Review Article

Systematic Review with Meta-Analysis: Effectiveness and Safety of Acupuncture as Adjuvant Therapy for Side Effects Management in Drug Therapy-Receiving Breast Cancer Patients

Table 1

Characteristics of the included studies.

Study IDSample size (T/C)DesignBaseline characteristicsIntervention groupControl groupDurationPrimary outcome measuresSecondary outcome measures

Bao et al. 2013 [16]47 (23/24)Dual-centre double-blind RCTAge range: 44–82
Median duration of therapy: 426 days
Disease stage: N/A
CV4, CV6, CV12, bilateral LI4, MH6, GB34, ST36, KI3, BL65Sham acupuncture (nonpenetrating retractable needles)20 min, 8 weeks, weekly(1) HAQ-DI
(2) pain VAS scores
N/A
Crew et al. 2010 [15]38 (20/18)Single-centre double-blind RCTAge range: 37–77
Median duration of therapy: 7/12 months
Disease stage: I, II, III
Standard TCM point prescription (not given)Sham acupuncture (superficial needle insertion at non-acupoints)30 min, 6 weeks, biweekly(1) BPI
(2) WOMAC
(3) M-SACRAH
FACT-G
Greenlee et al. 2016 [18]48 (25/23)Single-centre double-blind RCTAge range: 27–79
Median duration of therapy: 12 cycles
Disease stage: I, II, III
GB34, ST37, LI4, LI10, L3, L5, C5, C7Sham acupuncture (park sham collapsible needles at nonacupoints)30 min, 12 weeks, weekly(1) BPI-SF
(2) FACT-NTX
(3) NPS-4
FACT-TAX
He 2017 [13]64 (32/32)Single-centre RCTAge range: 18–75
Disease stage: I, II, IIIA
CV12, bilateral LV13, CV6, ST25, PC6, ST36Sham acupuncture (superficial needle insertion at nonacupoints)30 min, 1 week, thrice per week(1) nausea level (0–3)HADS
Hershman et al. 2018 [21]155 (101/54)Multi-centre double-blind RCTAge range: 34.1–80.6
Median duration of therapy: 1 year
Disease stage: I, II, III
Standards for reporting of controlled trials in acupunctureSham acupuncture (superficial needle insertion at nonacupoints)30–45 min, 1–6 weeks biweekly,
7–12 weeks weekly
(1) BPI-WP
(2) BPI-SF
(3) WOMAC
(4) M-SACRAH
(1) FACT-ES
(2) PROMIS PI-SF
Li 2017 [20]40 (20/20)Single-centre RCTMean age (SD): 46.1 (9.369)
KPS: >80
Disease stage: I, II, III, IV
CV6, CV4, bilateral ST36, SP6, ST25, LV3, PC6No control treatment30 min, once(1) Nausea level (0–3)
(2) Vomiting level (0–3)
N/A
Liu 2014 [17]140 (70/70)Single-centre RCTMean age (SD): 51.16 (10.25)
Mean KPS (SD): 95.26 (1.38)
CV12, CV10, CV6, CV4, bilateral ST25, SP15, ST24No control treatment30 min, 3 days, twice everyday(1) Nausea level (0–3)
(2) Vomiting level (0–3)
(3) Appetite level (0–3)
(4) Constipation score (0–5)
(5) Diarrhea score (0–5)
N/A
Lu et al. 2020 [26]33 (16/17)Single-centre waitlist RCTAge range: 26–71
Median duration of therapy: 17.3/13.3
Disease stage: I, II, III
Yin Tang, LI11, TW5, Baxie, SP9, ST36, SP6, K3, LR3, QiduanWaitlist control30 min, 8 weeks, 18 treatment(1) PNQ
(2) FACT-NTX
(3) BPI-SF
EORTC QLQ-C30
Mao et al. 2014 [12]41 (21/20)Single-centre RCTJoint pain for at least 3mo
Disease stage: I, II, III
BPI-WP: ≥4
4 local acupoints around the pain joint (not provided)Sham acupuncture (nonpenetrating needles at nonacupoints)30 min, biweekly for 2 weeks, weekly for next 6 weeks(1) BPIHADS
Quinlan-Woodward et al. 2016 [19]30 (15/15)Single-centre blind RCTMean age (SD): 58.1 (11.5)
All Caucasians
Standard TCM point prescription (not given)No control treatment36 min, once(1) Nausea level (0–10)N/A
Shen et al. 2000 [14]70 (37/33)Single-centre double-blind RCTMean age (SD): 44.7 (8.0)
KPS: >80
PC6, ST36Sham acupuncture (superficial needle insertion near LU7, GB34)20 min,
5 days, once every day
(1) Emesis episodesN/A
Shi 2019 [24]169 (85/84)Single-centre RCTAge range: 18–75
KPS: >60
GV20, GV4, GV3, GV2, CV12, CV4, CV6, CV3,Sham acupuncture (superficial needle insertion 20 mm next to real acupoints)30 min, 7 days, once every day(1) Nausea level (0–4)
(2) Vomiting level (0–4)
(1) SAS
(2) SDS
(3) KPS
Tong et al. 2018 [22]75 (39/36)Single-centre blind RCTAge range: 21–55 (premenopausal)
Disease stage: I, II
DU20, EX-HN1, KI3, DU24, KI4, GB39, ST36No control treatment30 min, 5 days per week, 4 weeks for 2 courses(1) FACT-COG
(2) AVLT
FACT-COG
Zhang 2018 [23]93 (48/45)Single-centre RCTAge range: 25–55
MoCA: <26
MMSE: 21–26
DU20, EM1, D24, PC6, HT7, GB20, CV17, CV12, CV6Sham acupuncture (superficial needle insertion at nonacupoints)30 min, 8 weeks, biweekly(1) MoCA
(2) MMSE
N/A
Zhang 2019 [25]104 (53/51)Single-centre RCTAge range: 30–55
Disease stage: I, II, III, IV
Patients with cognitive impairment
SP10, CV17, CV12, CV6, DU20, DU16, bilateral ST36, BI15, BI45, HT5, KD6Sham acupuncture (superficial needle insertion at nonacupoints)20 min, 8 weeks, biweekly(1) MoCA
(2) MMSE
EORTC QLQ-C30
Zhang et al. 2020 [27]83 (40/43)Single-centre double-blind RCTMean age (SD): 47.9 (10.6)
Disease stage: I, II, IIIA
Under chemo (%): 73.3/78.7
HT7, LI4, TE5, ST36, ST40, CV12, CV4, GV26, bilateral SP6Minimum acupuncture stimulation, bilateral BL7, LI10, BL5930 min, 8 weeks, biweekly(1) MoCA
(2) Forward digit span test
(3) Reverse digit span test
N/A

Abbreviations are listed in Table S1.