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Ci-dessous, les différences entre deux révisions de la page.

--- acupuncture:evaluation:oncologie:03. fatigue en oncologie [20 Dec 2020 07:31]
Nguyen Johan Replacement automatique de 'Effectiveness of acupuncture ======' par '======'
+++ acupuncture:evaluation:oncologie:03. fatigue en oncologie [24 Oct 2025 18:12] (Version actuelle)
Nguyen Johan [1.1.1. Hadoush 2025]
@@ Ligne 1: / Ligne 1: @@
 /*English:Cancer-Related Fatigue*/
-====== Cancer-Related Fatigue: ======
+====== Cancer-Related Fatigue ======
-====== Asthénie en oncologie : évaluation de l'acupuncture ======
+====== Fatigue en oncologie : évaluation de l'acupuncture ======
@@ Ligne 9: / Ligne 9: @@
 ===== Systematic Reviews and Meta-Analysis =====
-|☆☆☆ |Evidence for effectiveness and a specific effect of acupuncture. |
-|☆☆| Evidence for effectiveness of acupuncture.|
-| ☆ |Evidence for effectiveness of acupuncture mais limitées qualitativement et/ou quantitativement.|
-|Ø |No evidence or insufficient evidence.|
 ==== Generic Acupuncture ====
+=== Almassi 2025 (lung cancer)  ===
+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
+.
+^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.|
+=== Hadoush 2025 ===
+Hadoush H, Almhasis R, Kassab M, Almasri NA, Al-Wardat M. Effectiveness of non-pharmacological interventions on pain and fatigue management in cancer survivors: a systematic review and meta-analysis study. J Bodyw Mov Ther. 2025 Oct;44:251-260. https://doi.org/10.1016/j.jbmt.2025.05.046
+^Background|Pain and fatigue are among the most frequent and burdensome symptoms experienced by cancer survivors. Non-pharmacological interventions such as acupuncture, reflexology, and physical activity have been increasingly used to improve quality of life, but their relative effectiveness remains unclear.|
+^Objective|To evaluate the effectiveness of non-pharmacological interventions for the management of pain and fatigue in adult cancer survivors through a systematic review and meta-analysis.|
+^Methods|Only randomized controlled trials (RCTs) enrolling adults aged 18–80 years with a history of any cancer type were included. Risk of bias was assessed using the Cochrane Risk of Bias tool. Meta-analyses were performed in Review Manager software using standardized mean differences (SMDs) and 95% confidence intervals (CIs) under random-effects models.|
+^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.|
+=== Long 2024 ===
+Long Y, Zhou Z, Zhou S, Zhang G. The effectiveness of different non-pharmacological therapies on cancer-related fatigue in cancer patients: A network meta-analysis. Int J Nurs Stud. 2024 Dec;160:104904.  https://doi.org/10.1016/j.ijnurstu.2024.104904
+^Backgound| Cancer-related fatigue is the most common symptom of subjective and persistent nature in cancer patients, which almost runs through the whole process of disease and treatment and rehabilitation, seriously affects the effect of anti-tumor treatment and reduces the quality of life of patients. Non-pharmacological management is one of the key links to relieve cancer-related fatigue, however, there are many types of non-pharmacological management and the related guidelines do not recommend the optimal nursing program for cancer-related fatigue. In our study, Network Meta-analysis was used to compare the effectiveness of different non-pharmacological therapies in Cancer-related fatigue to make their treatment and care more clinically valuable.|
