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ArticlePalliative medicine reports

Moxibustion as Supportive Therapy for Opioid-Induced Constipation in Patients with Advanced Cancer: A Case Series.

Kanae Kanda, Akitsu Murakami, Nlandu Roger Ngatu, Tomohiro Hirao, Akihito Harusato

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Article in Palliative medicine reports. 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

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Kanae KandaDepartment of Public Health, Faculty of Medicine, Kagawa University, Kagawa, Japan.ORCID https://orcid.org/0000-0001-6712-3951
Akitsu MurakamiDepartment of Palliative Care, Kagawa University Hospital Cancer Center, Kagawa, Japan.
Nlandu Roger NgatuDepartment of Public Health, Faculty of Medicine, Kagawa University, Kagawa, Japan.
Tomohiro HiraoDepartment of Public Health, Faculty of Medicine, Kagawa University, Kagawa, Japan.
Akihito HarusatoDepartment of Public Health, Faculty of Medicine, Kagawa University, Kagawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Opioid-induced constipation (OIC) is a common adverse effect of opioid therapy in cancer patients, often persisting despite laxatives and peripherally acting μ-opioid receptor antagonists. Moxibustion, a traditional thermal therapy applied to acupuncture points, has been proposed as a supportive option, but clinical evidence for OIC remains scarce. This study evaluated the clinical outcomes and feasibility of moxibustion for OIC in advanced cancer patients. Methods: We conducted a prospective case series at Kagawa University Hospital (April 2023-July 2025). Ten patients with advanced cancer and clinically diagnosed OIC were included. Eligibility required Eastern Cooperative Oncology Group performance status 0-2 and no prior chronic constipation. Moxibustion was delivered twice weekly for three weeks (six sessions) to standardized abdominal, hand, and foot acupoints using a ceramic warming device. Constipation severity was assessed with the Constipation Assessment Scale (CAS). Secondary outcomes included laxative use, stool form, and Edmonton Symptom Assessment System-Revised. Results: Eight patients improved in CAS scores (mean change -2.8, SD: 3.0; Conclusions: This case series indicates moxibustion is a feasible and safe complementary therapy for OIC in advanced cancer, with the potential to reduce symptom burden and medication use. While limited by small sample size and lack of control, the findings support further trials to confirm its role in integrative palliative care.

Indexed as

cancercase seriescomplementary therapymoxibustionopioid-induced constipationpalliative care

Identifiers

PMID42539371
PMCPMC13422742

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