CoChat
Sign Up
Cited by 233Acupuncture Treatment Research StudiesCancer survivorship and careComplementary and Alternative Medicine Studies

The DOI matches its Crossref record; 71 of the 71 references it cites were found in a registry or an index.

Effects of Acupuncture, Tuina, Tai Chi, Qigong, and Traditional Chinese Medicine Five-Element Music Therapy on Symptom Management and Quality of Life for Cancer Patients: A Meta-Analysis

Open access
Tao, Wei-Wei, Jiang, Hua, Tao, Xiao-Mei, Jiang, Ping, Sha, Li-Yan, Sun, Xian-Ce·2016·Journal of Pain and Symptom Management
DOI 10.1016/j.jpainsymman.2015.11.027
Open this paper in CoChat — free accountOpen PDF

Abstract

Context Most cancer patients suffer from both the disease itself and symptoms induced by conventional treatment. Available literature on the clinical effects on cancer patients of acupuncture, Tuina, Tai Chi, Qigong, and Traditional Chinese Medicine Five-Element Music Therapy (TCM-FEMT) reports controversial results.Objectives The primary objective of this meta-analysis was to evaluate the effect of acupuncture, Tuina, Tai Chi, Qigong, and TCM-FEMT on various symptoms and quality of life (QOL) in patients with cancer; risk of bias for the selected trials also was assessed.Methods Studies were identified by searching electronic databases (MEDLINE via both PubMed and Ovid, Cochrane Central, China National Knowledge Infrastructure, Chinese Scientific Journal Database, China Biology Medicine, and Wanfang Database). All randomized controlled trials (RCTs) using acupuncture, Tuina, Tai Chi, Qigong, or TCM-FEMT published before October 2, 2014, were selected, regardless of whether the article was published in Chinese or English.Results We identified 67 RCTs (5465 patients) that met our inclusion criteria to perform this meta-analysis. Analysis results showed that a significant combined effect was observed for QOL change in patients with terminal cancer in favor of acupuncture and Tuina (Cohen's d: 0.21-4.55, P < 0.05), whereas Tai Chi and Qigong had no effect on QOL of breast cancer survivors (P > 0.05). The meta-analysis also demonstrated that acupuncture produced small-to-large effects on adverse symptoms including pain, fatigue, sleep disturbance, and some gastrointestinal discomfort; however, no significant effect was found on the frequency of hot flashes (Cohen's d = -0.02; 95% CI = -1.49 to 1.45; P = 0.97; I(2) = 36%) and mood distress (P > 0.05). Tuina relieved gastrointestinal discomfort. TCM-FEMT lowered depression level. Tai Chi improved vital capacity of breast cancer patients. High risk of bias was present in 74.63% of the selected RCTs. Major sources of risk of bias were lack of blinding, allocation concealment, and incomplete outcome data.Conclusion Taken together, although there are some clear limitations regarding the body of research reviewed in this study, a tentative conclusion can be reached that acupuncture, Tuina, Tai Chi, Qigong, or TCM-FEMT represent beneficial adjunctive therapies. Future study reporting in this field should be improved regarding both method and content of interventions and research methods.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/j.jpainsymman.2015.11.027