+^Methods| Randomized controlled trials about non-pharmacological therapies for cancer-related fatigue were searched in Chinese and English databases including China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, Chinese Scientific Journal database, Chinese Biomedical Database, Google Scholar, Pubmed, Web of science, Cochrane Library, Sci-Hub, ScienceDirect, and other relevant medical websites including Medlive and DingXiangYuan. The search time was from the establishment of the database to December 2023. The quality of the included Randomized controlled trials was evaluated by two trained researchers using the Cochrane Risk of Bias Assessment Tool, and data were independently extracted from the included literature and analyzed by reticulated Meta-analysis using Stata 18.0 statistical software.|
+^Results| A total of 49 studies with 24 non-drug management methods, and 3887 patients were included. The results of network meta-analysis showed that the use of massage therapy to improve cancer-related fatigue had a more significant advantage over conventional nursing measures and other non-pharmacological therapies in cancer patients, followed by **infrared laser moxibustion and ginger-isolated moxibustion** with traditional Chinese medicine characteristics, while the worst effect was strengthening excise.|
+^Conclusions| The existing evidence shows that massage therapy has the best effect in the intervention of cancer-related fatigue. However, due to the diversity of non-pharmacological therapies and the small number of studies included in each therapy, the coverage of this study is insufficient, and more large-sample, multi-center and high-quality randomized controlled trials are needed for further verification in the future.|
+=== Belloni 2023 ===
+Belloni S, Bonucci M, Arrigoni C, Dellafiore F, Caruso R. A Systematic Review of Systematic Reviews and a Pooled Meta-Analysis on Complementary and Integrative Medicine for Improving Cancer-Related Fatigue. Clin Ther. 2023 Jan;45(1):e54-e73.  https://doi.org/10.1016/j.clinthera.2022.12.001
+^Purpose| Evidence supporting complementary and integrative medicine (CIM) for improving cancer-related fatigue (CRF) is still fragmented. This study therefore critically appraised all the systematic reviews (SRs) regarding the effectiveness of CIM in mitigating CRF in adults.|
+^Methods| A systematic review of SRs and a meta-analysis were conducted in 4 databases. The effect sizes of the included SRs were quantitatively pooled (standardized mean difference [SMD]; 95% CI) using a random-effects model. Heterogeneity was tested by using χ2 (Q) tests and I² statistics.|
+^Findings| Twenty-two SRs met the inclusion criteria, and results from 20 SRs underwent meta-analysis. The pooled significant estimate of fatigue reduction was as follows: SMD, -0.50; 95% CI, -0.67 to -0.32; P < 0.001. The subgroup analysis based on the type of CIM intervention revealed** that the approach showing higher effects in reducing fatigue thus far is acupuncture**: SMD, -0.99; 95% CI = -1.37 to -0.62, P < 0.001; I2 = 84%. CIM therapies showed a significant reduction of fatigue in patients with breast cancer: SMD, -0.46; 95% CI, -0.69 to -0.23; P < 0.001; I2 = 82%.|
+^Implications| CIM interventions showed effectiveness in reducing CRF. Subgroup analysis suggested some potential influencing, such as tumor type and specific CIM therapy factors, that require in-depth assessment in future research. Study protocol registration: PROSPERO CRD42020194254.|
+=== Choi 2022 (Breast Cancer) ☆===
+Choi TY, Ang L, Jun JH, Alraek T, Birch S, Lu W, Lee MS. Acupuncture for Managing Cancer-Related Fatigue in Breast Cancer Patients: A Systematic Review and Meta-Analysis. Cancers (Basel). 2022 Sep 11;14(18):4419.  https://doi.org/10.3390/cancers14184419
+^Background|Breast cancer (BC) is the most common cancer in women and is a serious threat to women's health. Cancer-related fatigue (CRF) is a distressing symptom in BC patients during and after chemotherapy or radiation therapy that severely affects quality of life (QoL). AT is widely used for fatigue management. However, the effect of AT on CRF is still uncertain. This study aimed to evaluate the efficacy and safety of AT in the management of CRF in patients with BC.|
