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Massage interventions and treatment-related side effects of breast cancer: a systematic review and meta-analysis.

International journal of clinical oncology
October 1, 2014
Yuan Q Pan et al. (5 authors)
Journal ArticleMeta-AnalysisSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to determine whether massage interventions provide measurable benefits in alleviating breast cancer-related symptoms.

Results Summary

The meta-analysis found that massage significantly reduced anger and fatigue symptoms in breast cancer patients, but no significant differences were observed for depression, anxiety, pain, upper limb lymphedema, cortisol levels, or health-related quality of life.

Population

Patients with breast cancer

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
massage
decrease
anger symptoms
patients with breast cancer
-
significantly greater reductions
#1
massage
decrease
fatigue symptoms
patients with breast cancer
-
significantly greater reductions
#2
massage
no change
depression
patients with breast cancer
-
no significant differences
#3
massage
no change
anxiety
patients with breast cancer
-
no significant differences
#4
massage
no change
pain
patients with breast cancer
-
no significant differences
#5
massage
no change
upper limb lymphedema
patients with breast cancer
-
no significant differences
#6
massage
no change
cortisol
patients with breast cancer
-
no significant differences
#7
massage
no change
health-related quality of life
patients with breast cancer
-
no significant differences
#8
Abstract

BACKGROUND: Massage as a complementary and alternative therapy has been associated with enhancing health and coping with treatment-related side effects in patients with breast cancer worldwide. This systematic review examined whether massage interventions provide any measurable benefit in breast cancer-related symptoms. METHODS: Randomized controlled trials (RCTs) were searched for in PubMed, EMBASE.com and the Cochrane Library through June 2013. We evaluated the quality of the studies included by the Cochrane Handbook 5.2 standards and analyzed the data using the Cochrane Collaboration's RevMan 5.2 software. RESULTS: Eighteen RCTs with a total of 950 participants were included. Compared with the control group, our meta-analysis showed that patients receiving regular use of massage had significantly greater reductions in anger and fatigue symptoms. However, there were no significant differences in depression, anxiety, pain, upper limb lymphedema, cortisol and health-related quality of life. CONCLUSIONS: The current evidence demonstrates that there was mild evidence that massage may be a useful intervention in alleviating negative emotions and fatigue in patients with breast cancer. More trials with longer follow-up are needed to determine the exact long-term efficacy of this class of complementary and alternative medicine on breast cancer-related symptoms and quality of life.

Medical Subject Headings (MeSH)
AnxietyBreast NeoplasmsFemaleHumansMassageQuality of LifeRandomized Controlled Trials as Topic
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations46
Citations/Year4.2
Relative Citation Ratio1.99
NIH Percentile74.3%
Research Impact Scores
APT Score0.75
Weight Score1.66
Normalized Score0.61
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