Page 67 - CPG - Clinical Practice Guidelines - Management of Cancer Pain

Management of Cancer Pain (Second Edition)
The quality of primary papers in the three-evidence mentioned above
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Another meta-analysis showed no difference in reduction of cancer
pain between aromatherapy massage and control. 107, level I This is
supported by another systematic review on the effect of CAM where
massage therapy was found to reduce breast cancer-related pain but
aromatherapy alone or in combination with massage did not. 101, level I

• Acupuncture
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effectiveness of acupuncture in relieving cancer pain in adults compared
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{ acupuncture was effective in managing pancreatic cancer pain, late-
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cancer
{ acupuncture was not effective in ovarian cancer and stomach
carcinoma

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acupuncture reduced aromatase inhibitor-related pain, post-operative
pain and chronic cancer-related pain. The 10 RCTs included were of
PL[HG TXDOLW\ 101, level I

A recent systematic review showed that acupuncture used for cancer
pain had: 109, level I
{ favourable effect on pain relief in palliative care
{ appeared to be a safe treatment for pain management
However, there was no quality assessment reported.

Another systematic review of 14 systematic reviews concluded that
clinicians may consider acupuncture as an adjunctive therapy for
cancer-related pain management, in particular when pain control was
unsatisfactory using analgesics alone. It found that: 110, level I
{ acupuncture and related therapies were more effective at reducing
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-0.56 to -0.03)
{ acupuncture and related therapies alone did not have superior pain-
relieving effects compared with analgesia (RR=1.11, 95% CI 0.97 to
1.26)
{ acupuncture plus analgesia was more effective in reducing cancer
pain than analgesic alone (MD= -0.76, 95% CI -0.14 to -0.39)

• Physical and complementary therapies can be useful as an adjunct
in cancer pain management.

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