Evidence map›Paper›PMID 19552597›Full record

Trial reportJournal of alternative and complementary medicine (New York, N.Y.)2009

Acupuncture for chemotherapy-induced neutropenia in patients with gynecologic malignancies: a pilot randomized, sham-controlled clinical trial.

Weidong Lu, Ursula A Matulonis, Anne Doherty-Gilman, Hang Lee, Elizabeth Dean-Clower, Andrew Rosulek, Carolyn Gibson, Annekathryn Goodman, Roger B Davis, Julie E Buring and 3 more

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of alternative and complementary medicine (New York, N.Y.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02964286 naunknown statusnot on this mapstarted 2015, after this paper: background citation

The Effect of Acupoint Massotherapy on Relieving Chemotherapy-induced Myelosupression Among Patients With Cancer

TypeinterventionalSponsorTaipei Medical UniversityRan2015 to 2018Enrolled200ConditionsCancer, Breast, Acupressure, HematopoiesisArmsThe Electric vibrating massager,SAMPO®
NCT03093623 naunknown statusnot on this mapstarted 2014, after this paper: background citation

The Effect of Physical Activity and Abstain From Smoking on the Regression of Precancerous Lesion.

TypeinterventionalSponsorTaipei Medical UniversityRan2014 to 2017Enrolled446ConditionsCancer Cervix Uterus, Precancerous Lesions, SmokingArmsPhysical activity
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Effect of acupuncture in myelosuppression and quality of life in women with breast cancer undergoing chemotherapy: a randomized clinical study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Trial
  4. Trial
  5. Quality-of-life outcomes in patients with gynecologic cancer referred to integrative oncology treatment during chemotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015
    Trial
  6. Trial
  7. Review
  8. Review
  9. Review
  10. Integrative Medicine for Ovarian Cancer.Current oncology reports · 2023
    Review
  11. Review
  12. Review
  13. Correlation between an integrative oncology treatment program and survival in patients with advanced gynecological cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  14. Article
  15. Article
  16. Review
  17. Acupuncture: could it become everyday practice in oncology?Contemporary oncology (Poznan, Poland) · 2016
    Review
  18. Review
  19. Review
  20. The effect of different laser irradiation on cyclophosphamide-induced leucopenia in rats.Evidence-based complementary and alternative medicine : eCAM · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Weidong LuLeonard P. Zakim Center for Integrative Therapies, Dana-Farber Cancer Institute, 44 Binney Street, Boston, MA 02115, USA. Weidong_lu@dfci.harvard.edu
Ursula A Matulonis
Anne Doherty-Gilman
Hang Lee
Elizabeth Dean-Clower
Andrew Rosulek
Carolyn Gibson
Annekathryn Goodman
Roger B Davis
Julie E Buring
Peter M Wayne
David S Rosenthal
Richard T Penson

Funding

NESA Acupuncture Research CollaborativeU19AT002022 · NCCIH · NEW ENGLAND SCHOOL OF ACUPUNCTURE · PI WAYNE, PETER MICHAEL · 2003 to 2009
$4.0M
Acupuncture for Dysphagia after Chemoradiation for Head and Neck CancerK01AT004415 · NCCIH · HARVARD MEDICAL SCHOOL · PI LU, WEIDONG · 2007 to 2011
$642k
NCCIH NIH HHS 1U19 AT 002022-01NCCIH NIH HHS K01 AT004415NCCIH NIH HHS U19 AT002022
6 · The paper itself

Abstract

objectivesThe objective of this study was to investigate the effect of acupuncture administered during myelosuppressive chemotherapy on white blood cell (WBC) count and absolute neutrophil count (ANC) in patients with ovarian cancer.

designThis study is a pilot, randomized, sham-controlled clinical trial. Patients received active acupuncture versus sham acupuncture while undergoing chemotherapy. A standardized acupuncture protocol was employed with manual and electrostimulation. The frequency of treatment was 2-3 times per week for a total of 10 sessions, starting 1 week before the second cycle of chemotherapy.

settingThe setting was two outpatient academic centers for patients with cancer. SUBJECTS: Twenty-one (21) newly diagnosed and recurrent ovarian cancer patients were the subjects. OUTCOME MEASURES: WBC count, ANC, and plasma granulocyte colony-stimulating factor (G-CSF ) were assessed weekly.

resultsThe median leukocyte value in the acupuncture arm at the first day of the third cycle of chemotherapy was significantly higher than in the control arm after adjusting for baseline value (8600 cells/microL, range: 4800-12,000 versus 4400 cell/microL, range: 2300-10,000) (p = 0.046). The incidence of grade 2-4 leukopenia was less in the acupuncture arm than in the sham arm (30% versus 90%; p = 0.02). However, the median leukocyte nadir, neutrophil nadir, and recovering ANC were all higher but not statistically significantly different (p = 0.116-0.16), after adjusting for baseline differences. There were no statistically significant differences in plasma G-CSF between the two groups.

conclusionsWe observed clinically relevant trends of higher WBC values during one cycle of chemotherapy in patients with ovarian cancer, which suggests a potential myeloprotective effect of acupuncture. A larger trial is warranted to more definitively determine the efficacy of acupuncture on clinically important outcomes of chemotherapy-induced neutropenia.

Indexed as

Acupuncture TherapyAdultAntineoplastic AgentsFemaleHumansLeukocyte CountMiddle AgedNeutropeniaOvarian NeoplasmsPilot ProjectsAntineoplastic Agents

Identifiers

PMID19552597
PMCPMC2875080

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.