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Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis

The Journal of Alternative and Complementary Medicine , Vol. 0, No. 0.
Source: The Journal of Alternative and Complementary Medicine - Category: Complementary Medicine Authors: Source Type: research

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Abstract The results of large clinical trials have led physicians and patients to question the safety of hormone therapy for menopause. In the past, physicians prescribed hormone therapy to improve overall health and prevent cardiac disease, as well as for symptoms of menopause. Combined estrogen/progestogen therapy, but not estrogen alone, increases the risk of breast cancer when used for more than three to five years. Therefore, in women with a uterus, it is recommended that physicians prescribe combination therapy only to treat menopausal symptoms such as vasomotor symptoms (hot flashes) and vaginal atrophy, us...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
Purpose To determine the effectiveness of acupuncture for the management of hot flashes in women with breast cancer. Patients and Methods We conducted a pragmatic, randomized controlled trial comparing acupuncture plus enhanced self-care versus enhanced self-care alone. A total of 190 women with breast cancer were randomly assigned. Random assignment was performed with stratification for hormonal therapy; the allocation ratio was 1:1. Both groups received a booklet with information about climacteric syndrome and its management to be followed for at least 12 weeks. In addition, the acupuncture group received 10 traditional...
Source: Journal of Clinical Oncology - Category: Cancer & Oncology Authors: Tags: Combined Modality, Complementary & Alternative Medicine Palliative and Supportive Care Source Type: research
Arguably, one of the most popular forms of so-called “complementary and alternative medicine” (CAM) being “integrated” with real medicine by those who label their specialty “integrative medicine” is acupuncture. It’s particularly popular in academic medical centers as a subject of what I like to refer to as “quackademic medicine“; that is, the study of pseudoscience…
Source: Respectful Insolence - Category: Surgery Authors: Tags: Cancer Clinical trials Complementary and alternative medicine Quackery acupuncture breast cancer hot flashes menopause quackademic medicine Source Type: blogs
Conclusion: Acupuncture yielded small-size effects on reducing hot-flash frequency and the severity of menopause-related symptoms. Implications for Practice: Acupuncture may be used as a complementary therapy for breast cancer survivors experiencing hot flashes and other menopause-related symptoms; however, whether acupuncture exerts specific treatment effects other than needling or placebo effects needs to be further evaluated.
Source: Cancer Nursing - Category: Nursing Tags: Articles Source Type: research
Of all the forms of quackery that have been “integrated” into medicine of late, arguably one of the most popular is acupuncture. It’s offered in fertility clinics. It’s offered in hospitals and medical clinics all over the place. The vast majority of academic medical centers that have embraced quackademic medicine offer acupuncture. (Quackademic medicine, for…
Source: Respectful Insolence - Category: Surgery Authors: Tags: Cancer Complementary and alternative medicine Pseudoscience Quackery Skepticism/critical thinking acupuncture clinical trial hot flashes menopause quackademic medicine Source Type: blogs
More than half of women who suffer hot flashes and night sweats in menopause use complementary therapies to attempt to alleviate symptoms. Although treating hot flashes with acupuncture has been shown in previous studies to be more effective than self-care or no treatment, a recent randomized trial conducted in Australia found no benefit of Chinese medicine needle acupuncture compared with noninsertive sham acupuncture in reducing the severity of hot flashes. (Ee C et al. Ann Intern Med. 2016;164(3):146-154).
Source: JAMA - Category: Journals (General) Source Type: research
CONCLUSIONS: We found insufficient evidence that Chinese herbal medicines were any more or less effective than placebo or HT for the relief of vasomotor symptoms. Effects on safety were inconclusive. The quality of the evidence ranged from very low to moderate; there is a need for well-designed randomised controlled studies. PMID: 26976671 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - Category: Journals (General) Authors: Tags: Cochrane Database Syst Rev Source Type: research
Women receiving acupuncture showed some easing of menopausal symptoms, but the effects were no better than that of a sham treatment.
Source: NYT - Category: American Health Authors: Tags: Acupuncture Menopause Pain Alternative Medicine Live Featured Aging Source Type: news
This study aimed at evaluating the effects of electroacupuncture (EA) versus gabapentin (GP) for hot flashes among survivors of breast cancer, with a specific focus on the placebo and nocebo effects. Patients and Methods We conducted a randomized controlled trial involving 120 survivors of breast cancer experiencing bothersome hot flashes twice per day or greater. Participants were randomly assigned to receive 8 weeks of EA or GP once per day with validated placebo controls (sham acupuncture [SA] or placebo pills [PPs]). The primary end point was change in the hot flash composite score (HFCS) between SA and PP at week 8, ...
Source: Journal of Clinical Oncology - Category: Cancer & Oncology Authors: Tags: Clinical Trials, Menopausal Symptoms, Complementary & Alternative Medicine Breast Cancer Source Type: research
It’s always disappointing to see a good journal fall for bad medicine, particularly when it’s in your field. For example, the Journal of Clinical Oncology (affectionately referred to by its abbreviation JCO) is the official journal of the American Society of Clinical Oncology (ASCO) and probably the most read clinical journal by those involved in…
Source: Respectful Insolence - Category: Surgery Authors: Tags: Complementary and alternative medicine Quackery acupuncture breast cancer electroacupuncture gabapentin hot flashes menopause placebo Source Type: blogs
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