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Acupuncture chemotherapy

Assess the effectiveness of acupuncture-factor stimulation on acute and delayed chemotherapy-precipitated nausea and vomiting in cancer sufferers.

Materials and Methods
Randomized trials of acupuncture-point stimulation by means of needles, electric stimulation, magnets, or acupressure have been retrieved. Data have been furnished by using investigators of the authentic trials and pooled using a hard and fast-consequences version.

Acupuncture chemotherapy

Results
Eleven trials (N = 1,247) were pooled. Overall, acupuncture-factor stimulation decreased the proportion of acute vomiting (relative dangers [RR] = 0.82; ninety-five % CI, 0.69 to 0.99; P = .04), however not the suggest variety of acute emetic episodes or acute or not on time nausea severity in comparison with controls. By modality, stimulation with needles reduced the proportion of acute vomiting (RR = zero.74; 95% CI, 0.58 to 0.Ninety four; P = .01), however no longer acute nausea severity. Electroacupuncture decreased the percentage of acute vomiting (RR = zero.76; ninety-five % CI, zero.60 to zero.Ninety seven; P = .02), but manual acupuncture did now not; behind schedule, symptoms were not suggested. Acupressure reduced mean acute nausea severity (standardized imply difference = −0.19; 95% CI, −zero.38 to −zero.01; P = .03) and maximum severe acute nausea, however not acute vomiting or delayed symptoms. Noninvasive electrostimulation showed no advantage for any final results. All trials used concomitant pharmacologic antiemetics, and all, except electroacupuncture trials, used state-of-the-art antiemetics.

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Acupuncture chemotherapy

Conclusion
This review complements facts on postoperative nausea and vomiting, suggesting a biologic impact of acupuncture-point stimulation. Electroacupuncture has tested gain for chemotherapy-triggered acute vomiting, however, studies with state-of-the-art antiemetics as well as studies for refractory signs and symptoms are had to determine clinical relevance. Acupressure appears to lessen chemotherapy-induced acute nausea severity, even though research did not involve a placebo manipulate. Noninvasive electrostimulation seems unlikely to have a clinically relevant effect whilst sufferers are given modern day pharmacologic antiemetic remedy.

Umamaheshwarrrao MD (Acu)

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