Cites

71 of 71 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 71 references

Research works printed but not linked: 37

  1. Wan, 2011, Influence of acupoint massage on quality of life of tumor patients accepting chemotherapy, Chin Nurs Res, 25, 317
  2. Yin, 2012, Effect of TCM on quality of life in nasopharyngeal cancer patients after radiotherapy, Chin J Phys Med Rehabil, 34, 618
  3. Yu L. Effect of moxibustion on cancer related fatigue Guide of China Medicine 2012;10:591–593.
  4. Yang, 2012, Effects of moxibustion on cancer related fatigue in elderly advanced cancer patients, Chin J Gerontol, 32, 4408
  5. Yu, 2012, Effects of moxibustion on gastrointestinal function after surgery in elderly gastric cancer patients, Zhejiang J Tradit Chin Med, 47, 284
  6. Lai, 2011, Chinese massage at Yongquan on gastrointestinal function in cervical cancer patients, Today Nurse, 14, 124
  7. Chen, 2011, Study on influence of ginger separated moxibustion on quality of life of elderly patients with advanced cancer, Chin Nurs Res, 18, 2951
  8. Yin, 2012, The intervention effect of chemotherapy in patients with gynecological tumor relaxation training method, Chin J Phys Med Rehabil, 34, 618
  9. Chen, 2009, Effect of chiropractic and psychological intervention on patients with cancer pain and bad mood, Hebei J Traditional Chin Med, 31, 1897
  10. Zhang, 2012, Effects of hand massage therapy on the quality of life in breast cancer patients undergoing chemotherapy, Chin J Nurs, 47, 247
  11. Jiang, 2013, Influence of shadowboxing on improving cancer-related fatigue and sleeping quality of patients with advanced lung cancer, Chin Nurs Res, 27, 420
  12. Wang, 2012, The effect of a foot massage combined with psychological intervention to improve the sleep quality of patients with cancer, Zhejiang Clin Med J, 14, 1309
  13. Chen, 2012, Treatment of moxibustion effecting on cancer-associated diarrhea in 18 cases, Chin J Integr Tradit West Med Digest, 20, 514
  14. Xue, 2011, Liver cancer after interventional chemotherapy intractable hiccups acupuncture curative effect observation, Chin J Misdiagnostics, 11, 3061
  15. Chen, 2008, Acupressure reduces abdominal distention after laparoscopic resection in colorectal cancer patients, Chin J Misdiagnosis, 8, 7627
  16. Wan, 2011, Influence of acupoint massage plus induced imagining relaxation on quality of life of tumor patients accepting chemotherapy, Chin Nurs Res, 25, 317
  17. Wang HM, Fan ZM. The clinical study on gastrointestinal function recovery after colorectal carcinoma resection in fast track programme using acupuncture. Master's Thesis. 2011. Available at: http://d.g.wanfangdata.com.cn/Thesis_Y1945947.aspx.
  18. Lu, 2005, Acupuncture improved quality of life in cancer patients via clinical study, J Oncol Pract, 19, 299
  19. Pei, 2010, To observe the state of depression and anxiety in patients with acupuncture in the treatment of breast cancer, Chin J Inf On Tradit Chin Med, 17, 62
  20. Wang, 2006, The effect of music therapy on quality of life in patients with chemotherapy for advanced cancer, J Clin Med Pract, 10, 16
  21. Li, 2008, Acupuncture recovered gastrointestinal function after surgery for esophageal cancer, Jiangsu J Tradit Chin Med, 40, 83
  22. Liu, 2010, The effect of acupuncture and moxibustion and acupuncture point injection on treatment of pain of hepatocellular carcinoma, J Hebei Tradit Chin Med Pharmacol, 25, 37
  23. Zhu YY. Effect of acupuncture at specific points combined with thumbtach needle on pain and depression in pancreatic cancer patients. Chinese General Practice 2013;16:1923–1925.
  24. Zhao, 2013, Effect of acupuncture on ascites in liver cancer, Health Way, 12, 411
  25. Li, 2013, Clinical research on treating advanced breast cancer related fatigue by moxibustion, Clin J Chin Med, 5, 1
  26. Guo, 2014, Effect of acupuncture therapy on cancer–related fatigue of patients with gynecological malignant tumor after chemotherapy, J Clin Acupuncture Moxibustion, 30, 67
  27. Fu, 2014, Effect of moxibustion on quality of life in esophageal cancer patients, Shaanxi J Tradit Chin Med, 35, 77
  28. Chen, 2013, Effect of moxibustion on depression and quality of life in patients with advanced gastric cancer, J Nurs (China), 20, 63
  29. Yan, 2014, Effect of moxibustion on ascites in advanced cancer patients, J Qilu Nurs, 20, 123
  30. Bao, 2012, Effect of acupuncture on hiccups in cancer patients after radio-chemotherapy, Zhejiang J Tradit Chin Med, 47, 117
  31. Lei, 2014, Effect of five elements music of traditional Chinese medicine on the tumor patients under hyperthermia nursing, J Nurses Train, 29, 335
  32. Li, 2014, Effect of Chinese massage on hiccups in patients with liver cancer, Yunnan J Tradit Chin Med Materia Med, 35, 102
  33. Xiao, 2014, Effect of Chinese massage combined with point pressure on ventosity in patients with gynecologic cancer, Yiayao Qianyan, 16, 332
  34. Liu, 2014, Effect of Tai Chi on respiratory function in patients with lung cancer, Chin J Trauma Disabil Med, 22, 211
  35. Wang, 2012, Different exercise on breast cancer patients postoperative upper limb function and the influence of the quality of life, Chin J Phys Med Rehabil, 34, 64
  36. Liu, 2007, Acupuncture treatment for intractable hiccup in patients with cancer of 32 cases, Liaoning J Tradit Chin Med, 34, 214
  37. Chen, 2007, Effect of electroacupuncture treatment on zusanli(st36) for intractable hiccups with malignant tumors of 24 cases, J Qilu Nurs, 13, 43

Cited by

Sorted by citations

See all 233

Related

Metadata

Authors
Tao, W.-W., Jiang, H., Tao, X.-M., Jiang, P., Sha, L.-Y., & Sun, X.-C.
Affiliations
  • Dalian Medical University (CN)
  • Peking University (CN)
  • Beijing Shijitan Hospital (CN)
Corresponding author
  • Tao, Wei-Wei
  • Jiang, Ping
ORCID
Jiang, Hua
Venue
Journal of Pain and Symptom Management
Publisher
Elsevier BV
Published
2016-04
Volume
51
Issue
4
Pages
728-747
ISSN
0885-3924 (ISSN-L)
DOI
10.1016/j.jpainsymman.2015.11.027
OpenAlex
W2260986065
Cited by
233
References
71
Citations by year
2026: 21 · 2025: 34 · 2024: 19 · 2023: 24 · 2022: 30 · 2021: 28 · 2020: 22 · 2019: 24 · 2018: 13 · 2017: 16 · 2016: 2
FWCI
4.08
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Pain and Symptom Management (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Complementary and alternative medicine › Acupuncture Treatment Research Studies
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
Keywords
acupuncture, tuina, Tai Chi, qigong, five-element music therapy, traditional Chinese medicine, cancer patients, quality of life, symptom management, pain, fatigue, sleep disorders, gastrointestinal discomfort, hot flashes, depression, breast cancer survivors, terminal cancer, risk of bias, complementary therapy, vital capacity
MeSH terms
Humans, Medicine, Chinese Traditional, Music Therapy, Neoplasms, Quality of Life, Acupuncture Therapy, Randomized Controlled Trials as Topic, Disease Management, Tai Ji, Qigong

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review