+^Methods| Eleven databases were searched through June 2022. Two researchers independently performed the database search, study selection, data extraction, and risk of bias assessment. Study selection was performed based on predefined Participants, Intervention, Comparators, Outcomes, Study design (PICOS) criteria, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed when reporting the results. A meta-analysis was performed according to the Cochrane systematic review method using RevMan 5.3. |
+^Results|A total of **12 studies** including a total of **1084 participants** were included. The results showed that AT had a beneficial effect compared with sham AT (n = 256, SMD = -0.26, 95% CI [-0.51, -0.01], p = 0.04, I2 = 0%) and a long-term effect on fatigue score (n = 209, MD = -0.32, 95% CI [-0.59, -0.04], p = 0.02, I2 = 0%). Meta-analysis showed that AT had a beneficial effect compared with usual care (UC) on fatigue scores (n = 238, SMD = -0.39, 95% CI [-0.66 to -0.12], p = 0.005, I2 = 0%). Of the 12 articles, 3 articles were judged as having a low risk of bias in all domains and hence were of high quality. No serious adverse effects were identified. |
+^Conclusions|AT is an effective and safe treatment for CRF, and AT is more effective than sham AT or UC or wait-list control (WLC). Nevertheless, the methodological quality of most of these studies was low, and the included studies/sample sizes were small, so the ability to derive decisive implications was limited. Further research is needed to confirm these findings.|
+=== Tan 2021 ☆ ===
+Tan JB, Wang T, Kirshbaum MN, Zhao I, Eliseeva S, Polotan MJ, Yao LQ, Huang HQ, Zheng SL. Acupoint stimulation for cancer-related fatigue: A quantitative synthesis of randomised controlled trials. Complement Ther Clin Pract. 2021 Nov;45:101490.  [[https://doi.org/10.1016/j.ctcp.2021.101490|doi]]
+^Background and purpose|This study aimed to identify the research evidence on acupoint stimulation (AS) for cancer-related fatigue (CRF) management.|
+^Methods|Randomised controlled trials that utilised AS for CRF management were retrieved. The Cochrane Back Review Group Risk of Bias Tool was used for quality appraisal. RevMan 5.3 was used for meta-analysis.|
+^Results|**Fifteen studies** were included. Both the overall (SMD = −0.95, p = 0.008) and sub-group (acupuncture: SMD = −1.25, p = 0.002; short-term AS: SMD = −0.95, p = 0.02; medium-term AS: SMD = −0.96, p = 0.003) analyses indicated that AS was more effective in alleviating CRF than standard treatment/care. A comparison between the true and sham AS interventions favoured the true AS for CRF management, although the difference did not reach statistical significance.|
+^Conclusion|This study identified a promising role of AS in improving CRF. However, the study findings should be interpreted prudently due to the limited quality and sample sizes of some of the included studies.|
 === Jang 2020 ☆☆☆===
@@ Ligne 154: / Ligne 210: @@
 ==== Special Acupuncture Techniques ====
+=== Comparison of acupuncture techniques ===
+== Tian 2023 ==
+Tian H, Chen Y, Sun M, Huang L, Xu G, Yang C, Luo Q, Zhao L, Wei Z, Liang F. Acupuncture therapies for cancer-related fatigue: A Bayesian network meta-analysis and systematic review. Front Oncol. 2023 Mar 27;13:1071326.  https://doi.org/10.3389/fonc.2023.1071326
+^Background|Cancer-related fatigue (CRF) is one of the most commonly reported symptoms impacting cancer survivors. This study evaluated and compared the effectiveness and safety of acupuncture treatments for CRF.|
