A safety and efficacy pilot study of acupuncture for the treatment of chronic lymphoedema.
Identifieur interne : 002576 ( PubMed/Curation ); précédent : 002575; suivant : 002577A safety and efficacy pilot study of acupuncture for the treatment of chronic lymphoedema.
Auteurs : Barrie R. Cassileth [États-Unis] ; Kimberly J. Van Zee ; Yi Chan ; Marci I. Coleton ; Clifford A. Hudis ; Sara Cohen ; James Lozada ; Andrew J. VickersSource :
- Acupuncture in medicine : journal of the British Medical Acupuncture Society [ 1759-9873 ] ; 2011.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Thérapie par acupuncture.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Lymphoedème, Maladie chronique, Projets pilotes, Résultat thérapeutique, Sujet âgé, Études de suivi.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Acupuncture Therapy.
- therapy : Chronic Disease, Lymphedema.
- Adult, Aged, Female, Follow-Up Studies, Humans, Middle Aged, Pilot Projects, Treatment Outcome.
Abstract
Lymphoedema is a distressing problem affecting many women after breast cancer surgery. There is no cure and existing treatments are marginally beneficial, rarely reducing arm swelling in any meaningful way. Needling and even lifting of objects using the affected arm has been prohibited, but our clinical experience and that of others suggested that acupuncture was safe and that it might be a useful treatment for lymphoedema.
DOI: 10.1136/aim.2011.004069
PubMed: 21685498
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Van Zee</name></author><author><name sortKey="Chan, Yi" sort="Chan, Yi" uniqKey="Chan Y" first="Yi" last="Chan">Yi Chan</name></author><author><name sortKey="Coleton, Marci I" sort="Coleton, Marci I" uniqKey="Coleton M" first="Marci I" last="Coleton">Marci I. Coleton</name></author><author><name sortKey="Hudis, Clifford A" sort="Hudis, Clifford A" uniqKey="Hudis C" first="Clifford A" last="Hudis">Clifford A. Hudis</name></author><author><name sortKey="Cohen, Sara" sort="Cohen, Sara" uniqKey="Cohen S" first="Sara" last="Cohen">Sara Cohen</name></author><author><name sortKey="Lozada, James" sort="Lozada, James" uniqKey="Lozada J" first="James" last="Lozada">James Lozada</name></author><author><name sortKey="Vickers, Andrew J" sort="Vickers, Andrew J" uniqKey="Vickers A" first="Andrew J" last="Vickers">Andrew J. 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Cassileth</name><affiliation wicri:level="1"><nlm:affiliation>Integrative Medicine Service, Memorial Sloan-Kettering Cancer Center, 1429 First Avenue, New York, NY 10021, USA. Cassileth@mskcc.org</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Integrative Medicine Service, Memorial Sloan-Kettering Cancer Center, 1429 First Avenue, New York, NY 10021</wicri:regionArea></affiliation></author><author><name sortKey="Van Zee, Kimberly J" sort="Van Zee, Kimberly J" uniqKey="Van Zee K" first="Kimberly J" last="Van Zee">Kimberly J. Van Zee</name></author><author><name sortKey="Chan, Yi" sort="Chan, Yi" uniqKey="Chan Y" first="Yi" last="Chan">Yi Chan</name></author><author><name sortKey="Coleton, Marci I" sort="Coleton, Marci I" uniqKey="Coleton M" first="Marci I" last="Coleton">Marci I. Coleton</name></author><author><name sortKey="Hudis, Clifford A" sort="Hudis, Clifford A" uniqKey="Hudis C" first="Clifford A" last="Hudis">Clifford A. Hudis</name></author><author><name sortKey="Cohen, Sara" sort="Cohen, Sara" uniqKey="Cohen S" first="Sara" last="Cohen">Sara Cohen</name></author><author><name sortKey="Lozada, James" sort="Lozada, James" uniqKey="Lozada J" first="James" last="Lozada">James Lozada</name></author><author><name sortKey="Vickers, Andrew J" sort="Vickers, Andrew J" uniqKey="Vickers A" first="Andrew J" last="Vickers">Andrew J. Vickers</name></author></analytic><series><title level="j">Acupuncture in medicine : journal of the British Medical Acupuncture Society</title><idno type="eISSN">1759-9873</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acupuncture Therapy (adverse effects)</term><term>Adult</term><term>Aged</term><term>Chronic Disease (therapy)</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymphedema (therapy)</term><term>Middle Aged</term><term>Pilot Projects</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Maladie chronique ()</term><term>Projets pilotes</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Thérapie par acupuncture (effets indésirables)</term><term>Études de suivi</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Acupuncture Therapy</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Thérapie par acupuncture</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Chronic Disease</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Middle Aged</term><term>Pilot Projects</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Maladie chronique</term><term>Projets pilotes</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphoedema is a distressing problem affecting many women after breast cancer surgery. There is no cure and existing treatments are marginally beneficial, rarely reducing arm swelling in any meaningful way. Needling and even lifting of objects using the affected arm has been prohibited, but our clinical experience and that of others suggested that acupuncture was safe and that it might be a useful treatment for lymphoedema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21685498</PMID><DateCreated><Year>2011</Year><Month>08</Month><Day>30</Day></DateCreated><DateCompleted><Year>2011</Year><Month>11</Month><Day>08</Day></DateCompleted><DateRevised><Year>2015</Year><Month>02</Month><Day>04</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1759-9873</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><Issue>3</Issue><PubDate><Year>2011</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Acupuncture in medicine : journal of the British Medical Acupuncture Society</Title><ISOAbbreviation>Acupunct Med</ISOAbbreviation></Journal><ArticleTitle>A safety and efficacy pilot study of acupuncture for the treatment of chronic lymphoedema.