Acupuncture in the treatment of acute toxicity during and after
head and neck cancer radiotherapy: Interim analysis of
randomized prospective open-label trial

J 2020

Acupuncture in the treatment of acute toxicity during and after head and neck cancer radiotherapy: Interim analysis of randomized prospective open-label trial

DYMÁČKOVÁ, Radana, Tomáš KAZDA, Marek SLÁVIK, Iveta SELINGEROVA, Pavel ŠLAMPA et. al.

Základní údaje

Originální název

Acupuncture in the treatment of acute toxicity during and after head and neck cancer radiotherapy: Interim analysis of randomized prospective open-label trial

Autoři

DYMÁČKOVÁ, Radana (203 Česká republika, domácí), Tomáš KAZDA (203 Česká republika, garant, domácí), Marek SLÁVIK (703 Slovensko, domácí), Iveta SELINGEROVA (203 Česká republika), Pavel ŠLAMPA (203 Česká republika, domácí) a Ondřej SLÁMA (203 Česká republika, domácí)

Vydání

Biomedical Papers, Olomouc, Palacky University, 2020, 1213-8118

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30204 Oncology

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 1.245

Kód RIV

RIV/00216224:14110/20:00118033

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.5507/bp.2020.021

UT WoS

000604951200014

Klíčová slova anglicky

acupuncture; head and neck; cancer; radiotherapy; toxicity

Štítky

14110811, 14110812, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 27. 1. 2021 10:32, Mgr. Tereza Miškechová

Anotace

V originále

Aims. The aim of this investigator-initiated prospective randomized open-label single institutional trial is to evaluate the role of acupuncture in the treatment of acute skin and mucosal toxicity, xerostomia, and perception of taste, pain, and nausea related to curative and adjuvant (chemo)radiotherapy of head and neck cancer. This paper reports pilot data of the first 30 enrolled patients. Methods. Patients were randomized to undergo standard of care radiotherapy +/- chemotherapy and support care defined by our institutional standard operating procedures alone or in the combination with acupuncture which was initiated with the first signs of any toxicity. Results. Fifteen patients were enrolled in both arms and all finished the treatment as planned.The median pain was significantly lower in the acupuncture arm (median 1.6 points vs. 2.5 points on a 10-item Likert scale; P=0.035) as well as duration of acute pain (median 31 days vs. 54 days; P=0.031). Patients with acupuncture had significantly shorter duration of acute skin (median 44 days vs. 109 days; P<0.001) and mucosal toxicity (median 34 days vs. 109 days; P<0.001) with no difference in grading of toxicity (median grade 1.6 vs. 1.5; P=0.701 and median grade 1.4 vs. 1.6; P=0.204 for skin and mucosa, respectively). No significant difference was found for other toxicity domains, with the exception of salivation toxicity which was significantly lower in acupuncture arm (median grade 1.3 vs. 1.7; P=0.048). Conclusion. In this interim analysis, acupuncture leads to lower pain andfaster disappearance of skin and mucosal toxicity after (chemo)radiotherapy of head and neck cancer. Description and validation of acupuncture using scientific approaches will further enhance acceptance of this method by both patients and health care providers.

Citovat

DYMÁČKOVÁ, Radana, Tomáš KAZDA, Marek SLÁVIK, Iveta SELINGEROVA, Pavel ŠLAMPA a Ondřej SLÁMA. Acupuncture in the treatment of acute toxicity during and after head and neck cancer radiotherapy: Interim analysis of randomized prospective open-label trial. Biomedical Papers. Olomouc: Palacky University, 2020, roč. 164, č. 4, s. 454-460. ISSN 1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2020.021.

@article{1734421,
   author = {Dymáčková, Radana and Kazda, Tomáš and Slávik, Marek and Selingerova, Iveta and Šlampa, Pavel and Sláma, Ondřej},
   article_location = {Olomouc},
   article_number = {4},
   doi = {http://dx.doi.org/10.5507/bp.2020.021},
   keywords = {acupuncture; head and neck; cancer; radiotherapy; toxicity},
   language = {eng},
   issn = {1213-8118},
   journal = {Biomedical Papers},
   title = {Acupuncture in the treatment of acute toxicity during and after head and neck cancer radiotherapy: Interim analysis of randomized prospective open-label trial},
   url = {https://biomed.papers.upol.cz/pdfs/bio/2020/04/14.pdf},
   volume = {164},
   year = {2020}
}

TY  - JOUR
ID  - 1734421
AU  - Dymáčková, Radana - Kazda, Tomáš - Slávik, Marek - Selingerova, Iveta - Šlampa, Pavel - Sláma, Ondřej
PY  - 2020
TI  - Acupuncture in the treatment of acute toxicity during and after head and neck cancer radiotherapy: Interim analysis of randomized prospective open-label trial
JF  - Biomedical Papers
VL  - 164
IS  - 4
SP  - 454-460
EP  - 454-460
PB  - Palacky University
SN  - 12138118
KW  - acupuncture
KW  - head and neck
KW  - cancer
KW  - radiotherapy
KW  - toxicity
UR  - https://biomed.papers.upol.cz/pdfs/bio/2020/04/14.pdf
L2  - https://biomed.papers.upol.cz/pdfs/bio/2020/04/14.pdf
N2  - Aims. The aim of this investigator-initiated prospective randomized open-label single institutional trial is to evaluate the role of acupuncture in the treatment of acute skin and mucosal toxicity, xerostomia, and perception of taste, pain, and nausea related to curative and adjuvant (chemo)radiotherapy of head and neck cancer. This paper reports pilot data of the first 30 enrolled patients. Methods. Patients were randomized to undergo standard of care radiotherapy +/- chemotherapy and support care defined by our institutional standard operating procedures alone or in the combination with acupuncture which was initiated with the first signs of any toxicity. Results. Fifteen patients were enrolled in both arms and all finished the treatment as planned.The median pain was significantly lower in the acupuncture arm (median 1.6 points vs. 2.5 points on a 10-item Likert scale; P=0.035) as well as duration of acute pain (median 31 days vs. 54 days; P=0.031). Patients with acupuncture had significantly shorter duration of acute skin (median 44 days vs. 109 days; P<0.001) and mucosal toxicity (median 34 days vs. 109 days; P<0.001) with no difference in grading of toxicity (median grade 1.6 vs. 1.5; P=0.701 and median grade 1.4 vs. 1.6; P=0.204 for skin and mucosa, respectively). No significant difference was found for other toxicity domains, with the exception of salivation toxicity which was significantly lower in acupuncture arm (median grade 1.3 vs. 1.7; P=0.048). Conclusion. In this interim analysis, acupuncture leads to lower pain andfaster disappearance of skin and mucosal toxicity after (chemo)radiotherapy of head and neck cancer. Description and validation of acupuncture using scientific approaches will further enhance acceptance of this method by both patients and health care providers.
ER  -

DYMÁČKOVÁ, Radana, Tomáš KAZDA, Marek SLÁVIK, Iveta SELINGEROVA, Pavel ŠLAMPA a Ondřej SLÁMA. Acupuncture in the treatment of acute toxicity during and after head and neck cancer radiotherapy: Interim analysis of randomized prospective open-label trial. \textit{Biomedical Papers}. Olomouc: Palacky University, 2020, roč.~164, č.~4, s.~454-460. ISSN~1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2020.021.

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