+^Methods| We searched PubMed, Embase, Web of Science, Cochrane Library, China Biology Medicine China National Knowledge Infrastructure, China Science and Technology Journal Database, and WanFang Database from inception to November 2022 to identify eligible randomized controlled trials (RCTs) comparing acupuncture treatments with sham interventions, waitlist (WL), or usual care (UC) for CRF treatment. The outcomes included the Cancer Fatigue Scale (CFS) and Pittsburgh Sleep Quality Index (PSQI), and pair-wise and Bayesian network meta-analyses were performed using STATA v17.0.|
+^Results|In total, **34 randomized controlled trials** featuring **2632 participants** were included. In the network meta-analysis, the primary analysis using CFS illustrated that point application (PA) + UC (standardized mean difference [SMD] = -1.33, 95% CI = -2.02, -0.63) had the highest probability of improving CFS, followed by manual acupuncture (MA) + PA (SMD = -1.21, 95% CI = -2.05, -0.38) and MA + UC (SMD = -0.80, 95% CI = -1.50, -0.09). Moreover, the adverse events of these interventions were acceptable.|
+^Conclusion|This study demonstrated that acupuncture was effective and safe on CRF treatment. However, further studies are still warranted by incorporating more large-scale and high-quality RCTs.|
 === Moxibustion ===
+== Bae 2024 ==
+Bae HR, Kim EJ, Ahn YC, Cho JH, Son CG, Lee NH. Efficacy of Moxibustion for Cancer-Related Fatigue in Patients with Breast Cancer: A Systematic Review and Meta-Analysis. Integr Cancer Ther. 2024 Jan-Dec;23:15347354241233226.  https://doi.org/10.1177/15347354241233226
+^Introduction| Breast cancer is the most commonly diagnosed cancer worldwide, and most patients experience fatigue. However, there are no effective treatments for cancer-related fatigue (CRF). Several randomized controlled trials (RCTs) have suggested that moxibustion improves CRF. We conducted a systematic review and meta-analysis to compare the differences in fatigue scale scores, quality of life, and clinical efficacy in patients with breast cancer who developed CRF and did versus did not receive moxibustion.|
+^Methods| RCTs were searched in 7 databases using a standardized search method from database inception to March 2023, and RCTs that met the inclusion criteria were selected.|
+^Results| Among 1337 initially identified RCTs, **10 RCTs involving 744 participants** were selected for this study. The meta-analysis involved assessment of the revised Piper Fatigue Scale scores, Cancer Fatigue Scale scores, Karnofsky Performance Scale scores, Athens Insomnia Scale scores, clinical efficacy, and Qi deficiency syndrome scale scores. Compared with the control, moxibustion was associated with significantly better Piper Fatigue Scale scores (P < 0.0001), quality of life [Karnofsky Performance Scale scores (P < 0.0001)], clinical efficacy (P = 0.0007), and Qi deficiency syndrome scale scores (P = 0.02).|
+^Conclusions| Moxibustion improves CRF in patients with breast cancer. The efficacy of moxibustion should be further examined by high-quality studies in various countries with patients subdivided by their breast cancer treatment status.|
+== Wang 2023 ==
+Wang XQ, Qiao Y, Duan PB, Du SZ, Yang LH. Efficacy and safety of moxibustion on cancer-related fatigue: a systematic review and meta-analysis of randomized controlled trials. Support Care Cancer. 2023 Aug 7;31(9):508.  https://doi.org/10.1007/s00520-023-07977-z
+^Objective| The goal of this research was to review the literature from randomized controlled trials (RCTs) on the impacts of moxibustion on cancer-related fatigue (CRF) as well as provide credible evidence to guide clinical practice.|
+^Methods| Three English electronic medical databases (PubMed, Embase, and the Cochrane Library) and two Chinese databases (China National Knowledge Infrastructure and Wanfang) were searched. Only randomized controlled trials on the effect of moxibustion on CRF were included in this systematic review. Study selection, data extraction, and validation were all carried out independently by two reviewers. The revised Cochrane Risk of Bias tool was used to assess the quality of the RCTs (RoB 2.0). The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was applied to assess effect sizes in individual RCTs and pooled effect sizes in meta-analyses. Data were meta-analyzed using Stata (version 14.0).|
