Evidence map›Paper›PMID 41264030›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Investigating biochemical markers of Acupuncture's effectiveness in managing climacteric syndrome in breast cancer patients: the FLAIR study.

Caterina Gianni, Emanuela Scarpi, Sara Bravaccini, Francesca Pirini, Silvia Vanni, Monia Dall'Agata, Michela Cortesi, Francesca Fanini, Sara Cavalieri, Laura Mercatali and 5 more

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Caterina GianniMedical Oncology and Breast Unit, IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori (IRST), Dino Amadori", Via P. Maroncelli 40, 47014, Meldola, FC, Italy.
Emanuela ScarpiUnit of Biostatistics and Clinical Trials, IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori (IRST) "Dino Amadori", Via P. Maroncelli 40, 47014, Meldola, FC, Italy. emanuela.scarpi@irst.emr.it.
Sara BravacciniDepartment of Medicine and Surgery, University of Enna "Kore", 94100, Enna, Italy.
Francesca PiriniBiosciences Laboratory, IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori (IRST) "Dino Amadori", Via P. Maroncelli 40, 47014, Meldola, FC, Italy.
Silvia VanniPreclinic and Osteoncology Unit, Biosciences Laboratory, IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori (IRST) "Dino Amadori", Via P. Maroncelli 40, 47014, Meldola, FC, Italy.
Monia Dall'AgataUnit of Biostatistics and Clinical Trials, IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori (IRST) "Dino Amadori", Via P. Maroncelli 40, 47014, Meldola, FC, Italy.
Michela CortesiBiosciences Laboratory, IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori (IRST) "Dino Amadori", Via P. Maroncelli 40, 47014, Meldola, FC, Italy.
Francesca FaniniImmuno-Gene Therapy Factory, IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori IRST "Dino Amadori", Via P. Maroncelli 40, 47014, Meldola, FC, Italy.
Sara CavalieriMedical Oncology, IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori IRST "Dino Amadori", Via P. Maroncelli 40, 47014, Meldola, FC, Italy.
Laura MercataliOsteoncology, Bone and Soft Tissue Sarcomas and Innovative Therapies, IRCCS Istituto Ortopedico Rizzoli, Via Di Barbiano 1/10, 40136, Bologna, Italy.
Paola UliviBiosciences Laboratory, IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori (IRST) "Dino Amadori", Via P. Maroncelli 40, 47014, Meldola, FC, Italy.
Alessandra PoiniResearch and Healthcare Institute of Association of Medical Acupuncturists of Bologna (A.M.A.B.), Via Antonio Canova, 15/E, 40138, Bologna, Italy.
Carlo Maria GiovanardiResearch and Healthcare Institute of Association of Medical Acupuncturists of Bologna (A.M.A.B.), Via Antonio Canova, 15/E, 40138, Bologna, Italy.
Andrea RoccaDepartment of Medical, Surgical and Health Sciences, University of Trieste, Piazza Università 1, 34127, Trieste, Italy.
Anna FedeliResearch and Healthcare Institute of Association of Medical Acupuncturists of Bologna (A.M.A.B.), Via Antonio Canova, 15/E, 40138, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer (BC) remains a global health issue, with most women receiving adjuvant hormone therapy. Hot flushes and climacteric symptoms often compromise treatment adherence. Acupuncture has shown promise in alleviating these symptoms and improving quality of life (QoL). This prospective study aimed to investigate the mechanisms underlying acupuncture's effects on menopausal symptoms in breast cancer patients receiving endocrine therapy, with a secondary focus on inflammatory biomarker changes.

methodsThis open-label biological study enrolled 37 early BC patients receiving endocrine treatment, and acupuncture treatment provided at IRST within the integrative care pathway, of whom 27 completed all evaluations. Participants underwent a 10-session weekly acupuncture program based on Traditional Chinese Medicine, using fixed points (SP6, CV4, LI11, BL11, GB39). Blood samples for biochemical and cytokine analysis (IL-5, IL-6, IL-10, IL-8, IL-22, TNFα) were collected at baseline (T0), post-treatment (T1), and six months later (T2) during regular clinical and laboratory workups. Clinical outcomes were assessed using the Green Climacteric Scale (GCS), EQ-5D-5L, and Brief Pain Inventory (BPI). The study followed STRICTA guidelines.

resultsAcupuncture significantly improved vasomotor and climacteric symptoms, with reduced GCS and hot flash scores at T1 and T2 (p < 0.0001). QoL and pain scores also significantly improved at both time points. Among the cytokines measured over time, a significant reduction in TNFα levels was observed (p = 0.006), though no correlation emerged between cytokine changes and clinical outcomes.

conclusionsAcupuncture proved effective in improving menopausal symptoms and QoL in BC patients receiving endocrine therapy. The modulation of TNFα suggests a potential biological role in the mechanism of symptom relief.

Indexed as

Acupuncture TherapyBreast NeoplasmsHot FlashesMenopauseAdultAgedBiomarkersCytokinesFemaleHumansMiddle AgedProspective StudiesQuality of LifeTreatment OutcomeBiomarkersCytokinesAcupunctureBreast cancerCytokinesHot flushesMenopauseTNF-α

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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.