Current evidence on traditional Chinese exercises for cancer-related fatigue: a quantitative synthesis of randomized controlled trials

Article


Ma, Hai-Li, Tan, Jing-Yu, Yang, Liu, Huang, Tao and Liao, Qiao-Jing. 2016. "Current evidence on traditional Chinese exercises for cancer-related fatigue: a quantitative synthesis of randomized controlled trials." European Journal of Integrative Medicine. 8 (5), pp. 707-714. https://doi.org/10.1016/j.eujim.2016.05.007
Article Title

Current evidence on traditional Chinese exercises for cancer-related fatigue: a quantitative synthesis of randomized controlled trials

ERA Journal ID124561
Article CategoryArticle
AuthorsMa, Hai-Li, Tan, Jing-Yu, Yang, Liu, Huang, Tao and Liao, Qiao-Jing
Journal TitleEuropean Journal of Integrative Medicine
Journal Citation8 (5), pp. 707-714
Number of Pages8
Year2016
PublisherElsevier
Place of PublicationGermany
ISSN1876-3820
1876-3839
Digital Object Identifier (DOI)https://doi.org/10.1016/j.eujim.2016.05.007
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S1876382016300816?via%3Dihub
Abstract

Introduction: Cancer-related fatigue (CRF) is the most frequent and debilitating symptom faced by cancer patients. Traditional Chinese exercises (TCEs) combine the characteristics of physical activities and psychosocial interventions for treating CRF. However, the effectiveness of TCEs on CRF management remains controversial. This systematic review was conducted to summarize the current evidence of TCEs on the management of CRF.

Methods: Randomized controlled trials (RCTs) were identified in eight databases (PubMed, Embase, CENTRAL, AMED, Science Direct, Thomson Reuters Web of Science, PsyclNFO, and ALT HealthWatch). Adult cancer patients receiving TCEs combined either with or without other treatments were eligible for inclusion. TCEs were limited to widely used modalities including Tai Chi, Qigong, Baduanjin, Wuqinxi, Yijinjing, and Liuzijue. The primary outcome was CRF. Risk of bias for each of the included studies was judged based on the quality assessment method as recommended by the 2011 Cochrane Handbook. Review Manager 5.3 (RevMan 5.3) was employed to generate pooled estimates of effect size. Random-effects modelling was used to calculate pooled weighted mean differences (WMDs) or standardized mean differences (SMDs) with corresponding 95% confidence intervals (CIs). Because trial results were presented as either change scores from baseline to follow-up or only final values, meta-analyses were completed for both types of measures.

Results: Nine studies with 703 patients were included. Methodological limitations were identified in the analyzed studies. When measured as the change scores at the short-term follow-up, the pooled results suggested that TCEs had a significant positive effect on CRF (SMD 1.03; 95% CI [0.61, 1.44]; P < 0.00001). Data synthesis was also performed for studies using follow-up values only, and the results indicated that TCEs failed to improve CRF, both at short-term (SMD ⿿0.00; 95% CI [⿿0.42, 0.41]; P = 0.99) and long-term follow-up (SMD 0.05; 95% CI [⿿0.26, 0.35]; P = 0.77).

Conclusions: The study findings suggest that the evidence on the effectiveness of TCEs for CRF management is inconclusive. Due to the small number of included studies and their methodological limitations, further well-designed RCTs with sufficient intervention durations and follow-up periods are needed to provide more reliable evidence.

