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Rev Lat Am Enfermagem · Jan 2020
Efficacy of the complementary therapies in the management of cancer pain in palliative care: A systematic review.
- Luís Carlos Lopes-Júnior, Gabriela Sylvestre Rosa, Raphael Manhães Pessanha, Sara Isabel Pimentel de Carvalho Schuab, Karolini Zuqui Nunes, and Maria Helena Costa Amorim.
- Rev Lat Am Enfermagem. 2020 Jan 1; 28: e3377.
Objectiveto synthesize the knowledge and to critically evaluate the evidences arising from randomized controlled trials on the efficacy of the complementary therapies in the management of cancer pain in adult patients with cancer in palliative care.Methoda systematic review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The search for articles in the MEDLINE, ISI Web of Knowledge, CENTRAL Cochrane, and PsycINFO databases, as well as the manual search, selection of studies, data extraction, and methodological assessment using the Cochrane Bias Risk tool were performed independently by two reviewers.Resultseight hundred and fifteen (815) studies were identified, six of them being selected and analyzed, of which three used massage therapy, one study used a combination of progressive muscle relaxation and guided imaging, and another two studies used acupuncture. Most of the studies had an uncertain risk of bias (n=4; 67%).Conclusionwhile the evidence from the studies evaluating the use of massage therapy or the use of progressive muscle relaxation and guided imaging for the management of cancer pain in these patients demonstrated significant benefits, the other two studies that evaluated the use of acupuncture as a complementary therapy showed contradictory results, therefore, needing more research studies to elucidate such findings.
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