+^Results| In a random-effects meta-analysis of **24 RCTs with 1894 participants**, the aggregated standardized mean difference (SMD) revealed a statistically significant association between moxibustion and alleviation from cancer-related fatigue (SMD = - 1.66, 95% CI = - 2.05, - 1.28, p = 0.000). Pooled results, however, show significant heterogeneity (I2 = 92.5%), and the evidence is insufficient to determine whether this association varies systematically by measuring tools and moxibustion modalities. Furthermore, evidence ranging from very low to low showed that moxibustion had an immediate positive effect on patients with CRF.|
+^Conclusion| Moxibustion may have a therapeutic effect on cancer-related fatigue. However, further large-scale, multicenter, high-quality RCTs on moxibustion for fatigue relief and safety are still needed because of the handful of studies included and the low methodological quality. |
 == Ma 2019 ==
@@ Ligne 176: / Ligne 261: @@
 ^ Conclusions  |Because of a high risk of bias and low reporting quality of the studies included in this review, **it is difficult to draw the conclusion that moxibustion is an effective and safe treatment for patients with CRF**. Further rigorous research will be necessary to evaluate whether moxibustion has beneficial effects on CRF.   |
+=== Acupressure ===
+== Chou 2022 ==
+Chou HC, Tsai HY, Sun TC, Lin MF. [The Effectiveness of Acupressure in Reducing Cancer-Related Fatigue: A Systematic Review and Meta-Analysis]. Hu Li Za Zhi. 2022 Aug;69(4):75-87. Chinese.  https://doi.org/10.6224/JN.202208_69(4).10
+^Background| Acupressure is one of the recommended non-pharmacologic treatments for cancer-related fatigue (CRF) according to the National Comprehensive Cancer Network guidelines. However, few systematic review or meta-analysis studies have focused on the effect of acupressure on CRF.|
+^Purpose| The purpose of this study was to examine the effectiveness of acupressure in reducing CRF and to identify the effective acupoints and frequencies of acupressure treatments.|
+^Methods| The search and screening procedures were conducted in accordance with PRISMA 2009 guidelines. The search database included Embase, CINAHL, Cochrane Library, MEDLINE and Google Scholar. RoB 2.0 and ROBINS-I were used as appraisal tools. The statistical analysis, including effect size estimation, was computed using RevMan 5.4.|
+^Results| **Twelve studies** (15 sets of data) were included in the review and analysis. **Nine hundred sixty patients** with cancer who were currently undergoing or had completed treatment were enrolled as participants and received different levels of acupressure. The result showed the overall effect size of CRF in reducing acupressure to be SMD= -0.77, 95% CI [-0.90, -0.65]. In the subgroup analysis, the effect size of auricular acupressure was SMD= -0.98, 95% CI [-1.25, -0.71] and the body acupressure effect size was SMD= -0.70, 95% CI [-0.84, -0.56].|
+^Conclusions / implications for practice| Based on the results of this systematic review, acupressure may be applied to the body acupoints Hegu (LI4), Zusanli (ST36), and Sanyinjiao (SP6) once daily for 1-3 minutes each and to the auricular acupoints shenmen and subcortex once daily for 3 minutes each to effectively reduce cancer-related fatigue.|
+===== Overview of Systematic Reviews =====
+==== Choi 2022 ====
+Choi TY, Ang L, Jun JH, Alraek T, Lee MS. Acupuncture and Moxibustion for Cancer-Related Fatigue: An Overview of Systematic Reviews and Meta-Analysis. Cancers (Basel). 2022 May 10;14(10):2347.  https://doi.org/10.3390/cancers14102347
