Evidence map›Paper›PMID 37452895›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

Massage therapy significantly improves cancer-related fatigue in cancer patients: a meta-analysis of randomized controlled trials.

Shengnan Shan, Lu Lin, Qian Fang, Fengmei Tian, Daoxia Guo, Yanling Zhou, Li Tian

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 13% 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.

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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. The effect of hand massage on fatigue in women with cancer receiving brachytherapy: randomized clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  6. Cancer-related fatigue in cancer survivors: an updated clinical practice review for healthcare providers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  7. Review
  8. Review
  9. Review
  10. Review
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 2 institutions in 1 country.

Shengnan Shan *The First Affiliated Hospital of Soochow University, Suzhou, 215006, China.
Lu Lin *The First Affiliated Hospital of Soochow University, Suzhou, 215006, China.
Qian FangSchool of Nursing, Medical College of Soochow University, Suzhou, 215006, China.
Fengmei TianThe Second Affiliated Hospital of Soochow University, Suzhou, 215000, China.
Daoxia GuoSchool of Nursing, Medical College of Soochow University, Suzhou, 215006, China.
Yanling ZhouThe Second Affiliated Hospital of Soochow University, Suzhou, 215000, China. sdfeyzyl@163.com.
Li TianThe First Affiliated Hospital of Soochow University, Suzhou, 215006, China. tianlisz@suda.edu.cn.
Soochow University · CNSecond Affiliated Hospital of Soochow University · CN

Funding

Key Project of Philosophy and Social Science Research in Colleges and Universities in Jiangsu Province 2023SJZD144National Natural Science Foundation of China 81801098
6 · The paper itself

Abstract

purposeThis study was designed to investigate the effectiveness and safety of massage therapy in cancer-related fatigue (CRF) and to provide a reference for the future management of CRF.

methodsEight databases (PubMed, Embase, Cochrane Library, CINAHL, Sinomed, Chinese Scientific Journal database (VIP), Wanfang, and China National Knowledge Infrastructure (CNKI)) were systematically reviewed from inception to May 2022 for randomized controlled trials. Two reviewers critically and independently assessed the risk of bias using Cochrane Collaboration criteria and extracted correlated data using the designed form. The meta-analysis was performed using RevMan 5.3 to calculate the pooled effect sizes and 95% confidence intervals (CIs). Sensitivity analysis was performed to find the source of the heterogeneity. Publication bias was assessed via funnel plot analysis and the Egger test.

resultA total of 11 qualified studies that included 789 patients (massage therapy group: 389; control group: 400) were included in the meta-analysis. Massage therapy had a marked effect on fatigue in cancer patients [standardized mean difference (SMD) =  - 1.69, 95% CI (- 2.46, - 0.93), P < 0.01], especially in breast cancer [SMD =  - 1.62, 95% CI (- 2.18, - 1.05), P < 0.01]. Reflexology [SMD =  - 2.71, 95% CI (- 4.65, - 0.77), P < 0.01] and Chinese massage [SMD =  - 1.14, 95% CI (- 1.95, - 0.33), P < 0.01] can have a more significant effect on fatigue. Massage time is 20 to 40 min [SMD =  - 2.39, 95% CI (- 4.13, - 0.66), P < 0.01], twice a week [SMD =  - 3.46, 95% CI (- 5.47, - 1.45), P < 0.01] for 3-5 weeks [SMD =  - 2.36, 95% CI (- 3.53, - 1.19), P < 0.01], which is more effective in relieving fatigue in cancer patients. Five studies described the occurrence of adverse events and only two studies had adverse events.

conclusionMassage therapy can be effective in relieving fatigue in cancer patients. Current evidence suggests that reflexology is the most effective approach to relieve fatigue, particularly in the breast cancer patients. The optimal intervention frequency and cycle for massage therapy is twice a week for 3-5 weeks, and the optimal duration is 20-40 min.

Indexed as

Breast NeoplasmsFatigueFemaleHumansMassageMind-Body TherapiesRandomized Controlled Trials as TopicCancerFatigueMassageMeta-analysis

Identifiers

PMID37452895
OpenAlexW4384407211

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.