Effect of auricular acupuncture on cancer pain: a systematic review
DOI:
https://doi.org/10.34119/bjhrv6n1-061Keywords:
cancer pain, auriculotherapy, cancer patientsAbstract
Aims: To analyze the scientific evidence available in the literature about the effect of auricular acupuncture on cancer pain. Method: Systematic review of the literature guided by the criteria of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA Statement); whose research question was “What are the effects of auriculotherapy/auricular acupuncture on cancer pain in adults?”. EndNote and Rayyan platforms were used to manage references and manage the stages of article selection, respectively. The Jadad scale was used to assess the methodological quality of the studies. The data collected from the articles were grouped into tables and analyzed descriptively. Results: A total of 3484 articles were found, of which 11 made up the sample of this study, in which the majority showed excellent methodological quality (54.54%). 533 adults complaining of cancer pain were treated, using auricular acupuncture as the only intervention or as a complement to another treatment and, in all studies, it proved to be effective both for painful symptoms and for relieving other secondary signs, such as anxiety and insomnia. Conclusions: Auricular acupuncture is effective in relieving cancer pain when administered either through needles or seeds and at specific pain points (aché point), in addition to the shemman, sympathetic, subcortex, and kidney points.
References
(1) SCARBOROUGH B. M., SMITH C. B. Optimal pain management for patients with cancer in the modern era. CA: A Cancer Journal for Clinicians. 2018;68(3):182–196. Disponível em: doi: 10.3322/caac.21453. Acesso em: 01 dez 2021
(2) SAMPAIO, S. G. DOS S. M.; MOTTA, L. B. DA; CALDAS, C. P. Medicamentos e Controle de dor: Experiência de um Centro de Referência em Cuidados Paliativos no Brasil. Revista Brasileira de Cancerologia, v. 65, n. 2, 2019. Disponível em: . Acesso em: 16 abr. 2020.
(3) RANGEL, O.; TELLES, C. Tratamento da dor oncológica em cuidados paliativos. Revista do Hospital Universitário Pedro Ernesto, UERJ, v. 11, n. 2, p. 32–37, 2012. Disponível em: . Acesso em: 28 de março de 2020.
(4) IZZO, J. M. et al. The impact of chronic pain on the quality of life and on the functional capacity of cancer patients and their caregivers. Brazilian Journal Of Pain, v. 2, n. 4, p. 336– 341, 2019. Disponível em: < http://dx.doi.org/10.5935/2595-0118.20190062>. Acesso em: 16 33 abr. 2020.
(5) PASTRANA, T. et al. Atlas de Cuidados Paliativos na América Latina ALCP. 1. ed. Houston: IAHPC Press, 2012. Disponível: . Acesso em: 01 de abril de 2020.
(6) ALIMI D., RUBINO C., PICHARD-LÉANDRI E., FERMAND-BRULÉ S., DUBREUILLEMAIRE M. L., HILL C. Analgesic effect of auricular acupuncture for cancer pain: a randomized, blinded, controlled trial. J Clin Oncol. 2003 Nov 15;21(22):4120-6. doi: 10.1200/JCO.2003.09.011. PMID: 14615440.
(7) WEN, T. S. Acupuntura clássica Chinesa. Ed. Cultrix, São Paulo, 2007. Acesso em: 22 set. 2021.
(8) GORI L, FIRENZUOLI F. Ear acupuncture in European traditional medicine. Evid Based Complement Alternat Med. 2007 Sep;4(Suppl 1):13-6. doi: 10.1093/ecam/nem106. PMID: 18227925; PMCID: PMC2206232.
(9) YEH C. H., CHIEN L. C., CHIANG Y. C., REN D., SUEN L. K. Auricular point acupressure as an adjunct analgesic treatment for cancer patients: a feasibility study. Pain Manag Nurs. 2015 Jun;16(3):285-93. doi: 10.1016/j.pmn.2014.08.005. Epub 2014 Oct 31. PMID: 25439120.
