Différences
Ci-dessous, les différences entre deux révisions de la page.
| Les deux révisions précédentes Révision précédente | |||
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acupuncture:evaluation:oncologie:03. fatigue en oncologie [13 Oct 2025 17:00] Nguyen Johan [1.1. Generic Acupuncture] |
acupuncture:evaluation:oncologie:03. fatigue en oncologie [24 Oct 2025 18:12] (Version actuelle) Nguyen Johan [1.1.1. Hadoush 2025] |
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| ==== Generic Acupuncture ==== | ==== Generic Acupuncture ==== | ||
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| + | === Almassi 2025 (lung cancer) === | ||
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| + | Almassi AA, Tang CY, Smith S. Comparison of Single Versus Multiple Nonpharmacological Interventions for the Management of Lung Cancer-Related Fatigue: A Systematic Review. Clin Respir J. 2025 Oct;19(10):e70132. https://doi.org/10.1111/crj.70132 | ||
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| + | ^Background|Lung cancer is one of the common cancers globally. One of the adverse symptoms of lung cancer and its treatment is fatigue. Pharmacological interventions have not shown efficacy on cancer-related fatigue, and investigations on nonpharmacological interventions may be useful. This systematic review aims to evaluate the efficacy of nonpharmacological interventions on managing fatigue and quality of life outcomes among people undergoing treatment for lung cancer and evaluate if treatment efficacy differed between single and multimodal interventions.| | ||
| + | ^Methods|Relevant literature published in MEDLINE, Scopus, Cochrane Library, CINAHL, and ProQuest from January 2003 to January 2023 was included. Included studies must have: participants over 16 years of age receiving treatment such as chemotherapy, radiotherapy, and/or surgery, cancer-related fatigue (CRF) as an outcome, and must be randomized controlled trials. Two reviewers independently extracted data from eligible articles, and data analysis was performed using R 4.1.0 software.| | ||
| + | ^Results|Total of 14 randomized controlled trials were included and categorized into four groups: physical activities, traditional Chinese medicine (TCM), education, and dietary counselling. Our extensive search did not find any multimodal studies related to CRF in patients with lung cancer. Pooled results of this systematic review found that TCM and education interventions have a significant positive impact on fatigue in patients with lung cancer. Physical activity and dietary counselling were not effective in managing fatigue. None of the reported nonpharmacological interventions in this review significantly impact QoL.| | ||
| + | ^Conclusions|This review identified that TCM and educational programs improved CRF in patients with lung cancer. However, physical activities and dietary counselling did not show any improvements in fatigue for patients undergoing lung cancer treatment.| | ||
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| === Hadoush 2025 === | === Hadoush 2025 === | ||
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| ^Results|Five RCTs including 283 participants demonstrated significant pain relief with acupuncture and reflexology (SMD = −0.69, 95% CI −1.29 to −0.10; Z = 2.28; p = 0.02; I² = 82%). In contrast, five RCTs with 370 participants (221 in intervention groups) showed only a minor effect of physical activity on pain control (SMD = −0.29, 95% CI −0.74 to 0.16; Z = 1.27; p = 0.20; I² = 76%). For fatigue management, four RCTs (368 participants) found minimal impact from physical activity (SMD = −0.06, 95% CI −0.46 to 0.33; Z = 0.30; p = 0.76; I² = 72%).| | ^Results|Five RCTs including 283 participants demonstrated significant pain relief with acupuncture and reflexology (SMD = −0.69, 95% CI −1.29 to −0.10; Z = 2.28; p = 0.02; I² = 82%). In contrast, five RCTs with 370 participants (221 in intervention groups) showed only a minor effect of physical activity on pain control (SMD = −0.29, 95% CI −0.74 to 0.16; Z = 1.27; p = 0.20; I² = 76%). For fatigue management, four RCTs (368 participants) found minimal impact from physical activity (SMD = −0.06, 95% CI −0.46 to 0.33; Z = 0.30; p = 0.76; I² = 72%).| | ||
| ^Conclusion|Non-pharmacological interventions, particularly acupuncture and reflexology, show a positive therapeutic impact on pain management among cancer survivors, whereas their effects on fatigue remain negligible. Further high-quality RCTs are needed to confirm these findings and explore mechanisms underlying differential symptom responses.| | ^Conclusion|Non-pharmacological interventions, particularly acupuncture and reflexology, show a positive therapeutic impact on pain management among cancer survivors, whereas their effects on fatigue remain negligible. Further high-quality RCTs are needed to confirm these findings and explore mechanisms underlying differential symptom responses.| | ||
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| === Long 2024 === | === Long 2024 === | ||