</ArticleTitle><Pagination><MedlinePgn>170-2</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/aim.2011.004069</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphoedema is a distressing problem affecting many women after breast cancer surgery. There is no cure and existing treatments are marginally beneficial, rarely reducing arm swelling in any meaningful way. Needling and even lifting of objects using the affected arm has been prohibited, but our clinical experience and that of others suggested that acupuncture was safe and that it might be a useful treatment for lymphoedema.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">We sought to conduct a pilot study of the safety and effectiveness of acupuncture in women diagnosed with chronic lymphoedema for at least 6 months and less than 5 years.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Women with chronic lymphoedema (affected arm with >2 cm circumference than unaffected arm) after breast cancer surgery received acupuncture twice a week for 4 weeks. Response was defined as at least a 30% reduction in the difference in size between the affected and unaffected arms. Monthly follow-up calls for 6 months following treatment were made to obtain information about side effects.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Study goals were met after nine subjects were treated: four women showed at least a 30% reduction in the extent of lymphoedema at 4 weeks when compared with their respective baseline values. No serious adverse events occurred during or after 73 treatment sessions. Limitations This pilot study requires a larger, randomised follow-up investigation plus enquiries into possible mechanisms. Both are in development by our group.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Acupuncture appears safe and may reduce lymphoedema associated with breast cancer surgery.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cassileth</LastName><ForeName>Barrie R</ForeName><Initials>BR</Initials><AffiliationInfo><Affiliation>Integrative Medicine Service, Memorial Sloan-Kettering Cancer Center, 1429 First Avenue, New York, NY 10021, USA. Cassileth@mskcc.org</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Zee</LastName><ForeName>Kimberly J</ForeName><Initials>KJ</Initials></Author><Author ValidYN="Y"><LastName>Chan</LastName><ForeName>Yi</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Coleton</LastName><ForeName>Marci I</ForeName><Initials>MI</Initials></Author><Author ValidYN="Y"><LastName>Hudis</LastName><ForeName>Clifford A</ForeName><Initials>CA</Initials></Author><Author ValidYN="Y"><LastName>Cohen</LastName><ForeName>Sara</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Lozada</LastName><ForeName>James</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Vickers</LastName><ForeName>Andrew J</ForeName><Initials>AJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>06</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Acupunct Med</MedlineTA><NlmUniqueID>9304117</NlmUniqueID><ISSNLinking>0964-5284</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Breast Cancer Res Treat. 2000 Dec;64(3):275-86</RefSource><PMID Version="1">11200778</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Pain Symptom Manage. 2009 Dec;38(6):849-59</RefSource><PMID Version="1">19819668</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Chin Med. 2002;30(1):37-43</RefSource><PMID Version="1">12067095</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Arch Surg. 2002 Nov;137(11):1253-7</RefSource><PMID Version="1">12413312</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Arch Intern 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Version="1">15968692</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Surg Oncol. 2006 Apr;13(4):491-500</RefSource><PMID Version="1">16514477</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 2006 Dec;39(4):185-92</RefSource><PMID Version="1">17319631</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Clin Oncol. 2009 Jan 20;27(3):390-7</RefSource><PMID Version="1">19064976</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Clin Oncol. 2009 Apr 20;27(12):2007-14</RefSource><PMID Version="1">19289624</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Forsch Komplementmed. 2009 Apr;16(2):91-7</RefSource><PMID Version="1">19420954</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Radiat Oncol Biol Phys. 2010 Jan 1;76(1):85-90</RefSource><PMID Version="1">19427748</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Eur J Cancer. 2001 May;37(8):991-9</RefSource><PMID Version="1">11334724</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D015670" MajorTopicYN="Y">Acupuncture Therapy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC3171073</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>6</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>6</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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