(10) WANG, X.; CHEN, Y.; LIU, Y.; YAO, L.; ESTILL, J.; BIAN, Z.; WU, T.; SHANG, H.; LEE, M. S.; WEI, D.; TIAN, J.; MA, B.; WANG, Y.; TIAN, G.; YANG, K. (2019). Reporting items for systematic reviews and meta-analyses of acupuncture: the PRISMA for acupuncture checklist. BMC Complementary and Alternative Medicine, 19(1), 208–. doi:10.1186/s12906- 019-2624-3.
(11) CLARK, H. D. et al. Assessing the quality of randomized trials: Reliability of the Jadad Scale. Controlled Clinical Trials, 1999; 20(5), 448-452. Disponível em: . Acesso em: 20 ago. 2020.
(12) JADAD, A. R. et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary?. Control Clin Trials. 1996;17(1):1-12. Disponível em: < https://pubmed.ncbi.nlm.nih.gov/8721797/>. Acesso em: 20 de ago. 2020.
(13) MACPHERSON H., WHITE A., CUMMINGS M., JOBST K. A., ROSE K., NIEMTZOW R. C. Standards for Reporting Interventions in Clinical Trials of Acupuncture: The STRICTA recommendations. J Altern Complement Med. 2002; 8(1):85-89.
(14) RUELA, L. O. et al. Efetividade da acupuntura auricular no tratamento da dor oncológica: ensaio clínico randomizado. Revista da Escola de Enfermagem da USP [online]. 2018, v. 52. Disponível em: . Epub 13 Dez 2018. ISSN 1980-220X. https://doi.org/10.1590/S1980-220X2017040503402.
(15) YEH C. H., CHIEN L. C., LIN W. C., BOVBJERG D. H., VAN LONDEN G. J. Pilot Randomized Controlled Trial of Auricular Point Acupressure to Manage Symptom Clusters of Pain, Fatigue, and Disturbed Sleep in Breast Cancer Patients. Cancer Nurs. 2016 Sep-Oct;39(5):402-10. doi: 10.1097/NCC.0000000000000303. PMID: 26390073.
(16) XU L. P., YANG S. L., SU S. Q., HUANG B. X., LAN X. M., YAO R. J. Effect of wristankle acupuncture therapy combined with auricular acupuncture on cancer pain: A fourparallel arm randomized controlled trial. Complement Ther Clin Pract. 2020 May;39:101170. doi: 10.1016/j.ctcp.2020.101170. Epub 2020 Apr 8. PMID: 32379695.
(17) CREW K. D. et al. Randomized, blinded, sham-controlled trial of acupuncture for the management of aromatase inhibitor-associated joint symptoms in women with early-stage breast cancer. J Clin Oncol. 2010 Mar 1;28(7):1154-60. doi: 10.1200/JCO.2009.23.4708. Epub 2010 Jan 25. PMID: 20100963
(18) CREW, K. D., CAPODICE, J. L., GREENLEE, H. et al. Pilot study of acupuncture for the treatment of joint symptoms related to adjuvant aromatase inhibitor therapy in postmenopausal breast cancer patients. J Cancer Surviv 1, 283–291 (2007). https://doi.org/10.1007/s11764-007-0034-x.
(19) GARCIA M. K., DRIVER L., HADDAD R., LEE R., PALMER J. L., WEI Q., FRENKEL M., COHEN L. Acupuncture for treatment of uncontrolled pain in cancer patients: a pragmatic pilot study. Integr Cancer Ther. 2014 Mar;13(2):133-40. doi: 10.1177/1534735413510558. Epub 2013 Nov 25. PMID: 24282103.
(20) DILLON M., LUCAS C. Auricular stud acupuncture in palliative care patients. Palliat Med. 1999 May;13(3):253-4. doi: 10.1191/026921699667999073. PMID: 10474714.
