The effectiveness of integrative and complementary therapies provided by the unified health system for oncologic pain relief: a systematic review
DOI:
https://doi.org/10.33448/rsd-v10i13.21580Keywords:
Pain; Neoplasms; Complementary therapies; Systematic review.Abstract
Introduction: Pain is a frequent and unwanted symptom in cancer patients and may be a reflection of organic disease or antineoplastic treatments instituted. Occasionally, pharmacological therapy may have limitations in alleviating this condition, with the possibility of including non-pharmacological measures, such as complementary and integrative therapies in health. Objective: To evaluate the effectiveness of complementary and integrative therapies made available by the Unified Health System through the National Policy on Integrative and Complementary Practices in the relief of cancer related pain. Methodology: This is a systematic literature review, with studies published between 2016 and 2020, found in the PubMed database through descriptors validated by DeCS and inclusion and exclusion criteria. Results: Nine articles were selected, of which five researched and demonstrated the effectiveness of acupuncture in pain relief and reduction in the use of analgesics. One study listed the reduction of mucositis severity and pain intensity through the use of herbal plantago major L syrup. The article that studied reflexology demonstrated a reduction in pain intensity. Hypnosis and music therapy did not demonstrate effectiveness in relieving cancer pain among selected studies. Conclusion: Acupuncture is the most studied and most effective therapy for cancer pain relief. More technical-scientific support is needed for the inclusion and use of complementary and integrative practices with satisfactory safety and efficacy in cancer related pain relief.
References
Amraoui, J., Pouliquen, C., Fraisse, J., Dubourdieu, J., Rey Dit Guzer, S., Leclerc, G., … Cuvillon, P. (2018). Effects of a Hypnosis Session Before General Anesthesia on Postoperative Outcomes in Patients Who Underwent Minor Breast Cancer Surgery. JAMA Network Open, 1(4), e181164. doi:10.1001/jamanetworkopen.2018.
Arisawa, E. A. L., Silva, C. M. O. M., Cardoso, C. A. C., Lemos, N. R. P., Pinto, M. C. (2005). Efeitos colaterais da terapia antitumoral em pacientes submetidos à químio e à radioterapia. Revista biociência, Taubaté, 11(1-2). 55-61.
Brasil. (2015). Política nacional de práticas integrativas e complementares no SUS: atitude de ampliação de acesso. Secretaria de Atenção à Saúde. Departamento de Atenção Básica (2a. ed). Brasília: Ministério da Saúde.
Bates, D., Bolwell, B., Majhail, N. S., Rybicki, L., Yurch, M., Abounader, D., … Liu, H. D. (2017). Music Therapy for Symptom Management After Autologous Stem Cell Transplantation: Results From a Randomized Study. Biology of Blood and Marrow Transplantation, 23(9), 1567–1572. doi:10.1016/j.bbmt.2017.05.015
Costa, C. A., Santos, C., Alves, P., & Costa, A. (2007). Dor oncológica. Revista Portuguesa de Pneumologia, 13(6), 855-867.
De-la-Torre-Ugarte-Guanilo, M. C., Takahashi, R. F., & Bertolozzi, M. R. (2011). Revisão sistemática: noções gerais. Revista Da Escola de Enfermagem Da Universidade de São Paulo, 45(5), 1260-1266. doi:10.1590/s0080-62342011000500033.
Deng, G., Giralt, S., Chung, D. J., Landau, H., Siman, J., Li, Q. S., … Mao, J. J. (2019). Reduction of Opioid Use by Acupuncture in Patients Undergoing Hematopoietic Stem Cell Transplantation: Secondary Analysis of a Randomized, Sham-Controlled Trial. Pain Medicine, 21(3), 636–642. doi:10.1093/pm/pnz190.
Everdingen, M. V. D. B, de Rijke, J., Kessels, A., Schouten, H., van Kleef, M., & Patijn, J. (2007). Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Annals of Oncology, 18(9), 1437–1449. doi:10.1093/annonc/mdm056.
Everdingen, M. H. J. V. D. B, Hochstenbach, L. M. J., Joosten, E. A. J., Tjan-Heijnen, V. C. G., & Janssen, D. J. A. (2016). Update on Prevalence of Pain in Patients With Cancer: Systematic Review and Meta-Analysis. Journal of Pain and Symptom Management, 51(6), 1070–1090. doi:10.1016/j.jpainsymman.2015.12.
