Evidence map›Paper›PMID 33822240›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

The use of complementary and integrative therapies as adjunct interventions during radiotherapy: a systematic review.

Kaitlyn Lapen, Elaine Cha, Christina C Huang, David M Rosenberg, Michael K Rooney, Mark McArthur, Ritu Arya, Christina H Son, Anne R McCall, Daniel W Golden

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

Kaitlyn LapenCollege of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Elaine ChaCollege of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Christina C HuangSchool of Medicine, Indiana University, Indianapolis, IN, USA.
David M RosenbergCollege of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Michael K RooneyMD Anderson Cancer Center, University of Texas, Houston, TX, USA.
Mark McArthurCollege of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Ritu AryaDepartment of Radiation and Cellular Oncology, University of Chicago, Chicago, IL, USA.
Christina H SonDepartment of Radiation and Cellular Oncology, University of Chicago, Chicago, IL, USA.
Anne R McCallDepartment of Radiation and Cellular Oncology, University of Chicago, Chicago, IL, USA.
Daniel W GoldenDepartment of Radiation and Cellular Oncology, University of Chicago, Chicago, IL, USA. dgolden@radonc.uchicago.edu.ORCID http://orcid.org/0000-0002-2808-722X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLiterature supporting the efficacy of complementary and integrative medicine (CIM) alongside radiotherapy is fragmented with varying outcomes and levels of evidence. This review summarizes the available evidence on CIM used with radiotherapy in order to inform clinicians.

methodsA systematic literature review identified studies on the use of CIM during radiotherapy. Inclusion required the following criteria: the study was interventional, CIM therapy was for human patients with cancer, and CIM therapy was administered concurrently with radiotherapy. Data points of interest were collected from included studies. A subset was identified as high-quality using the Jadad scale. Fisher's exact test was used to assess the association between study results, outcome measured, and type of CIM.

resultsOverall, 163 articles met inclusion. Of these, 68 (41.7%) were considered high-quality trials. Articles published per year increased over time (p < 0.01). Frequently identified therapies were biologically based therapies (47.9%), mind-body therapies (23.3%), and alternative medical systems (13.5%). Within the subset of high-quality trials, 60.0% of studies reported a favorable change with CIM while 40.0% reported no change. No studies reported an unfavorable change. Commonly assessed outcome types were patient-reported (41.1%) and provider-reported (21.5%). Rate of favorable change did not differ based on type of CIM (p = 0.90) or outcome measured (p = 0.24).

conclusionsConcurrent CIM may reduce radiotherapy-induced toxicities and improve quality of life, suggesting that physicians should discuss CIM with patients receiving radiotherapy. This review provides a broad overview of investigations on CIM use during radiotherapy and can inform how radiation oncologists advise their patients about CIM.

Indexed as

Complementary TherapiesIntegrative MedicineHumansPain ManagementQuality of LifeSelf CareComplementary therapiesPatient supportRadiotherapySystematic reviewTherapeutic radiation

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.