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Effects of Acupuncture, Tuina, Tai Chi, Qigong, and Traditional Chinese Medicine Five- Element Music Therapy on Symptom Management and Quality of Life.

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Presentation on theme: "Effects of Acupuncture, Tuina, Tai Chi, Qigong, and Traditional Chinese Medicine Five- Element Music Therapy on Symptom Management and Quality of Life."— Presentation transcript:

1 Effects of Acupuncture, Tuina, Tai Chi, Qigong, and Traditional Chinese Medicine Five- Element Music Therapy on Symptom Management and Quality of Life for Cancer Patients: A Meta-Analysis  Wei-Wei Tao, MS, Hua Jiang, MS, Xiao-Mei Tao, PhD, Ping Jiang, MS, Li-Yan Sha, MS, Xian-Ce Sun, MD  Journal of Pain and Symptom Management  Volume 51, Issue 4, Pages (April 2016) DOI: /j.jpainsymman Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

2 Fig. 1 PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) flow diagram of study selection. CNKI = China National Knowledge Infrastructure; CBM = China Biology Medicine; RCT = randomized controlled trial. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

3 Fig. 2 Risk-of-bias analysis.
Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

4 Fig. 3 Forest plots of effect sizes for interventions on QOL. a) Acupuncture on QOL of terminal cancer survivors by means of KPS, b) acupuncture on QOL by remission rate of KPS, c) Tai Chi on QOL of breast cancer patients by generic QOL scales, d) interventions on QOL by cancer-specific QOL scales, e) acupuncture on QOL by cancer-specific QOL scales, f) Chinese massage on QOL by cancer-specific QOL scales, and g) Qigong on QOL by cancer-specific QOL scales. QOL = quality of life; KPS = Karnofsky Performance Score; M-H = Mantel Haenszel. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

5 Fig. 3 Forest plots of effect sizes for interventions on QOL. a) Acupuncture on QOL of terminal cancer survivors by means of KPS, b) acupuncture on QOL by remission rate of KPS, c) Tai Chi on QOL of breast cancer patients by generic QOL scales, d) interventions on QOL by cancer-specific QOL scales, e) acupuncture on QOL by cancer-specific QOL scales, f) Chinese massage on QOL by cancer-specific QOL scales, and g) Qigong on QOL by cancer-specific QOL scales. QOL = quality of life; KPS = Karnofsky Performance Score; M-H = Mantel Haenszel. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

6 Fig. 4 Forest plots of effect sizes for interventions on adverse symptoms. a) Acupuncture on pain; b) acupuncture on remission rate of fatigue by Piper Fatigue Scale; c) acupuncture on fatigue by Brief Pain Inventory; d) acupuncture on hours to first flatus; e) Chinese massage on hours to first flatus; f) acupuncture on hours to first bowel movement; g) Chinese massage on hours to first bowel movement; h) acupuncture on remission rate of diarrhea; i) acupuncture on nausea and vomit; j) acupuncture on hiccups; k) acupuncture, Chinese massage, and Qigong on sleep disturbance; l) acupuncture on sleep disturbance; m) acupuncture, Chinese massage, and TCM-FEMT on depression; n) acupuncture on depression; o) TCM-FEMT on depression; p) acupuncture, Chinese massage, and TCM-FEMT on anxiety; q) acupuncture on anxiety; and r) acupuncture on hot flushes. TCM-FEMT = Traditional Chinese Medicine Five-Element Music Therapy; M-H = Mantel Haenszel. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

7 Fig. 4 Forest plots of effect sizes for interventions on adverse symptoms. a) Acupuncture on pain; b) acupuncture on remission rate of fatigue by Piper Fatigue Scale; c) acupuncture on fatigue by Brief Pain Inventory; d) acupuncture on hours to first flatus; e) Chinese massage on hours to first flatus; f) acupuncture on hours to first bowel movement; g) Chinese massage on hours to first bowel movement; h) acupuncture on remission rate of diarrhea; i) acupuncture on nausea and vomit; j) acupuncture on hiccups; k) acupuncture, Chinese massage, and Qigong on sleep disturbance; l) acupuncture on sleep disturbance; m) acupuncture, Chinese massage, and TCM-FEMT on depression; n) acupuncture on depression; o) TCM-FEMT on depression; p) acupuncture, Chinese massage, and TCM-FEMT on anxiety; q) acupuncture on anxiety; and r) acupuncture on hot flushes. TCM-FEMT = Traditional Chinese Medicine Five-Element Music Therapy; M-H = Mantel Haenszel. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

8 Fig. 4 Forest plots of effect sizes for interventions on adverse symptoms. a) Acupuncture on pain; b) acupuncture on remission rate of fatigue by Piper Fatigue Scale; c) acupuncture on fatigue by Brief Pain Inventory; d) acupuncture on hours to first flatus; e) Chinese massage on hours to first flatus; f) acupuncture on hours to first bowel movement; g) Chinese massage on hours to first bowel movement; h) acupuncture on remission rate of diarrhea; i) acupuncture on nausea and vomit; j) acupuncture on hiccups; k) acupuncture, Chinese massage, and Qigong on sleep disturbance; l) acupuncture on sleep disturbance; m) acupuncture, Chinese massage, and TCM-FEMT on depression; n) acupuncture on depression; o) TCM-FEMT on depression; p) acupuncture, Chinese massage, and TCM-FEMT on anxiety; q) acupuncture on anxiety; and r) acupuncture on hot flushes. TCM-FEMT = Traditional Chinese Medicine Five-Element Music Therapy; M-H = Mantel Haenszel. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

9 Fig. 4 Forest plots of effect sizes for interventions on adverse symptoms. a) Acupuncture on pain; b) acupuncture on remission rate of fatigue by Piper Fatigue Scale; c) acupuncture on fatigue by Brief Pain Inventory; d) acupuncture on hours to first flatus; e) Chinese massage on hours to first flatus; f) acupuncture on hours to first bowel movement; g) Chinese massage on hours to first bowel movement; h) acupuncture on remission rate of diarrhea; i) acupuncture on nausea and vomit; j) acupuncture on hiccups; k) acupuncture, Chinese massage, and Qigong on sleep disturbance; l) acupuncture on sleep disturbance; m) acupuncture, Chinese massage, and TCM-FEMT on depression; n) acupuncture on depression; o) TCM-FEMT on depression; p) acupuncture, Chinese massage, and TCM-FEMT on anxiety; q) acupuncture on anxiety; and r) acupuncture on hot flushes. TCM-FEMT = Traditional Chinese Medicine Five-Element Music Therapy; M-H = Mantel Haenszel. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

10 Fig. 5 Forest plots of effect sizes for Tai Chi on other clinical outcomes. (a) body mass index and (b) vital capacity. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions


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