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Integrative Cancer Therapies, Vol. 5, No. 4, 308-314 (2006)
DOI: 10.1177/1534735406294899

Acupuncture Care for Breast Cancer Patients During Chemotherapy: A Feasibility Study

Sarah Price, MSc

School of Healthcare, Baines Wing, University of Leeds, United Kingdom

George Lewith, DM, FRCP

Complementary Medicine Research Unit, Primary Medical Care, University of Southampton, United Kingdom

Kate Thomas, MA

School of Healthcare, Baines Wing, University of Leeds, United Kingdom

Acupuncture care delivered pragmatically as an adjunct to conventional care may lead to improvements in quality of life and alleviation of conventional treatment-related side effects among breast cancer patients. Patient perceptions and expectations of treatment and the therapeutic relationship inherent to acupuncture care could modify treatment effects. The aim of this study was to design a rigorous feasibility study in preparation for trial to evaluate the effects of acupuncture care (a whole system) on the fatigue experienced by patients undergoing conventional treatment of their breast cancer. Phase 1 included the development of a treatment protocol for a short course of acupuncture care for patients with breast cancer undergoing chemotherapy. Defining best practice in this context will ensure that the intervention tested will have meaning and validity for all professional acupuncturists. Phase 2 will be a randomized feasibility pilot study using the acupuncture treatment protocol for 40 patients with breast cancer undergoing chemotherapy. The study will use a mixed-methods approach involving both qualitative and quantitative assessments. Outcome assessment will include validated measures for fatigue, quality of life, and depression. The proposed study will tell us what effects of acupuncture care are important to the patient and address acupuncture as it is practiced in the real world. Results from this study will enable a definitive randomized controlled trial to evaluate the effectiveness of acupuncture care for fatigue in breast cancer patients undergoing chemotherapy.

