Acupuntura como tratamiento de la fatiga en el cáncer

A finales de octubre de este año, un grupo de médicos del Reino Unido publicaron un trabajo en el J Clinical Oncology acerca del tratamiento de la fatiga en las pacientes con cáncer de mama mediante acupuntura. Dividieron el estudio en cuatro brazos, uno con tratamiento médico habitual, y tres de acupuntura (verdaderas y simulada). Evaluaron a los pacientes mediante distintas escalas, la ” Multidimensional Fatigue Inventory (MFI)”,  “Hospital Anxiety and Depression Scale”, “Functional Assessment of Cancer Therapy-General quality-of-life scale”, y la expectativa en los efectos de la acupuntura.  La MFI, evalúa el cansancio general, la fatiga física y mental, la menor motivación para hacer actividades, y la actividad reducida entre otros parámetros. Es una escala muy fiable que se ha usado generalmente para evaluar la fatiga luego de tratamientos de radioterapia.

Las conclusiones del estudio apoyan los hallazgos habituales en la práctica clínica: LA ACUPUNTURA ES UNA INTERVENCIÓN EFECTIVA PARA EL MANEJO DE LA FATIGA CRÓNICA EN EL CÁNCER Y AUMENTA LA CALIDAD DE VIDA DE LOS PACIENTES.

A continuación el abstract:

J Clin Oncol. 2012 Oct 29. [Epub ahead of print]

Acupuncture for Cancer-Related Fatigue in Patients With Breast Cancer: A Pragmatic Randomized Controlled Trial.

Molassiotis ABardy JFinnegan-John JMackereth PRyder DWFilshie JReam ERichardson A.

Source

Alex Molassiotis and Joy Bardy, School of Nursing, Midwifery, and Social Work, University of Manchester; Peter Mackereth and David W. Ryder, Christie National Health Service (NHS) Foundation Trust, Manchester; Jennifer Finnegan-John and Emma Ream, Florence Nightingale School of Nursing and Midwifery, King’s College London; Jacqueline Filshie, The Royal Marsden Hospital NHS Foundation Trust, London; and Alison Richardson, University of Southampton, Southampton, United Kingdom.

Abstract

PURPOSEWe aimed to assess the effectiveness of acupuncture for cancer-related fatigue (CRF) in patients with breast cancer. PATIENTS AND METHODSWe conducted a pragmatic, randomized controlled trial comparing acupuncture with enhanced usual care. Three hundred two outpatients with breast cancer participated. We randomly assigned 75 patients to usual care and 227 patients to acupuncture plus usual care (random assignment of 1:3 respectively) with minimization controlling for baseline general fatigue and maintenance treatment. Treatment was delivered by acupuncturists once a week for 6 weeks through needling three pairs of acupoints. The usual care group received a booklet with information about fatigue and its management. Primary outcome was general fatigue at 6 weeks, measured with the Multidimensional Fatigue Inventory (MFI). Other measurements included the Hospital Anxiety and Depression Scale, Functional Assessment of Cancer Therapy-General quality-of-life scale, and expectation of acupuncture effect. Analyses were by intention to treat.ResultsTwo hundred forty-six of 302 patients randomly assigned provided complete data at 6 weeks. The difference in the mean General Fatigue score, between those who received the intervention and those who did not, was -3.11 (95% CI, -3.97 to -2.25; P < .001). The intervention also improved all other fatigue aspects measured by MFI, including Physical Fatigue and Mental Fatigue (acupuncture effect, -2.36 and -1.94, respectively; both at P < .001), anxiety and depression (acupuncture effect, -1.83 and -2.13, respectively; both at P < .001), and quality of life (Physical Well-Being effect, 3.30; Functional Well-Being effect, 3.57; both at P < .001; Emotional Well-Being effect, 1.93; P = .001; and Social Functioning Well-Being effect, 1.05; P < .05). CONCLUSIONAcupuncture is an effective intervention for managing the symptom of CRF and improving patients’ quality of life.

PMID:

CONCLUSIONAcupuncture is an effective intervention for managing the symptom of CRF and improving patients’ quality of life.

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