+^Background| Although acupuncture (AT) is used in the treatment of CRF, the evidence from different systematic reviews (SRs) of AT has not yet been comprehensively evaluated. Moxibustion, which is a treatment method that is well established within Traditional East Asian Medicine, applies the heat of burning herbs towards or onto special points on the skin. Commonly, the herb Artemisia vulgaris, is used. It has been used for palliative cancer care, as well as for CRF. |
+^Methods|The aim of this overview was to evaluate the efficacy of AT and moxibustion in the management of CRF. Eleven databases were searched through for studies that were published from their dates of inception to February 2022. The study selection, the data extraction, and the assessment were performed independently by two researchers. The methodological and report quality were assessed by using the Assessment of Multiple Systematic Reviews-2 (AMSTAR-2) tool. The evidence quality was evaluated by using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. |
+^Results|**Fifteen SRs** on AT (n = 10) and moxibustion (n = 5) treatments for CRF were included, and they include 169 randomized controlled trials and 14,392 participants. All of the SRs that were evaluated by the AMASTAR-2 had more than one deficiency, and so all of the SRs were rated as either low or critically low. For the GRADE, 18 outcomes were rated as very-low-quality evidence, 13 as low-quality evidence, 3 as moderate-quality evidence, and 0 as high-quality evidence. Most of the SRs reached the potential benefits of AT for CRF. No serious adverse effects were identified.|
+^Conclusion| In conclusion, the evidence suggests that, despite the advantages of AT in terms of the improvement in and the safety of the treatment of CRF, the methodological quality of most of these studies is low, which limits our ability to draw definitive meanings. Further research of high quality is needed in order to confirm these findings.|
@@ Ligne 182: / Ligne 291: @@
 | ⊕ positive recommendation (regardless of the level of evidence reported) \\ Ø negative recommendation (or lack of evidence) |
-==== National Cancer Comprehensive Network (NCCN, USA) 2018 Ø====
+==== American Society of Clinical Oncology, Society for Integrative Oncology (ASCO, SIO, USA) 2024 ⊕ ====
+Bower JE, Lacchetti C, Alici Y, Barton DL, Bruner D, Canin BE, Escalante CP, Ganz PA, Garland SN, Gupta S, Jim H, Ligibel JA, Loh KP, Peppone L, Tripathy D, Yennu S, Zick S, Mustian K. Management of Fatigue in Adult Survivors of Cancer: ASCO-Society for Integrative Oncology Guideline Update. J Clin Oncol. 2024 May 16:JCO2400541.  https://doi.org/10.1200/JCO.24.00541
+| //Recommendations During Active Cancer Treatment//. 2.5. Clinicians may recommend **acupressure** to manage symptoms of cancer-related fatigue in adults who have completed cancer treatment (Evidence Quality: low, Strength of Recommendation: conditional) . No recommendation. There is insufficient or inconclusive evidence to make recommendations for or against acceptance and commitment (ACT)–based or attention-based interventions, **acupuncture**, bright light therapy, ginseng, massage, mistletoe, or omega fatty acids, psychoeducational interventions, self-management health app, tai chi or qigong to reduce the severity of cancer-related fatigue in adults who have completed cancer treatment (Evidence Quality: Insufficient. Strength of Recommendation: No Recommendation for or against). \\ //Recommendations After Active Cancer Treatment//. 2.5. Clinicians may recommend **acupressure** to manage symptoms of cancer-related fatigue in adults who have completed cancer treatment	(Evidence Quality: low, Strength of Recommendation: conditional). 