Assessing the feasibility of using acupuncture and moxibustion to improve quality of life for cancer survivors with upper body lymphoedema

European Journal of Oncology Nursing

Volumn 16, Issue 3, 2012, Pages 301-309

  De Valois, Beverley A ^a   Young, Teresa E ^a   Melsome, Elaine ^a  

^a MOUNT VERNON CANCER CENTRE   (United Kingdom)

Author keywords

Acupuncture; Breast cancer; Head and neck cancer; Lymphoedema; Moxibustion; Oncology; Quality of life; Survivorship; Symptom burden

Indexed keywords

ACUPUNCTURE; ARTICLE; BREAST TUMOR; FEASIBILITY STUDY; FEMALE; HEAD AND NECK TUMOR; HUMAN; INFORMATION PROCESSING; INTERVIEW; LYMPHEDEMA; MALE; MIDDLE AGED; MOXIBUSTION; NURSING; QUALITY OF LIFE; QUESTIONNAIRE; SURVIVOR; TREATMENT OUTCOME;

ACUPUNCTURE THERAPY; BREAST NEOPLASMS; FEASIBILITY STUDIES; FEMALE; FOCUS GROUPS; HEAD AND NECK NEOPLASMS; HUMANS; INTERVIEWS AS TOPIC; LYMPHEDEMA; MALE; MIDDLE AGED; MOXIBUSTION; QUALITY OF LIFE; QUESTIONNAIRES; SURVIVORS; TREATMENT OUTCOME;

EID: 84861345516     PISSN: 14623889     EISSN: 15322122     Source Type: Journal    
DOI: 10.1016/j.ejon.2011.07.005     Document Type: Article

References (66)