(21) ALIMI D, RUBINO C, LEANDRI E. P, BRULÉ S. F. Analgesic effects of auricular acupuncture for cancer pain. J Pain Symptom Manage. 2000 Feb;19(2):81-2. doi: 10.1016/s0885-3924(99)00140-2. PMID: 10766574.
(22) ABDORAL P. R. G.; FREIREA. E. V.; SANTOSG. F.; RODRIGUESL. S.; FURTADOF. F.; OLIVEIRAE. DE M. R. E; REZEKP. G.; COUTOM. H. S. H. F. DO; SILVAS. C. B. E; MIRANDAC. J. C. DE P. Educação em saúde no cuidado de pacientes oncológicos com o uso da auriculoterapia no manejo da dor. Revista Eletrônica Acervo Saúde, v. 13, n. 8, p. e8569, 16 ago. 2021.
(23) MELZACK, R.; WALL, P. D. Pain mechanisms: a new theory. Science. 1965;150(3699):971-9. Disponível em: https://www.scielo.br/j/reeusp/a/YQtmJzLtHN3bLXLzHDsWcXp/?format=pdf&lang=pt
(24) CAPELA, C. et al. Associação da qualidade de vida com dor, ansiedade e depressão. 2009, v. 16, n. 3, pp. 263-268. Disponível em: https://doi.org/10.1590/S1809-29502009000300013. Acesso em: 22 maio 2022.
(25) YEH C. H., CHIANG Y. C., HOFFMAN S. L., LIANG Z., KLEM M. L., TAM W. W., et al. Efficacy of auricular therapy for pain management: a systematic review and metaanalysis. Evid Based Complement Alternat Med. 2014;2014:934670. Acesso em: 22 set. 2021.
(26) KUREBAYASHI L. F. S., GNATTA J. R., BORGES T. P., BELISSE G., COCA S., MINAMI A., et al. The applicability of auriculotherapy with needles or seeds to reduce stress in nursing professionals. Rev Esc Enferm USP [Internet]. 2012;46(1):89-95. Disponível em: http://www.scielo.br/pdf/reeusp/v46n1/en_v46n1a12.pdf Acesso em: 18 maio 2022.
(27) YANG L. H., DUAN P. B., HOU Q. M., DU S. Z., SUN J. F., MEI S. J., et al. Efficacy of auricular acupressure for chronic low back pain: a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med. 2017;2017:6383649. Acesso em: 22 set. 2021.
(28) DAMIEN, J.; COLLOCA, L.; BELLEI-RODRIGUEZ C. É.; MARCHAND, S. Pain 32 modulation: from conditioned pain modulation to placebo and nocebo effects in experimental and clinical pain. Int Rev Neurobiol. 2018;139:255-96. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30146050/. Acesso em: 14 maio 2022.
(29) SILVA, H. M. Uso da auriculoterapia no manejo de dor na atualidade: revisão integrativa. XXVIII Congresso virtual de Iniciação Científica da Unicamphttps://www.prp.unicamp.br/inscricao-congresso/resumos/2020P16681A34513O2357.pdf
(30) ARTIOLI, D. P., TAVARES, A. L. F., BERTOLINI, G. R. F. Auriculotherapy: neurophysiology, points to choose, indications and results on musculoskeletal pain conditions: a systematic review of reviews. BrJP [online]. 2019, v. 2, n. 4 [Acessado 14 Maio 2022] , pp. 356-361. Disponível em: . Acesso em: 14 maio 2022.
(31) JENSEN MP, KAROLY P, BRAVER S. The measurement of clinical pain intensity: a comparison of six methods. Pain. 1986 Oct;27(1):117-126. Disponível em: doi: 10.1016/0304- 3959(86)90228-9. PMID: 3785962. Acesso em: 14 maio 2022.
(32) VIEIRA A., REIS A. M., MATOS L. C., MACHADO J., MOREIRA A. Does auriculotherapy have therapeutic effectiveness? An overview of systematic reviews. Complement Ther Clin Pract. 2018;33:61-70. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30396628/. Acesso em: 22 set. 2021.