Key Words: acupuncture • whole-systems research • breast cancer • fatigue

References

  • Shafqat A, Einhorn LH, Hanna N, et al. Screening studies for fatigue and laboratory correlates in cancer patients undergoing treatment. Ann Oncol. 2005; 16: 1545-1550.[Abstract/Free Full Text]
  • Steiner M, Yorgason RZ, Vermeulen LC, Theisen J. Patient outcomes after therapeutic interchange of dolasetron for granisetron. Am J Health Syst Pharm. 2003; 60: 1023-1028.[Abstract/Free Full Text]
  • Radbruch L, Sabatowski R, Elsner F, Loick G, Kohnen N. Patients' associations with regard to analgesic drugs and their forms for application—a pilot study. Support Care Cance. 2002; 10: 480-485.[CrossRef]
  • Lewith GT, Broomfield J, Prescott P. Complementary cancer care in Southampton: a survey of staff and patients. Complement Ther Med. 2002; 10: 100-106.[CrossRef][Medline] [Order article via Infotrieve]
  • Yates JS, Mustian KM, Morrow GR, et al. Prevalence of complementary and alternative medicine use in cancer patients during treatment. Support Care Cancer. 2005; 13: 806-811.[CrossRef][Medline] [Order article via Infotrieve]
  • Parterson C, Dieppe P. Characteristic and incidental (placebo) effects in complex interventions such as acupuncture. BMJ. 2005; 330: 1202-1205.[Free Full Text]
  • Melchart D, Streng A, Hoppe A, et al. Acupuncture in patients with tension-type headache: randomised controlled trial. BMJ. 2005;13;331:376-379.
  • Thomas KJ, MacPherson H, Ratcliffe J, et al. Longer term clinical and economic benefits of offering acupuncture care to patients with chronic low back pain. Health Technol Assess. 2005;9:iii-iv, ix-x, 1-109.[Medline] [Order article via Infotrieve]
  • Vickers AJ, Rees RW, Zollman CE, et al. Acupuncture for chronic headache in primary care: large, pragmatic, randomised trial. BMJ. 2004;328:744-744.[Abstract/Free Full Text]
  • White P, Lewith G, Prescott P, Conway J. Acupuncture versus placebo for the treatment of chronic mechanical neck pain: a randomized controlled trial. Ann Intern Med. 2004; 141: 911-919.[Abstract/Free Full Text]
  • Berman BM, Lao L, Langenberg P, Lee WL, Gilpin AMK, Hochberg MC. Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee: a randomized, controlled trial. Ann Intern Med. 2004; 141: 901-910.[Abstract/Free Full Text]
  • Manheimer E, White A, Berman B, Forys K, Ernst E. Metaanalysis: acupuncture for low back pain. Ann Intern Med. 2005; 142: 651-663.[Abstract/Free Full Text]
  • Pariente J, White P, Frackowiak RSJ, Lewith G. Expectancy and belief modulate the neuronal substrates of pain treated by acupuncture. NeuroImage. 2005; 25: 1161-1167.[CrossRef][Medline] [Order article via Infotrieve]
  • Walach H, Falkenberg T, Fonnebo V, Lewith G, Jonas WB. Circular instead of hierarchical: methodological principles for the evaluation of complex interventions. BMC Med Res Methodol. 2006;6:29-29.[CrossRef][Medline] [Order article via Infotrieve]
  • Witt CM, Jena S, Brinkhaus B, Liecker B, Wegscheider K, Willich SN. Acupuncture for patients with chronic neck pain. Pain. Epub ahead of print June 13, 2006.
  • MacPherson H. Pragmatic clinical trials. Complement Ther Med. 2004; 12: 136-140.[CrossRef][Medline] [Order article via Infotrieve]
  • Kaptchuk TJ. The Web That Has No Weaver: Understanding Chinese Medicine. 2nd ed. Chicago: Contemporary Books; 2000.
  • Lewith G, Jonas WB, Walach H, eds. Clinical Research in Complementary Therapies: Principles, Problems and Solutions. Edinburgh, UK: Churchill Livingstone; 2002.
  • Verhoef MJ, Lewith G, Ritenbaugh C, Boon H, Fleishman S, Leis A. Complementary and alternative medicine whole systems research: beyond identification of inadequacies of the RCT. Complement Ther Med. 2005; 13: 206-212.[CrossRef][Medline] [Order article via Infotrieve]
  • Lewith GT, White PJ, Kaptchuk T. Developing a research strategy for acupuncture. Clin J Pain. 2006; 22: 632-638.[CrossRef][Medline] [Order article via Infotrieve]
  • Verhoef MJ, Lewith G, Ritenbaugh C, Thomas K, Boon H, Fønnebø V. Whole systems research: moving forward. Focus on Alternative and Complementary Therapy. 2004; 9(2): 87-90.
  • Moseley JB, O'Malley K, Petersen NJ, et al. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med. 2002; 347: 81-88.[Abstract/Free Full Text]
  • Vickers A, Cassileth B, Ernst E, et al. How should we research unconventional therapies? A panel report from the Conference on Complementary and Alternative Medicine Research Methodology, National Institutes of Health. Int J Technol Assess Health Care. 1997; 13: 111-121.[Medline] [Order article via Infotrieve]
  • Medical Research Council. A framework for development and evaluation of RCTs for complex interventions to improve health. 2000. Available at: www.mrc.ac.uk/pdf-mrc_cpr.pdf.
  • Richardson MA, Allen C, Ezzo J. Acupuncture for chemotherapyinduced nausea and vomiting among cancer patients. Cochrane Database Syst Rev. 2001;1(1).
  • Alimi D, Rubino C, Pichard-Leandri E, Fermand-Brule S, Dubreuil-Lemaire M, Hill C. Analgesic effect of auricular acupuncture for cancer pain: a randomized, blinded, controlled trial. J Clin Oncol. 2003; 21: 4120-4126.[Abstract/Free Full Text]
