Pilot study of acupuncture for the treatment of joint symptoms related to adjuvant aromatase inhibitor therapy in postmenopausal breast cancer patients

Crew, Katherine D.; Capodice, Jillian L.; Greenlee, Heather; Apollo, Arlyn; Jacobson, Judith S.; Raptis, George; Blozie, Kimberly; Sierra, Alex; Hershman, Dawn L.

doi:10.1007/s11764-007-0034-x

Cited by 87Acupuncture Treatment Research StudiesComplementary and Alternative Medicine StudiesCancer survivorship and care

Pilot study of acupuncture for the treatment of joint symptoms related to adjuvant aromatase inhibitor therapy in postmenopausal breast cancer patients

Crew, Katherine D., Capodice, Jillian L., Greenlee, Heather, Apollo, Arlyn, Jacobson, Judith S., Raptis, George, Blozie, Kimberly, Sierra, Alex +1 more·2007·Journal of Cancer Survivorship

DOI 10.1007/s11764-007-0034-x

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Abstract

Introduction Aromatase inhibitors (AIs) have become the standard of care for the adjuvant treatment of postmenopausal, hormone-sensitive breast cancer. However, patients receiving AIs may experience joint symptoms, which may lead to early discontinuation of this effective therapy. We hypothesize that acupuncture is a safe and effective treatment for AI-induced arthralgias.Methods Postmenopausal women with early-stage breast cancer who had self-reported musculoskeletal pain related to adjuvant AI therapy were randomized in a crossover study to receive acupuncture twice weekly for 6 weeks followed by observation or vice-versa. The intervention included full body and auricular acupuncture, and a joint-specific point prescription. Outcome measures included the Brief Pain Inventory-Short Form (BPI-SF), Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index, the Functional Assessment of Cancer Therapy-General (FACT-G) quality of life measure, and serum levels of inflammatory markers, IL-1 beta and TNF-alpha.Results Twenty-one women were enrolled and two discontinued early. From baseline to the end of treatment, patients reported improvement in the mean BPI-SF worst pain scores (5.3 to 3.3, p = 0.01), pain severity (3.7 to 2.5, p = 0.02), and pain-related functional interference (3.1 to 1.7, p = 0.02), as well as the WOMAC function subscale and FACT-G physical well-being (p = 0.02 and 0.04, respectively). No adverse events were reported.Discussion/conclusions In this pilot study, acupuncture reduced AI-related joint symptoms and improved functional ability and was well-tolerated.Implications for cancer survivors Musculoskeletal side effects are common among breast cancer survivors on adjuvant AI therapy, therefore, effective treatments are needed for symptom relief and to improve adherence to these life-saving medications.

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Authors: Crew, K. D., Capodice, J. L., Greenlee, H., Apollo, A., Jacobson, J. S., Raptis, G., Blozie, K., Sierra, A., & Hershman, D. L.
Affiliations: Columbia University (US)
Herbert Irving Comprehensive Cancer Center (US)
Corresponding author: Hershman, Dawn L.
ORCID: Crew, Katherine D.
Capodice, Jillian L.
Greenlee, Heather
Jacobson, Judith S.
Raptis, George
Hershman, Dawn L.
Venue: Journal of Cancer Survivorship
Publisher: Springer Science and Business Media LLC
Published: 2007-10-12
Volume: 1
Issue: 4
Pages: 283-291
ISSN: 1932-2259 (ISSN-L)
1932-2267
DOI: 10.1007/s11764-007-0034-x
OpenAlex: W1964610204
Cited by: 87
References: 64
Citations by year: 2026: 2 · 2025: 2 · 2024: 5 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 5 · 2019: 6 · 2018: 2 · 2017: 6 · 2016: 5 · 2015: 5 · 2014: 4 · 2013: 11 · 2012: 10
FWCI: 14.16
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Journal of Cancer Survivorship (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Complementary and alternative medicine › Acupuncture Treatment Research Studies
Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords: acupuncture, aromatase inhibitors, breast cancer, postmenopausal women, joint pain, musculoskeletal pain, auricular acupuncture, quality of life, inflammatory markers, TNF-α, IL-1β, medication adherence
MeSH terms: Aged, Breast Neoplasms, Employment, Female, Health Status, Humans, Inflammation, Joint Diseases, Middle Aged, Pain Measurement, Pilot Projects, Surveys and Questionnaires, Social Behavior, Chemotherapy, Adjuvant, Postmenopause, Acupuncture, Racial Groups, Aromatase Inhibitors

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Pilot study of acupuncture for the treatment of joint symptoms related to adjuvant aromatase inhibitor therapy in postmenopausal breast cancer patients

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