2.6. Clinicians may recommend **moxibustion** to manage symptoms of cancer-related fatigue in adults who have completed cancer treatment	(Evidence Quality: low, Strength of Recommendation: conditional). No recommendation. There is insufficient or inconclusive evidence to make recommendations for or against acceptance and commitment (ACT)–based or attention-based interventions, **acupuncture**, bright light therapy, ginseng, massage, mistletoe, or omega fatty acids, psychoeducational interventions, selfmanagement health app, tai chi or qigong to reduce the severity of cancer-related fatigue in adults who have completed cancer treatment (Evidence Quality: Insufficient. Strength of Recommendation: No Recommendation for or against) |
+==== 6th and 7th International consensus guidelines for the management of advanced breast cancer 2024 ⊕ ====
+Cardoso F, Paluch-Shimon S, Schumacher-Wulf E, Matos L, Gelmon K, Aapro MS, Bajpai J, Barrios CH, Bergh J, Bergsten-Nordström E, Biganzoli L, Cardoso MJ, Carey LA, Mac Gregor MC, Chidebe R, Cortés J, Curigliano G, Dent RA, El Saghir NS, Eniu A, Fallowfield L, Francis PA, Franco Millan SX, Gilchrist J, Gligorov J, Gradishar WJ, Haidinger R, Harbeck N, Hu X, Kaur R, Kiely B, Kim SB, Koppikar S, Kuper-Hommel MJJ, Lecouvet FE, Mason G, Mertz SA, Mueller V, Myerson C, Neciosup S, Offersen BV, Ohno S, Pagani O, Partridge AH, Penault-Llorca F, Prat A, Rugo HS, Senkus E, Sledge GW, Swain SM, Thomssen C, Vorobiof DA, Vuylsteke P, Wiseman T, Xu B, Costa A, Norton L, Winer EP. 6th and 7th International consensus guidelines for the management of advanced breast cancer (ABC guidelines 6 and 7). Breast. 2024 May 28;76:103756.  https://doi.org/10.1016/j.breast.2024.103756
+| Acupuncture may help against chemotherapy-induced nausea and vomiting, fatigue and hot flushes. (Level of Evidence 1/ b; Consensus 100%) |
+==== National Cancer Comprehensive Network (NCCN, USA) 2022 ⊕ ====
+NCCN Guidelines for Supportive Care: Cancer Related-Fatigue Version 2.2022. National Comprehensive Cancer Network. 2022;:68P.   [160525]. https://www.nccn.org/professionals/physician_gls/pdf/fatigue.pdf
+|Recommendation : acupuncture.|
+==== Association of the Scientific Medical Societies, German Cancer Society, German Cancer Aid, (AWMF, DKG, DK, Germany) 2021 ⊕ ====
+S3-Leitlinie Komplementärmedizin in der Behandlung von onkologischen PatientInnen. September 2021.
+https://www.leitlinienprogramm-onkologie.de/leitlinien/komplementaermedizin/
+| 11.3.1.6. //Fatigue//. Acupuncture/acupressure. Recommendation strength: Can. Patient context: Oncological patients.|
+==== National Health Service, Pallaborative North West (NHS, PNW, UK) 2021 ⊕  ====
+McDougall A, Monnery D, Firth K, Benson S, Hynes J, Buckle R, Giles R, Coyle S. Guideline for the Assessment and Management of Fatigue in Patients with Life Limiting Illness. Pallaborative North West. 2021.   [223628]. https://drive.google.com/file/d/1iFraYK1xKdYsr46kHDnwtoBrI6sTIrli/view
+|Acupuncture/Acupressure [Level 1-]. Acupuncture and auricular acupressure can improve fatigue scores for general fatigue, physical fatigue, reduced physical activity and motivation28. Patients may also experience a reduction in pain, sleep disturbance and interference with activities of daily living.29 [Level 1-].Acupuncture points can include:LI4, TE5, ST36, SP6, LR3, GU20.\\  Section 6: Standards. Patients with fatigue should be offered non-pharmacological approaches. Interventions may include education, exercise, acupuncture/acupressure. [Grade B] |
+==== Society for Immunotherapy of Cancer (SITC) 2021 ⊕ ====
+Galsky MD, Balar AV, Black PC, Campbell MT, Dykstra GS, Grivas P, Gupta S, Hoimes CJ, Lopez LP, Meeks JJ, Plimack ER, Rosenberg JE, Shore N, Steinberg GD, Kamat AM. Society for Immunotherapy of Cancer (SITC) clinical practice guideline on immunotherapy for the treatment of urothelial cancer. J Immunother Cancer. 2021;9(7):e002552. [220075].
