Friday, July 26, 2019

Research Thursdays: Oncology

key words:  research literacy, acupuncture and oncology, integrative oncology, sharing related research in the field, research in integrative health; integrative survivorship, oncology and insomnia, program examples, oncology work and compassion fatigue

Acupuncture in Oncology

Review of the "Research and Metrics Thursdays" theme from the public Facebook Page and newsletter with focus on Oncology

At the Hospital-practice Handbook Project, we encourage practitioners to cultivate mentor-relationships and practice research literacy

This is a work in progress. last updated 9.5.2019.

Community Survey 

Oncology Acupuncture Community News
  • New webpage from the Advocate Aurora Integrative Health program in oncology (program)
  • research--oncology and insomnia.  New paper from Memorial Sloan-Kettering on insomnia in cancer patients
    • Both cognitive behavioral therapy and acupuncture had clinical effectiveness in treating severity of insomnia and had sustained benefits for 20 weeks. It was the first comparative effectiveness study for this clinical research query.
    • Sheila N Garland, Sharon X Xie, Kate DuHamel, Ting Bao, Qing Li, Frances K Barg, Sarah Song, Philip Kantoff, Philip Gehrman, Jun J Mao, Acupuncture Versus Cognitive Behavioral Therapy for Insomnia in Cancer Survivors: A Randomized Clinical Trial, JNCI: Journal of the National Cancer Institute.
  • Integrative Survivorship programs for life after cancer (program)
    • "Implementing an Integrative Survivorship Program at a Comprehensive Cancer Center: A Multimodal Approach to Life After Cancer”, is a JACM free-access article.  The study: “describes the development of an integrative survivorship program at an urban National Cancer Institute-designated comprehensive cancer center with three closely linked components: a Survivorship Clinic with dedicated staff, a network of Support Services including Wellness, and an Integrative Medicine Program.”
    • Integrative health providers included in this program noted as: nutritionist and acupuncturist. Integrative health programs included: yoga, mindfulness, Healing Touch, and Reiki, and psychosocial oncology.
  • February 2019 National Cancer Institute (NCI) and National Institute of Health (NIH) conference, "The National Cancer Institute NIH Report" by Dr. Jennifer Stone, published in Meridians: Journal of Acupuncture and Oriental Medicine (now the Journal of American Society of Acupuncturists).

Related Community Survey
  • How Do You Define Success in an Integrative Oncology Program? 
    • At this time a large % of acupuncturists working in hospitals are working in oncology programs.  
    • Goal: learn about the current standards and metrics for integrative oncology programs, focus on the work of licensed acupuncturists
    • How will this info be used? 
      • Continue discussion in the community about the following topics: using metrics in clinical care, finding relevant metrics for your work, how integrative oncology programs are being set up, maintained, and grown
      • when enough information, I will publish a blogpost summary 
      • follow up interview potential about specific programs for those interested in participating, part of the "issues in hospital practice" community webinar/interview series.  Go to this post for more about this special Project series.  

Related Interviews
coming soon...

Related Blogposts
More resources on Integrative Oncology Recommended by the Community
Research Articles

"Compassion fatigue is a phenomenon in which witnessing high levels of suffering and death over time may lead to reduced capacity and interest in being empathetic to the suffering of others. Not surprisingly, compassion fatigue may contribute to burnout and secondary traumatic stress. Because they deal with cancer, oncologists are particularly susceptible to this phenomenon. 
"To understand compassion fatigue, Dr. Rony Laor-Maayany surveyed 74 oncologists in Israel using the Professional Quality of Life Questionnaire (PRoQOL) and the Texas Revised Inventory of Grief (TRIG)-Present Scale. Surprisingly, they found no association between exposure to suffering and death and compassion fatigue. Rather, it was grief and sense of failure that predicted compassion fatigue, burnout, and secondary traumatic stress. Altogether, the authors suggest that the subjective experience elicited by the exposure, e.g. grief, may be more important than the exposure itself. This provides insight into potential interventions focusing on perceptions and experiences to prevent compassion fatigue and consequent burnout."

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For more on the topic of research
  • follow the tag/label in this blog for "research literacy"

Monthly research summary blogposts

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