학술논문
Retrospective Outcomes of a New Acupuncture Service at a Comprehensive Cancer Center.
Document Type
Article
Author
Source
Subject
*INSOMNIA treatment
*ANOREXIA nervosa treatment
*NAUSEA treatment
*TREATMENT of dyspnea
*ANXIETY treatment
*CANCER pain treatment
*WELL-being
*SPECIALTY hospitals
*NEUROLOGICAL disorders
*DIARRHEA
*ANALYSIS of variance
*ACUPUNCTURE
*SELF-evaluation
*CONSTIPATION
*RETROSPECTIVE studies
*ACTIVITIES of daily living
*MEDICAL care costs
*CANCER treatment
*TREATMENT effectiveness
*HUMAN services programs
*CANCER patients
*PRE-tests & post-tests
*T-test (Statistics)
*CANCER fatigue
*MENTAL depression
*DESCRIPTIVE statistics
*RESEARCH funding
*TUMORS
*DATA analysis software
*PALLIATIVE treatment
*PAIN management
*SYMPTOMS
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Language
ISSN
2768-3605
Abstract
Introduction: Among cancer centers, patients' interest in acupuncture is growing, in addition to clinical research in the intervention. Their National Cancer Institute-designated comprehensive cancer center piloted an acupuncture service. Their aim was to assess whether acupuncture impacted patient self-reported symptoms as delivered clinically and discuss their implementation strategy. Methods: Patients undergoing acupuncture at a comprehensive cancer center from June 2019 to March 2020 were asked to complete a modified Edmonton Symptom Assessment Scale (ESAS) before and after each session. The authors evaluated symptom changes after acupuncture in both outpatient and inpatient settings. A change of ≥1 U, on the 0–10 scale, was considered clinically significant. Results: Three hundred and nine outpatient and 394 inpatient acupuncture sessions were provided to patients at the comprehensive cancer center during this period, of which surveys from 186 outpatient (34 patients) and 124 inpatient (57 patients) sessions were available for analysis. The highest pretreatment symptoms reported by outpatients were neuropathy (5.78), pain (5.58), and tiredness (5.59). Outpatients receiving acupuncture reported clinically significant improvements in pain (ESAS score change of −2.97), neuropathy (−2.68), decreased lack of well-being (−2.60), tiredness (−1.85), nausea (−1.83), anxiety (−1.56), activities of daily living issues (−1.32), depression (−1.23), anorexia (−1.19), insomnia (−1.14), and shortness of breath (−1.14). The most severe pretreatment symptoms reported by inpatients were pain (6.90), insomnia (6.16), and constipation (5.44). Inpatients receiving acupuncture reported clinically significant improvements in anxiety (−3.69), nausea (−3.61), insomnia (−3.26), depression (−2.98), pain (−2.77), neuropathy (−2.68), anorexia (−2.20), constipation (−1.95), and diarrhea (−1.26). Conclusion: Both outpatient and inpatient participants in this pilot acupuncture program reported clinically significant improvements in symptoms after a single acupuncture treatment. Some differences between the outpatient and inpatient settings warrant further investigation. [ABSTRACT FROM AUTHOR]