1. Ahmed R.L., Prizment A., Lazovich D., Schmitz K.H., Folsom A.R. Lymphedema and quality of life in breast cancer survivors: the Iowa women's health study. Journal of Clinical Oncology 2008, 26(35):5689-5696.
2. Al-Niaimi F., Cox N. Cellulitis and lymphoedema: a vicious cycle. Journal of Lymphoedema 2009, 4(2):38-42.
3. Alem M., Gurgel M.S.C. Acupuncture in the rehabilitation of women after breast cancer - a case series. Acupuncture in Medicine 2008, 26(2):86-93.
4. Bjordal K., de Graeff A., Fayers P., van Pottelsberghe C., Curran D., Tollesson E., Ahlner-Elmqvist M., Maher E., Meyza J., Bredart A. A 12 country field study of the EORTC QLQ-C30 and the head and neck cancer specific module. European Journal of Cancer 2000, 36:1796-1807.
5. Carmady B., Smith C.A. Patterns of traditional Chinese medicine use by people living with cancer: a review of the literature. Chinese Medicine 2011, 6(1):22.
6. Cassidy C. Chinese Medicine users in the United States: Part II: preferred aspects of care. Journal of Alternative and Complementary Medicine 1998, 4(2):189-202.
7. Chachaj A., Malyszczak K., Pyszel K., Lukas J., Tarkowski R., Pudelko M., Andrzejak R., Szuba A. Physical and psychological impairments of women with upper limb lymphedema following breast cancer treatment. Psycho-Oncology 2010, 19:299-305.
8. Cole T. Lymphoedema: risks and benefits of needle use in patients after axillary node surgery. British Journal of Nursing 2006, 15(18):969-979.
9. Craig P., Dieppe P., Macintyre S., Michie S., Nazareth I., Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. British Medical Journal 2008, 337(7676):979-983.
10. Craig P., Dieppe P., Macintyre S., Michie S., Nazareth I., Petticrew M. Developing and Evaluating Complex Interventions: New Guidance 2008, Medical Research Council.
11. Dawes D.J., Meterissian S., Goldberg M., Mayo N.E. Impact of lymphoedema on arm function and health-related quality of life in women following breast cancer surgery. Journal of Rehabilitation Medicine 2008, 40(8):651-658.
12. de Valois B. Acupuncture. Enhancing Cancer Care: Complementary Therapy and Support 2007, Oxford University Press, Oxford. J. Barraclough (Ed.).
13. de Valois B., Young T., Robinson N., McCourt C., Maher E. Using traditional acupuncture for breast cancer-related hot flashes and night sweats. Journal of Alternative and Complementary Medicine 2010, 16(10):1047-1057.
14. The National Cancer Survivorship Initiative Vision 2010, Department of Health, Macmillan Cancer Support, NHS Improvement, Department of Health.
15. Farncombe M., Daniels G., Cross L. Lymphedema: the seemingly forgotten complication. Journal of Pain and Symptom Management 1994, 9:269-276.
16. Filshie J. Safety aspects of acupuncture in palliative care. Acupuncture in Medicine 2001, 19(2):117-122.
17. Ganz P.A. The quality of life after breast cancer - solving the problem of lymphedema. New England Journal of Medicine 1999, 340(5):383-385.
18. Gould A., Macpherson H. Patient perspectives on outcomes after treatment with acupuncture. Journal of Alternative and Complementary Medicine 2001, 7(3):261-268.
19. Guyatt G.H., Juniper E.F., Walter S., Griffith L., Goldstein R.S. Interpreting treatment effects in randomised trials. British Medical Journal 1998, 316:690-693.
20. Hack T.F., Kwan W.B., Thomas-MacLean R.L., Towers A., Miedema B., Tilley A., Chateau D. Predictors of arm morbidity following breast cancer surgery. Psycho-Oncology 2010, 19:1205-1212.
21. Hansard S. Lymphoedema and complementary therapy - how to make an informed choice. LymphLine: Newsletter of the Lymphoedema Support Network Summer 2010, 7-9.
22. Hayes S.C., Janda M., Cornish B., Battistutta D., Newman B. Lymphedema after breast cancer: incidence, risk factors, and effect on upper body function. Journal of Clinical Oncology 2008, 26(21):3536-3542.
23. Hull S.K., Page C.P., Skinner B.D., Linville J.C., Coeytaux R.R. Exploring outcomes associated with acupuncture. Journal of Alternative and Complementary Medicine 2006, 12(3):247-254.
24. Hyland M.E., Lewith G., Wheeler P. Do existing psychologic scales measure the nonspecific benefit associated with CAM treatment?. Journal of Alternative and Complementary Medicine 2008, 14(2):185-189.
25. The diagnosis and treatment of peripheral lymphedema. Lymphology 2003, 36:84-91. International Society of Lymphology.
26. Johansson K., Holmstrom H., Nilsson I., Ingvar C., Albertsson M., Ekdahl C. Breast cancer patients' experiences of lymphoedema. Scandinavian Journal of Caring Sciences 2003, 17(1):35-42.
27. Kanakura Y., Niwa K., Kometani K., Nakazawa K., Yamaguchi Y., Ishikawa H., Watanabe A., Tokunaga Y. Effectiveness of acupuncture and moxibustion treatment for lymphedema following intrapelvic lymph node dissection: a preliminary report. American Journal of Chinese Medicine 2002, 30(1):37-43.
28. Keeley V. Classification of lymphoedema. Lymphoedema 2000, 22-43. Radcliffe Medical Press Ltd, Abingdon. R. Twycross, K. Jenns, J. Todd (Eds.).
29. Keeley V. Clinical features of lymphoedema. Lymphoedema 2000, 44-67. Radcliffe Medical Press Ltd, Abingdon. R. Twycross, K. Jenns, J. Todd (Eds.).
30. Keeley V. Quality of life assessment tools in chronic oedema. British Journal of Community Nursing 2008, 13(10):S22-S27.
31. Standards of practice for lymphoedema services. Lymphoedema Framework Journal 2003, 1:10-19. Lymphoedema Framework.
32. Best Practice for the Management of Lymphoedema 2006, Lymphoedema Framework, MEP Ltd, London.
33. MacPherson H., Hammerschlag R., Lewith G., Schnyer R. Acupuncture Research: Strategies for Establishing an Evidence Base 2008, Churchill Livingstone Elsevier, London.
34. MacPherson H., Scullion A., Thomas K., Walters S. Patient reports of adverse events associated with acupuncture treatment: a prospective national survey. Quality and Safety 2004, 13:349-355.
