Evidence map›Paper›PMID 34930039›Full record

SynthesisIntegrative cancer therapies

Effectiveness of Acupuncture in Relieving Chemotherapy-induced Leukopenia in Patients With Breast Cancer: A Systematic Review With A Meta-Analysis and Trial Sequential Analysis.

Ya Wen Shih, Jui Yuan Su, Yu Shan Kung, Yu Huei Lin, Duong Thi To Anh, Edi Sampurno Ridwan, Hsiu Ting Tsai

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Integrative cancer therapies. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06500715 (Acupuncture as add-on to GCS-F Treatment for Reducing Febrile Neutropenia-related Hospitalization in Patients Undergoing Doxorubicin-based Treatment for Sarcoma), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
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.

NCT06500715 nanot yet recruitingnot on this map

Acupuncture as add-on to GCS-F Treatment for Reducing Febrile Neutropenia-related Hospitalization in Patients Undergoing Doxorubicin-based Treatment for Sarcoma: a Randomized Crossover Study

TypeinterventionalSponsorShaare Zedek Medical CenterRan2026 to 2028Enrolled60ConditionsFebrile Neutropenia, Sarcoma, Doxorubicin Adverse Reaction, Hospitalization-Associated InfectionArmsAcupuncture
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Acupuncture in cancer care: recommendations for safe practice (peer-reviewed expert opinion).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Review
  4. Acupuncture in cancer care: a narrative review.Revista da Associacao Medica Brasileira (1992) · 2024
    Review
  5. Review
  6. 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

7 authors at 5 institutions in 2 countries.

Ya Wen ShihSchool of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Jui Yuan SuDepartment of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan.
Yu Shan KungDepartment of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan.
Yu Huei LinPost-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Duong Thi To AnhPersonnel Department, Thai Nguyen Medical College, Thai Nguyen, Viet Nam.
Edi Sampurno RidwanDepartment of Nursing, Faculty of Health Sciences, Universitas Alma Ata, Yogyakarta, Indonesia.
Hsiu Ting TsaiPost-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0003-1137-9274
National Yang Ming Chiao Tung University · TWNational Taipei University of Nursing and Health Science · TWTaipei Medical University · TWTaipei Veterans General Hospital · TWUniversitas Teknologi Yogyakarta · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer is one of the most common cancers and a major cause of death in women worldwide. Chemotherapy is mainly used to treat and control the progression of breast cancer. Leukopenia is the most common side effect of chemotherapy which may decrease immune function and further lead to serious fatal infections. The purpose of this study was to evaluate the effect of acupuncture on regulating hematopoietic function in chemotherapy-induced leukopenia among patients with breast cancer.

methodsPubMed, Embase, Cochrane Library, CINAHL Plus, Web of Science, and Chinese articles in the Airiti Library and China National Knowledge Infrastructure (CNKI) databases were searched to August 2021 for papers to include in a systematic review and meta-analysis. A random-effects model was applied. The effect size was calculated by Hedges' g. Heterogeneity was determined using Cochran's Q test. Moderator analyses were performed to examine potential sources of heterogeneity. A trial sequential analysis (TSA) was conducted to determine whether the current sample size was sufficient.

resultsTen randomized controlled trials involving 650 participants were eligible for inclusion. Analysis by the random-effects model showed a significant effect by acupuncture of ameliorating leukopenia during chemotherapy. Levels of white blood cells (WBCs) were increased (Hedges' g = 0.70,

conclusionsThe current meta-analysis supports acupuncture possibly ameliorating chemotherapy-induced leukopenia, as WBC and neutrophil values significantly increased after acupuncture in patients undergoing chemotherapy. Additionally, regardless of the type of acupuncture, values of WBCs increased. These findings are actionable and support both the clinical use of acupuncture to relieve chemotherapy-induced leukopenia and further research regarding the use of acupuncture in patients experiencing immunosuppression when undergoing chemotherapy.

Indexed as

AcupunctureAcupuncture TherapyAntineoplastic AgentsBreast NeoplasmsLeukopeniaFemaleHumansRandomized Controlled Trials as TopicAntineoplastic Agentsacupuncturebreast cancerchemotherapyleukopeniameta-analysis

Identifiers

PMID34930039
PMCPMC8728772
OpenAlexW4200453329

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.