Outpatient acupuncture effects on patient self-reported symptoms in oncology care: a retrospective analysis
| Autor: | Lorenzo Cohen, Yisheng Li, Wenli Liu, Rocio Moguel, Gabriel Lopez, Eduardo Bruera, Janet L. Williams, Susan Underwood, Seyedeh Dibaj, Michael Spano, M. Kay Garcia |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Nausea Edmonton Symptom Assessment System 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Retrospective analysis Acupuncture Integrative Oncology 030212 general & internal medicine Complementary health approach Integrative Medicine business.industry Cancer medicine.disease Oncology 030220 oncology & carcinogenesis Tingling Integrative medicine medicine.symptom Patient Reported Outcomes business Symptom score Research Paper |
| Zdroj: | Journal of Cancer |
| ISSN: | 1837-9664 |
| DOI: | 10.7150/jca.26527 |
| Popis: | Background: Increased access to complementary therapies such as acupuncture at academic medical centers has created new opportunities for management of cancer and cancer treatment related symptoms. Methods: Patients presenting for acupuncture treatment during calendar year 2016 at an outpatient integrative medicine clinic in a comprehensive cancer center were asked to complete a modified Edmonton Symptom Assessment Scale (ESAS; 16 symptoms, score 0-10, 10 worst possible) before and after each visit. ESAS subscales analyzed included global (GDS; score 0-90), physical (PHS, 0-60) and psychological distress (PSS, 0-20). ESAS symptom score change pre/post acupuncture treatment & from baseline visit to first follow up were evaluated by paired t-test. Results: Of 375 participants [mean age 55.6, 68.3% female, 73.9% white, most common cancer diagnosis of breast (32.8%) and thoracic/head & neck (25.9%)], 73.3% had at least one follow up acupuncture treatment [mean 4.6 (SD 5.1) treatments]. Highest/worst symptoms at baseline were poor sleep (3.92), fatigue (3.43), well-being (3.31), and pain (3.29). Statistically significant reduction/improvement (pre/post) was observed for all ESAS symptoms and subscales for the initial acupuncture treatment (p |
| Databáze: | OpenAIRE |
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