35. MacPherson H., Thomas K.J., Walters S., Fitter M. The York acupuncture safety study: prospective survey of 34 000 treatments by traditional acupuncturists. British Medical Journal 2001, 323:4876-4877.
36. McWayne J., Heiney S.P. Psychologic and social sequelae of secondary lymphedema: a review. Cancer 2005, 104(3):457-467.
37. Moffatt C. Understanding the impact on patients is crucial for practice. Journal of Lymphoedema 2008, 3(1):6.
38. Moffatt C., Franks P., Doherty D.C., Williams A.F., Badger C., Jeffs E., Bosquanet N., Mortimer P.S. Lymphoedema: an underestimated health problem. Quarterly Journal of Medicine 2003, 96:731-738.
39. Molassiotis A., Fernadez-Ortega P., Pud D., Ozden G., Scott J.A., Panteli V., Margulies A., Browall M., Magri M., Selvekerova S., Madsen E., Milovics L., Bruyns I., Gudmundsdottir G., Hummerston S., Ahmad A.M.-A., Platin N., Kearney N., Patiraki E. Use of complementary and alternative medicine in cancer patients: a European survey. Annals of Oncology 2005, 16:655-663.
40. Molassiotis A., Ozden G., Platin N., Scott J.A., Fernadez-Ortega P., Milovics L., Panteli V., Gudmundsdottir G., Browall M., Patiraki E., Kearney N. Complementary and alternative medicine use in patients with head and neck cancers in Europe. European Journal of Cancer 2005, 15:19-24.
41. Molassiotis A., Scott J.A., Kearney N., Pud D., Magri M., Selvekerova S., Bruyns I., Fernadez-Ortega P., Panteli V., Margulies A. Complementary and alternative medicine use by breast cancer patients in Europe. Supportive Care in Cancer 2006, 14(3):260-267.
42. Morgan P.A., Franks P., Moffat C. Health-related quality of life with lymphoedema: a review of the literature. International Wound Journal 2005, 2(1):47-62.
43. O'Connor P. Acupuncture Treatment and Lymphedema 2008, [online]. Available at:, [Accessed 22 February 2010]. http://www.lymphedemapeople.com/thesite/lymphedema_acupuncture_treatment.htm.
44. Pain S.J., Purushotham A.D. Lymphoedema following surgery for breast cancer. British Journal of Surgery 2000, 87:1128-1141.
45. Paterson C. Measuring outcomes in primary care: a patient generated measure, MYMOP, compared with the SF-36 health survey. British Medical Journal 1996, 312:1016-1020.
46. Paterson C. Seeking the patient's perspective: a qualitative assessment of EuroQuol, COOP-WONCA charts and MYMOP. Quality of Health Research 2004, 13:871-881.
47. Paterson C. Outcomes of traditional Chinese medicine (traditional acupuncture) treatment for people with long-term conditions. Complementary Therapies in Clinical Practice 2010, 16(1):3-9.
48. Paterson C., Britten N. In pursuit of patient-centred outcomes: a qualitative evaluation of the 'Measure Yourself Medical Outcome Profile'. Journal of Health Services Research and Policy 2000, 5(1):27-36.
49. Paterson C., Britten N. Acupuncture for people with chronic illness: combining qualitative and quantitative outcome assessment. Journal of Alternative and Complementary Medicine 2003, 9(5):671-681.
50. Pillar N. To measure or not to measure? what and when is the question. Journal of Lymphoedema 2007, 2(2):39-45.
51. Ridner S. Quality of life and symptom clusters associated with breast cancer treatment-related lymphedema. Supportive Care in Cancer 2005, 13(11):904-911.
52. Sitzia J., Stanton A.W.B., Badger C. A review of outcome indicators in the treatment of chronic limb oedema. Clinical Rehabilitation 1997, 11:181-191.
53. Smith B.G., Lewin J.S. Lymphedema management in head and neck cancer. Current Opinion in Otolaryngology & Head and Neck Surgery 2010, 18:153-158.
54. Tavares M. National Guidelines for the Use of Complementary Therapies in Supportive Care 2003, The Prince of Wales's Foundation for Integrated Health, London.
55. Towers A. Pain and disability: are we ignoring parts of the picture?. Journal of Lymphoedema 2008, 3(1):8.
56. Towers A., Carnevale F.A., Baker M.E. The psychosocial effects of cancer-related lymphedema. Journal of Palliative Care 2008, 24(3):134-143.
57. Tsuchiya M., Horn S., Ingham R. Arm symptoms and QoL in Japanese breast cancer patients. Journal of Lymphoedema 2008, 3(2):14-20.
58. Alternative Therapies 2002, UKlymph.com, [online]. Available at:, [Accessed 22 February 2010]. http://www.uklymph.com/tr_alternative_therapies.php.
59. Verhoef, M.J., Boon, H. (2010). Abstracts from the Sixth IN-CAM Research Symposium: Complementary and Integrative Health Care: Methodological, Theoretical and Practical Issues. Journal of Complementary and Integrative Medicine. Berkeley Electronic Press, Place Berkeley Electronic Press. 7: Article 44.
60. Voogt E., van der Heide E., van Leeuwen A., Visser A., Cleiren M., Passchier J., van der Maas P. Positive and negative affect after diagnosis of advanced cancer. Psycho-Oncology 2005, 14:262-273.
61. Watson D., Clark L., Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology 1988, 54(6):1063-1070.
62. White A., Hayhoe S., Hart A., Ernst E. Adverse events following acupuncture: prospective survey of 32 000 consultations with doctors and physiotherapists. British Medical Journal 2001, 323:485-486.
63. Williams A.F., Franks P., Moffat C. Lymphoedema: estimating the size of the problem. Palliative Medicine 2005, 19:300-313.
64. Withey S., Pracy P., Whys-Evans P. Lymphoedema of the head and neck. Lymphoedema 2000, 306-320. Radcliffe Medical Press Ltd, Abingdon. R. Twycross, K. Jenns, J. Todd (Eds.).
65. Witt C.M., Pach D., Brinkhaus B., Wruck K., Tag B., Mank S., Willich S. Safety of acupuncture: results of a prospective observational study with 229 230 patients and introduction of a medical information and consent form. Forschende Komplementarmedizin 2009, 16:91-97.
66. ICPC-2: International Classification for Primary Care 1998, WONCA International Committee, Oxford University Press, Oxford.