The Effects of Transcutaneous Acupoint Electrical Stimulation on Cancer-related Fatigue and Negative Emotions in Cancer Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Author: Yubo He1, Minchi Yuan2, Chun He3, Danwei Zhu1, Feida Wang4
Affiliation:
1 Department of Rehabilitation Medicine, The First People's Hospital of Jiashan/Jiashan Branch of the Second Affiliated Hospital of Zhejiang University School of Medicine, Jiaxing, China.
2 Department of Oncology, The First People's Hospital of Jiashan/Jiashan Branch of the Second Affiliated Hospital of Zhejiang University School of Medicine, Jiaxing, China.
3 Department of General Medicine, The First People's Hospital of Jiashan/Jiashan Branch of the Second Affiliated Hospital of Zhejiang University School of Medicine, Jiaxing, China.
4 Department of Traditional Chinese Medicine, Tongde Hospital of Zhejiang Province, Hangzhou, China.
Conference/Journal: Contrast Media Mol Imaging
Date published: 2022 Jul 31
Other: Volume ID: 2022 , Pages: 1225253 , Special Notes: doi: 10.1155/2022/1225253. , Word Count: 223


Transcutaneous electrical acupoint stimulation (TEAS) is a noninvasive and therapeutic technique that stimulated the acupoint by delivering electricity. Whether TEAS could relieve cancer-related fatigue (CRF), anxiety, and depression and improve the quality of life in cancer patients remains controversial. Thus, we conducted a thorough literature search of electronic Chinese and English databases for randomized controlled trials (RCTs) reporting the effect of CRF, anxiety, depression, and quality of life in cancer patients from inception to July 1st, 2021. The Cochrane Collaboration Risk of Bias criteria were used to assess the risk of bias for each included RCT. Continuous variables were analyzed using standardized mean difference (SMD) and 95% confidence interval (CI). A fixed-effects model was used for the meta-analysis of all outcomes. A total of nine RCTs with 924 cancer patients were included in this analysis, including 460 patients in the interventional group and 464 patients in the control group. We found that TEAS could significantly reduce CRF, depression, and anxiety (SWD = -0.83, 95% CI: -0.99 to -0.66, P < 0.05) and improve the quality of life (SWD = -1.37, 95% CI: -2.34 to -0.40, P < 0.05). The funnel plot analysis revealed no significant publication bias. We conclude that TEAS is beneficial for reducing CRF, depression, and anxiety and improving the quality of life of cancer patients, but additional high-quality evidence in the future is entailed to support this.


PMID: 35965622 PMCID: PMC9357742 DOI: 10.1155/2022/1225253

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