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Predictors of acupuncture use among children and adolescents with cancer
Author(s) -
Chokshi Sagar K.,
Ladas Elena J.,
Taromina Katherine,
McDaniel Douglas,
Rooney Diane,
Jin Zhezhen,
Hsu WeiChun,
Kelly Kara M.
Publication year - 2017
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.26424
Subject(s) - medicine , acupuncture , adverse effect , nausea , irritability , confidence interval , physical therapy , odds ratio , incidence (geometry) , pediatrics , anxiety , alternative medicine , psychiatry , physics , pathology , optics
Background Evidence for the application of acupuncture in pediatric oncology is limited. We investigated the acceptance of acupuncture and factors associated with its use among children and adolescents with cancer. Methods Ninety acupuncture‐naïve children receiving cancer treatment at Columbia University Medical Center (CUMC) provided consent/assent for participation. Participants could choose to receive or refuse integrative services offered at CUMC. Symptoms were collected for a 6‐month period with the Memorial Symptom Assessment Scale (MSAS). Acute and delayed adverse events among participants who received acupuncture were recorded. Results Fifty‐four percent of the participants elected to receive acupuncture. In total, 252 acupuncture sessions were administered with a median of four sessions per patient (range 1–13 sessions). Pain (56%), nausea (51%), lack of energy (50%), and irritability (43%) were the most frequently reported symptoms in the whole cohort. Determinants of acupuncture use included older age and ethnicity. Acupuncture was more likely than other integrative modalities to be used for gastrointestinal and constitutional symptoms including drowsiness (odds ratio [OR], 3.34; 95% confidence interval [CI], 1.98–5.66; P < 0.0001), lack of energy (OR, 3.23; 95% CI, 1.78–5.87; P = 0.0001), and pain (OR, 2.63; 95% CI, 1.46–4.72; P = 0.001). Adverse events were reported by 3% of the participants. There was no increased incidence of adverse events in children with thrombocytopenia ( P = 0.189) or neutropenia ( P = 0.497). Conclusion Our results highlight the potential use of acupuncture as a safe, adjunctive therapy for symptom management within existing supportive care regimens in pediatric oncology and potential areas to focus research initiatives.