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Acupuncture in Oncology
Review of the "Research and Metrics Thursdays" theme from the public Facebook Page and newsletter with a focus on Oncology
This is a work in progress. last updated 12.03.2019.
- Please feel free to add in the comments more articles and resources you recommend on acupuncture, TCM, and integrative health in oncology (integrative oncology). As of this writing, there is more research on this topic than I can sort through.
- If you have an acupuncture oncology learning resource to share, please submit it to our Hospital Practice Learning Opportunities Directory. Thank you.
- starting August 2019, the community survey: How Do You Define Success in an Integrative Oncology Program?
- 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 the 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. https://academic.oup.com/jnci/advance-article-abstract/doi/10.1093/jnci/djz050/5426666
- 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).
- “The National Cancer Institute’s Conference on Acupuncture for Symptom Management in Oncology: State of the Science, Evidence, and Research Gaps” published 11.13.2017. JNCI Monographs, volume 2017, issue 52.
- "Reduction of Opioid Use by Acupuncture...Hematopoietic Stem Cell Transplantation..."
- This original research article recommended by colleague Bobbee Vang, is out of Memorial Sloan Kettering Cancer Institute and about Hematopoietic Stem Cell Transplantation. Why this research and published work is important, “As you know, oral mucositis from high-dose chemotherapy causes severe acute pain with folks doing stem cell transplant. They burn from the inside out. Opioids help but they are also drying which sometimes makes the healing time worse. Acupuncture appears to significantly reduce the need for pain medications during transplant.” -Bobbee Vang, LAc.
- Citation: Gary Deng, Sergio Giralt, David Chung, Heather Landau, Jonathan Siman, Qing S, Li MS, Kaitlyn Lapen, Jun Mao. “Reduction of Opioid Use by Acupuncture in Patients Undergoing Hematopoietic Stem Cell Transplantation: Secondary Analysis of a Randomized, Sham-Controlled Trial”. Pain Medicine, 0(0), 2019, 1–7 doi: 10.1093/pm/pnz190
- I (Megan) watched Dr. Deng present this work at the SAR conference in June 2019. For my related notes on the talk, including some photos, please go to this lecture in the SAR conference notes. You have access to this entire Notes course by belonging to the membership site. Here’s the link to the specific lecture.
- 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.
- Paths to Practice Interview: Focus on Dr. Annie Budhathoki of Huntsman Cancer Institute
- published 11.22.2019
- How Do You Define Success in Integrative Oncology?
- Resource: Society of Integrative Oncology
- Emergency Department Acupuncture Programs and research
- See the interview with Dr. John Burns and the related reading recommendations at the end of that post.
- The Andrew Weil Center for Integrative Medicine Free Online Cancer Care Toolkit
- Intended for patients working with their oncology providers. Has information on integrative health therapies, including nutrition and movement for cancer care programs.
- Podcast interview: "Integrative Oncology is a Clinically Proven Approach--Here's to Hoping That News Gets Out to Payers and Patients, with Glenn Sabin of FON Consulting"
- Book to buy or find in your local library: Kitchen Table Wisdom: Stories That Heal by Rachel Naomi Remen, MD.
- ***The special issue from JACM, published in October 2019, Integrative Oncology.***
- Cancer Care work and compassion fatigue.
- Compassion fatigue among oncologists: the role of grief,sense of failure, and exposure to suffering and death Laor-Maayany R, Goldzweig G, Hasson-Ohayon I, Bar-Sela G, Engler-Gross A, Braun M. Support Care Cancer. 2019 Aug 8
- Excerpt from the Humanism in Healthcare August 2019 Research Roundup summary of this study:
"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."
This series includes:
• An Integrative Approach to Cancer Care
• How to Navigate Nutritional Information as a Cancer Patient and Beyond Treatment
• How to Build Your Stress Response Muscles During Recovery From Breast Cancer
• How to Heal After the Physical and Emotional Trauma From a Cancer Diagnosis
• 10 Complementary and Lifestyle Approaches to Help with Breast Cancer Care
- follow the tag/label in this blog for "research literacy"
Monthly research summary blogposts
- April Research Roundup
- March Research Roundup
- February Research Roundup
- January Research Roundup
- December Research Roundup
You can request a pdf copy of this blogpost via the website for the cost of a cup of coffee. All proceeds go toward basic operating costs to keep this HH Project work going. Thank you.
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