Evidence map›Paper›PMID 41721832›Full record

ReviewSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Integrating English and Chinese evidence on acupuncture and moxibustion for cancer-related fatigue (CRF): a decade of research and clinical recommendations.

Swee Teng Tan, Suk Meng Tan, Si Yan Chan, Ren Jye Lim, Chin Choo Yap

Abstract readReview
PubMed Publisher
In one paragraph

Review in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Swee Teng TanDepartment of Psychology, Sunway University, Subang Jaya, Selangor, Malaysia. tansweeteng00@gmail.com.ORCID http://orcid.org/0009-0003-2186-6663
Suk Meng TanSunway TCM Centre, Sunway Healthcare Group, Subang Jaya, Selangor, Malaysia.ORCID http://orcid.org/0009-0006-7805-8407
Si Yan ChanSunway TCM Centre, Sunway Healthcare Group, Subang Jaya, Selangor, Malaysia.ORCID http://orcid.org/0000-0002-5148-7280
Ren Jye LimSunway TCM Centre, Sunway Healthcare Group, Subang Jaya, Selangor, Malaysia.ORCID http://orcid.org/0000-0003-3510-2202
Chin Choo YapDepartment of Psychology, Sunway University, Subang Jaya, Selangor, Malaysia.ORCID http://orcid.org/0000-0001-9461-9653

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis review evaluates the effectiveness and safety of acupuncture and moxibustion for CRF management and provides evidence-informed clinical recommendations. The review intends to answer the questions: (1) How effective and safe are acupuncture and moxibustion in managing CRF? (2) What clinical recommendations can be provided from the evidence?

methodsA systematic literature search across seven English and Chinese databases, identifying 13 randomized controlled trials (RCTs) published between 2015 and 2025, involving 919 participants with various cancer types.

resultsAcupuncture and/or moxibustion significantly alleviated CRF with p-values ranging from < 0.001 to 0.050. In contrast, control groups demonstrated either no statistically significant change or a significantly lower magnitude of improvement, with clinical response rates (34.60%-66.67%) consistently inferior to those observed in the intervention groups (68.00% to 86.67%). Commonly selected acupoints included Zusanli (ST36), Qihai (CV6), and Guanyuan (CV4). Treatment protocols were categorized into short-term (≤ 3 weeks), cycle-based (synchronized with chemotherapy cycles), and long-term (up to 6 months), with needle retention times of 10 to 30 min. All studies reported high safety profiles, with no adverse events. CRF was measured using validated instruments such as the Cancer Fatigue Scale (CFS), Brief Fatigue Inventory (BFI), Piper Fatigue Scale (PFS), and the Functional Assessment of Cancer Therapy-Fatigue (FACT-F), showing consistent improvements.

conclusionAcupuncture and moxibustion are safe and effective for CRF and may be integrated into supportive oncology care alongside exercise, mind-body intervention, and cognitive behavioural therapy (CBT) to enhance quality of life in oncology populations. However, limited sample sizes and methodological heterogeneity highlight the need for larger and well-designed studies to strengthen the evidence.

Indexed as

Acupuncture TherapyFatigueMoxibustionNeoplasmsEast Asian PeopleHumansRandomized Controlled Trials as TopicAcupuncture therapyCancer-relatedFatigueIntegrative medicineMoxibustionSupportive care

Identifiers

What OpenQuestion holds

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Registered trials

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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.