+[[https://doi.org/10.1136/jitc-2021-002552|doi]]
+| Non-pharmaceutical strategies such as exercise, psychological interventions, energy conservation and monitoring, and **acupuncture** are more strongly supported by clinical trial results.|
+==== Association Francophone des Soins Oncologiques de Support (AFSOS) 2020 ⊕ ====
+Association Francophone des Soins Oncologiques de Support (AFSOS). Fiches Référentiels : Fatigue et cancer. MAJ 2020 [[https://www.afsos.org/fiche-referentiel/cancer-et-fatigue/|doi]]
+|//Intervention Non Médicamenteuse//. •	Acupuncture : réduction modérée de la fatigue liée au cancer, principalement dans le cas du cancer du sein et pendant les traitements|
+==== European Society for Medical Oncology  (ESMO, Europe) 2020 ∅ ====
+Fabi A, Bhargava R, Fatigoni S, Guglielmo M, Horneber M, Roila F, Weis J, Jordan K, Ripamonti CI; ESMO Guidelines Committee. Cancer-related fatigue: ESMO Clinical Practice Guidelines for diagnosis and treatment. Ann Oncol. 2020;31(6):713-23.  {{:medias securises:acupuncture:evaluation:oncologie:fabi-170938.pdf| [170938]}}.  [[https://doi.org/10.1016/j.annonc.2020.02.016|doi]]
+|Concerning the use of acupuncture, the panel has not reached a consensus: for three panel members, it could be an option [II, C], for the other six panel members, it cannot be recommended [II, D].|
+==== National Cancer Comprehensive Network (NCCN, USA) 2020 ⊕====
+NCCN Guidelines for Supportive Care :  Cancer related Fatigue version 2.2020. National Cancer Comprehensive Network. 2020. 65P.    [[https://www.nccn.org/professionals/physician_gls/default.aspx#supportive|doi]]
+|//Fatigue//. Five systematic reviews suggest that acupuncture and acupressure may have beneficial properties, though the studies acknowledge that a paucity of data makes it difficult to definitively evaluate the benefits. Positive effects of acupuncture on fatigue have been reported in small samples but need to be confirmed in larger RCTs.These small trials were conducted during active non-palliative radiation therapy, and during and after chemotherapy treatment. |
+==== National Cancer Comprehensive Network (NCCN, USA) 2018 ⊕ ====
 NCCN Guidelines for Supportive Care :  Cancer related Fatigue. National Cancer Comprehensive Network. 2018. 64P.   {{:medias securises:medias securises:acupuncture:evaluation:oncologie:nccn-189904.pdf|[189904].}}
-| The panel currently does not recommend any physically based therapies (eg, massage therapy, acupuncture) for
+|//Fatigue//. Four systematic reviews suggest that acupuncture and acupressure may have benefital properties, though the studies acknowledge that a paucity of data makes it difficult to definitively evaluate the benefits. Positive effects of acupuncture on fatigue have been reported in small samples but need to be confirmed in larger RCTs. These small trials were conducted during active non-palliative radiation therapy and both during and after chemotherapy treatment|
-cancer survivors.|
@@ Ligne 225: / Ligne 401: @@
 | //Fatigue. // Fatigue.  There is insufficient evidence on the use of acupuncture for the patients with cancer-related fatigue in active treatment; acupuncture can be considered for treatment of fatigue after completion of cancer treatment. )|
+==== BC Centre for Palliative Care (Canada) 2017 ⊕ ====
+B.C. Inter-Professional Palliative Symptom Management Guidelines. BC Centre for Palliative Care. 2017:304P.   [219379]. [[https://bc-cpc.ca/wp-content/uploads/2018/09/SMGs-interactive-final-Nov-30-compressed.pdf|URL]]
+|Fatigue: Acupuncture - benefits cancer-related fatigue and quality of life. Little evidence for acupuncture effect on fatigue in the palliative, chronic disease population.|
 ==== National Comprehensive Cancer Network  (NCCN, USA) 2017 Ø====
@@ Ligne 273: / Ligne 456: @@
 | //Recommendation 11.// In patients with lung cancer with symptoms such as dyspnea, fatigue, chemotherapyinduced neuropathy, or postthoracotomy pain, a trial of acupuncture is recommended. Grade of recommendation, 2C |
+===== Randomized Controlled Trials =====

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