  • Jacobsen PB, Hann DM, Azzarello LM, Horton J, Balducci L, Lyman GH. Fatigue in women receiving adjuvant chemotherapy for breast cancer: characteristics, course and correlates. J Pain Symptom Manage. 1999; 18: 233-242.[CrossRef][Medline] [Order article via Infotrieve]
  • Bower J. Prevalence and causes of fatigue after cancer treatment: the next generation of research. J Clin Oncol. 2005; 23: 8280-8282.[Free Full Text]
  • Longman A, Braden CJ, Mishel MH. Side effects burden in women with breast cancer. Cancer Pract. 1996; 4: 274-280.[Medline] [Order article via Infotrieve]
  • Holzner B, Kemmler G, Greil R, et al. The impact of hemoglobin levels on fatigue and quality of life in cancer patients. Ann Oncol. 2002; 13: 965-973.[Abstract/Free Full Text]
  • Vickers AJ, Straus DJ. Acupuncture for post chemotherapy fatigue: a phase II study. J Clin Oncol. 2004; 22: 1731-1735.[Abstract/Free Full Text]
  • Mendoza TR, Wang XS, Cleeland CS, et al. The rapid assessment of fatigue severity in cancer patients: use of the Brief Fatigue Inventory. Cancer. 1999; 85: 1186-1196.[CrossRef][Medline] [Order article via Infotrieve]
  • Visser MRM, Smets EMA. Fatigue, depression and quality of life in cancer patients: how are they related? Support Care Cancer. 1998; 6: 101-108.[CrossRef][Medline] [Order article via Infotrieve]
  • Reuter K, Harter M. The concepts of fatigue and depression in cancer. Eur J Cancer Care. 2004; 13: 127-134.
  • Roscoe JA, Morrow GR, Hickok JT, et al. Effect of paroxetine hydrochloride (Paxil) on fatigue and depression in breast cancer patients receiving chemotherapy. Breast Cancer Res. 2005; 89: 243-249.[CrossRef]
  • Tchekmedyian SM, Kallich J, McDermott A, Fayers P, Erder HM. The relationship between psychologic distress and cancer-related fatigue. Cancer. 2003; 98: 198-203.[CrossRef][Medline] [Order article via Infotrieve]
  • MacPherson H, Thorpe L, Thomas, K, Geddes D. Acupuncture for depression: first steps toward a clinical evaluation. J Alt Comp Med. 2004; 10: 1083-1091.[CrossRef][Medline] [Order article via Infotrieve]
  • Peiwen L. Management of Cancer With Chinese Medicine. St Albans, UK: Donica; 2003.
  • Schyner RN, Conboy LA, Jacobsen E, et al. Development of a Chinese medicine assessment measure: an interdisciplinary approach using the Delphi method. J Alt Comp Med. 2005; 11: 1005-1013.[CrossRef][Medline] [Order article via Infotrieve]
  • Jones J, Hunter D. Using the Delphi and nominal group technique in health services research. In: Pope C, Mays N, eds. Qualitative Research in Health Care. 3rd ed. London, UK: Open University Press; 2005.
  • Schyner R, Wayne PM, Kaptchuk T. Selecting appropriate treatment protocols in acupuncture clinical trials: an example from an RCT on stroke rehabilitation. J Alt Comp Med. 2004; 10: 1137-1138.
  • Thomas K, Thorpe L, MacPherson H. Preliminary findings from a pragmatic randomised controlled trial demonstrate acceptability of acupuncture as a treatment for low back pain. Clin Acupunct Orient Med. 2003; 4(1): 56-56.
  • White A, Hayhoe S, Hart A, Ernst E. Adverse events following acupuncture: prospective survey of 320 000 consultations with doctors and physiotherapists. BMJ. 2001; 323: 485-486.[Free Full Text]
  • Filshie JAA. Safety aspects of acupuncture in palliative care. Acupunct Med. 2001; 19: 117-122.[Medline] [Order article via Infotrieve]
  • MacPherson H, White A, Cummings M, Jobst KA, Rose K, Niemtzow RC. Standards for reporting interventions in controlled trials of acupuncture: the STRICTA recommendations. J Alt Comp Med. 2002; 8: 85-89.[CrossRef][Medline] [Order article via Infotrieve]
  • Paterson C. Measuring outcomes in primary care: a patient generated measure, MYMOP, compared with the SF-36 health survey. BMJ. 1996; 312: 1016-1020.[Abstract/Free Full Text]
  • Johnstone P. Efficacy of acupuncture for hot flashes in women treated with hormonal therapy for breast cancer. Clinical Trials.gov identifier: NCT00209001. 2005.
  • Yuan J, Zhou R. Effect of acupuncture on T-lymphocyte and its subsets from the peripheral blood of patients with malignant neoplasm. Chen Tzu Yen Chiu. 1993; 18: 174-177.
  • Wu B. Effect of acupuncture on the regulation of cell-mediated immunity in patients with malignant tumours. Chen Tzu Yen Chiu. 1995; 20(3): 67-71.
  • Ye F, Chen SZ, Wang XW, Li Y, Tian DZ. Behaviour of T-cell subsets and NK cells under electro-acupuncture during chemotherapy. Intern J Chin Acupunct. 2000; 11: 301-303.
  • Karst M, Scheinichen D, Rueckert T, et al. Effect of acupuncture on the neutrophil respiratory burst: a placebo-controlled single-blinded study. Complement Ther Med. 2003; 11: 4-10.[CrossRef][Medline] [Order article via Infotrieve]
  • Holzner B, Kemmler G, Greil R, et al. The impact of hemoglobin levels on fatigue and quality of life in cancer patients. Ann Oncol. 2002; 13: 965-973.[Abstract/Free Full Text]

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