KeywordsCancer; Fatigue; Meta-analysis; Systematic review; Traditional Chinese exercises
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420599. Nursing not elsewhere classified
321199. Oncology and carcinogenesis not elsewhere classified
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Byline AffiliationsFujian University of Traditional Chinese Medicine, China
NingboTech University, China
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Tan, J.-Y., Molassiotis, A., Lloyd-Williams, M. and Yorke, J.. 2018. "Burden, emotional distress and quality of life among informal caregivers of lung cancer patients: An exploratory study." European Journal of Cancer Care. 27 (1). https://doi.org/10.1111/ecc.12691
Unmet care needs of advanced cancer patients and their informal caregivers: a systematic review
Wang, Tao, Molassiotis, Alex, Chung, Betty Pui Man and Tan, Jing-Yu. 2018. "Unmet care needs of advanced cancer patients and their informal caregivers: a systematic review." BMC Palliative Care. 17 (1). https://doi.org/10.1186/s12904-018-0346-9
Effects of traditional Chinese exercises on the rehabilitation of limb function among stroke patients: A systematic review and meta-analysis
Ge, Li, Zheng, Qing-Xiang, Liao, Yan-Tan, Tan, Jing-Yu, Xie, Qiu-Lin and Rask, Mikael. 2017. "Effects of traditional Chinese exercises on the rehabilitation of limb function among stroke patients: A systematic review and meta-analysis." Complementary Therapies in Clinical Practice. 29, pp. 35-47. https://doi.org/10.1016/j.ctcp.2017.08.005
Effects of motor imagery on walking function and balance in patients after stroke: A quantitative synthesis of randomized controlled trials
Li, Rong-Qing, Li, Zhuang-Miao, Tan, Jing-Yu, Chen, Gu-Lan and Lin, Wen-Ying. 2017. "Effects of motor imagery on walking function and balance in patients after stroke: A quantitative synthesis of randomized controlled trials." Complementary Therapies in Clinical Practice. 28, pp. 75-84. https://doi.org/10.1016/j.ctcp.2017.05.009
Auricular therapy for lactation: A systematic review
Chen, Melissa Li-Sha, Tan, Jing-Yu and Suen, Lorna Kwai-Ping. 2017. "Auricular therapy for lactation: A systematic review." Complementary Therapies in Clinical Practice. 29, pp. 169-184. https://doi.org/10.1016/j.ctcp.2017.09.006
Assessment of Breathlessness in Lung Cancer: Psychometric Properties of the Dyspnea-12 Questionnaire
Tan, Jing-Yu, Yorke, Janelle, Harle, Amelie, Smith, Jacky, Blackhall, Fiona, Pilling, Mark and Molassiotis, Alex. 2017. "Assessment of Breathlessness in Lung Cancer: Psychometric Properties of the Dyspnea-12 Questionnaire." Journal of Pain and Symptom Management. 53 (2), pp. 208-215. https://doi.org/10.1016/j.jpainsymman.2016.08.009
Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: An updated systematic review and meta-analysis
Wang, Tao, Tan, Jing-Yu, Xiao, Lily Dongxia and Deng, Renli. 2017. "Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: An updated systematic review and meta-analysis." Patient Education and Counseling. 100 (8), pp. 1432-1446. https://doi.org/10.1016/j.pec.2017.02.026
Acupoints Stimulation for Anxiety and Depression in Cancer Patients: A Quantitative Synthesis of Randomized Controlled Trials
Wang, Tao, Deng, Renli, Tan, Jing-Yu and Guan, Feng-Guang. 2016. "Acupoints Stimulation for Anxiety and Depression in Cancer Patients: A Quantitative Synthesis of Randomized Controlled Trials." Evidence-Based Complementary and Alternative Medicine. 2016. https://doi.org/10.1155/2016/5645632
Psychometric assessment of the Chinese version of the MASCC Antiemesis Tool (MAT) for measuring chemotherapy-induced nausea and vomiting
Tan, Jing-Yu, Suen, Lorna and Molassiotis, Alex. 2016. "Psychometric assessment of the Chinese version of the MASCC Antiemesis Tool (MAT) for measuring chemotherapy-induced nausea and vomiting." Supportive Care in Cancer. 24 (9), pp. 3729 - 3737. https://doi.org/10.1007/s00520-016-3181-7
Auricular therapy for chronic pain management in adults: A synthesis of evidence
Zhao, Hong-Jia, Tan, Jing-Yu, Wang, Tao and Jin, Lang. 2015. "Auricular therapy for chronic pain management in adults: A synthesis of evidence." Complementary Therapies in Clinical Practice. 21 (2), pp. 68-78. https://doi.org/10.1016/j.ctcp.2015.03.006
Interventions for cough in cancer
Molassiotis, Alex, Bailey, Chris, Caress, Ann and Tan, Jing-Yu. 2015. "Interventions for cough in cancer." Cochrane Database of Systematic Reviews. 2015 (5). https://doi.org/10.1002/14651858.CD007881.pub3
Nurse-led educational interventions on cancer pain outcomes for oncology outpatients: A systematic review
Zhou, L., Liu, X.-L., Tan, J.-Y., Yu, H.-P., Pratt, J. and Peng, Y.-Q.. 2015. "Nurse-led educational interventions on cancer pain outcomes for oncology outpatients: A systematic review." International Nursing Review. 62 (2), pp. 218-230. https://doi.org/10.1111/inr.12172
Sham acupressure controls used in randomized controlled trials: A systematic review and critique
Tan, Jing-Yu, Suen, Lorna K. P., Wang, Tao and Molassiotis, Alexander. 2015. "Sham acupressure controls used in randomized controlled trials: A systematic review and critique." PLoS One. 10 (7). https://doi.org/10.1371/journal.pone.0132989
Acupuncture-Point Stimulation for Postoperative Pain Control: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Liu, Xian-Liang, Tan, Jing-Yu, Molassiotis, Alex, Suen, Lorna and Shi, Yan. 2015. "Acupuncture-Point Stimulation for Postoperative Pain Control: A Systematic Review and Meta-Analysis of Randomized Controlled Trials." Evidence-Based Complementary and Alternative Medicine. 2015. https://doi.org/10.1155/2015/657809
Effectiveness of home-based pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: A meta-analysis of randomized controlled trials
Liu, Xian-Liang, Tan, Jing-Yu, Wang, Tao, Zhang, Qi, Zhang, Min, Yao, Li-Qun and Chen, Jin-Xiu. 2014. "Effectiveness of home-based pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: A meta-analysis of randomized controlled trials." Rehabilitation Nursing. 39 (1), pp. 36-59. https://doi.org/10.1002/rnj.112
Adverse events of auricular therapy: A systematic review
Tan, Jing-Yu, Molassiotis, Alexander, Wang, Tao and Suen, Lorna K. P.. 2014. "Adverse events of auricular therapy: A systematic review." Evidence-Based Complementary and Alternative Medicine. 2014 (2014). https://doi.org/10.1155/2014/506758
Current evidence on auricular therapy for chemotherapy-induced nausea and vomiting in cancer patients: A systematic review of randomized controlled trials
Tan, Jing-Yu, Molassiotis, Alexander, Wang, Tao and Suen, Lorna K. P.. 2014. "Current evidence on auricular therapy for chemotherapy-induced nausea and vomiting in cancer patients: A systematic review of randomized controlled trials." Evidence-Based Complementary and Alternative Medicine. 2014 (2014). https://doi.org/10.1155/2014/430796
Progress towards the development of animal models of chemotherapy-induced gastrointestinal mucositis
Zhang, Min, Chen, Jin-Xiu, Tan, Jing-Yu and Liu, Xian-Liang. 2012. "Progress towards the development of animal models of chemotherapy-induced gastrointestinal mucositis." World Chinese Journal of Digestology. 20 (8), pp. 649-655. https://doi.org/10.11569/wcjd.v20.i8.649