Garcia, T. R. (Org.). (2018). Classificação Internacional para a Prática de Enfermagem (CIPE)®: versão 2017. Porto Alegre: Artmed.
Instituto Nacional do Câncer. (2020). ABC do câncer: abordagens básicas para o controle do câncer (6a. ed.). Rio de Janeiro
Kim, K., & Lee, S. (2018). Intradermal Acupuncture Along with Analgesics for Pain Control in Advanced Cancer Cases: A Pilot, Randomized, Patient-Assessor-Blinded, Controlled Trial. Integrative Cancer Therapies, 17(4), 1137-1143. doi:10.1177/1534735418786797
LoBiondo-Wood, G., Brown, C. G., Knobf, M. T., Lyon, D., Mallory, G., Mitchell, S. A., … Fellman, B. (2013). Priorities for Oncology Nursing Research: The 2013 National Survey. Oncology Nursing Forum, 41(1), 67–76. doi:10.1188/14.onf.67-76.
Melnyk, B. M., Fineout-Overholt E. (2005). Evidence-based practice in nursing & healthcare. A guide to best practice. Philadelphia: Lippincot Williams & Wilkins.
Molassiotis, A., Suen, L. K. P., Cheng, H. L., Mok, T. S. K., Lee, S. C. Y., Wang, C. H., … Yeo, W. (2019). A Randomized Assessor-Blinded Wait-List-Controlled Trial to Assess the Effectiveness of Acupuncture in the Management of Chemotherapy-Induced Peripheral Neuropathy. Integrative Cancer Therapies, 18, 1–12. doi:10.1177/1534735419836501
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Journal of Clinical Epidemiology, 134, 178–189. doi:10.1016/j.jclinepi.2021.03.00.
Paice, J. A., Portenoy, R., Lacchetti, C., Campbell, T., Cheville, A., Citron, M., … Bruera, E. (2016). Management of Chronic Pain in Survivors of Adult Cancers: American Society of Clinical Oncology Clinical Practice Guideline. Journal of Clinical Oncology, 34(27), 3325–3345. doi:10.1200/jco.2016.68.5206
Quinlan-Woodward, J., Gode, A., Dusek, J., Reinstein, A., Johnson, J., & Sendelbach, S. (2016). Assessing the Impact of Acupuncture on Pain, Nausea, Anxiety, and Coping in Women Undergoing a Mastectomy. Oncology Nursing Forum, 43(6), 725–732. doi:10.1188/16.onf.725-732.
Ramboda, M., Pasyara, N., Shamsadinic, M. (2019). The effect of foot reflexology on fatigue, pain, and sleep quality in lymphoma patients: A clinical trial. European Journal of Oncology Nursing, 43, 1-7.
Ruela, L. de O., Iunes, D. H., Nogueira, D. A., Stefanello, J., & Gradim, C. V. C. (2018). Efetividade da acupuntura auricular no tratamento da dor oncológica: ensaio clínico randomizado. Revista Da Escola de Enfermagem Da Universidade de São Paulo, 52(0). doi:10.1590/s1980-220x2017040503402
Santos, M. A. R. C. & Galvão, M. G. A. (2014). A elaboração da pergunta adequada de pesquisa. Residência Pediátrica, 4(2). doi: 10.25060/residpediatr
Soltani, G. M., Hemati, S., Sarvizadeh, M., Kamalinejad, M., Tafazoli, V., & Latifi, S. A. (2020). Efficacy of the plantago major L. syrup on radiation induced oral mucositis in head and neck cancer patients: A randomized, double blind, placebo-controlled clinical trial. Complementary Therapies in Medicine, 51. doi:10.1016/j.ctim.2020.102397.
Wu, X., Chung, V. C., Hui, E. P., Ziea, E. T., Ng, B. F., Ho, R. S., … Wu, J. C. (2015). Effectiveness of acupuncture and related therapies for palliative care of cancer: overview of systematic reviews. Scientific Reports, 5(1). doi:10.1038/srep16776.
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