lymphedema after breast cancer treatment are expensive and require ongoing intervention. Clinical experience and our preliminary published results suggest that acupuncture is safe and potentially useful. This study evaluates the safety and potential efficacy of acupuncture on upper-limb circumference in women with lymphedema.
DOI: 10.1002/cncr.28093
PubMed: 23576267
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pubmed:23576267Le document en format XML
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<term>Follow-Up Studies</term>
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<term>Lymphedema (etiology)</term>
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<term>Research Design</term>
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</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
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<term>Aged</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Middle Aged</term>
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<term>Research Design</term>
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<term>Adulte d'âge moyen</term>
<term>Enquêtes et questionnaires</term>
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<term>Humains</term>
<term>Lymphoedème</term>
<term>Membre supérieur</term>
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<term>Projets pilotes</term>
<term>Résultat thérapeutique</term>
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<front><div type="abstract" xml:lang="en">Current treatments for lymphedema after breast cancer treatment are expensive and require ongoing intervention. Clinical experience and our preliminary published results suggest that acupuncture is safe and potentially useful. This study evaluates the safety and potential efficacy of acupuncture on upper-limb circumference in women with lymphedema.</div>
</front>
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<DateCreated><Year>2013</Year>
<Month>06</Month>
<Day>18</Day>
</DateCreated>
<DateCompleted><Year>2013</Year>
<Month>08</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>12</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-0142</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>119</Volume>
<Issue>13</Issue>
<PubDate><Year>2013</Year>
<Month>Jul</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>Cancer</Title>
<ISOAbbreviation>Cancer</ISOAbbreviation>
</Journal>
<ArticleTitle>Acupuncture in the treatment of upper-limb lymphedema: results of a pilot study.</ArticleTitle>
<Pagination><MedlinePgn>2455-61</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/cncr.28093</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Current treatments for lymphedema after breast cancer treatment are expensive and require ongoing intervention. Clinical experience and our preliminary published results suggest that acupuncture is safe and potentially useful. This study evaluates the safety and potential efficacy of acupuncture on upper-limb circumference in women with lymphedema.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Women with a clinical diagnosis of breast cancer-related lymphedema (BCRL) for 0.5-5 years and with affected arm circumference ≥2 cm larger than unaffected arm received acupuncture treatment twice weekly for 4 weeks. Affected and unaffected arm circumferences were measured before and after each acupuncture treatment. Response, defined as ≥30% reduction in circumference difference between affected/unaffected arms, was assessed. Monthly follow-up calls for 6 months thereafter were made to document any complications and self-reported lymphedema status.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Among 37 enrolled patients, 33 were evaluated; 4 discontinued due to time constraints. Mean reduction in arm circumference difference was 0.90 cm (95% CI, 0.72-1.07; P < .0005). Eleven patients (33%) exhibited a reduction of ≥30% after acupuncture treatment. Seventy-six percent of patients received all treatments; 21% missed 1 treatment, and another patient missed 2 treatments. During the treatment period, 14 of the 33 patients reported minor complaints, including mild local bruising or pain/tingling. There were no serious adverse events and no infections or severe exacerbations after 255 treatment sessions and 6 months of follow-up interviews.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Acupuncture for BCRL appears safe and may reduce arm circumference. Although these results await confirmation in a randomized trial, acupuncture can be considered for women with no other options for sustained arm circumference reduction.</AbstractText>
<CopyrightInformation>Copyright © 2013 American Cancer Society.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y"><LastName>Van Zee</LastName>
<ForeName>Kimberly J</ForeName>
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<Author ValidYN="Y"><LastName>Yeung</LastName>
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<ForeName>Yi H</ForeName>
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<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D061214" MajorTopicYN="N">Patient Safety</DescriptorName>
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<MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName>
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<MeshHeading><DescriptorName UI="D012107" MajorTopicYN="N">Research Design</DescriptorName>
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<MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D034941" MajorTopicYN="Y">Upper Extremity</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<OtherID Source="NLM">PMC3738927</OtherID>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year>
<Month>08</Month>
<Day>17</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2012</Year>
<Month>10</Month>
<Day>05</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2012</Year>
<Month>11</Month>
<Day>05</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2013</Year>
<Month>4</Month>
<Day>12</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="pubmed"><Year>2013</Year>
<Month>4</Month>
<Day>12</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline"><Year>2013</Year>
<Month>8</Month>
<Day>21</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">23576267</ArticleId>
<ArticleId IdType="doi">10.1002/cncr.28093</ArticleId>
<ArticleId IdType="pmc">PMC3738927</ArticleId>
</ArticleIdList>
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