Acupuncture for Chemotherapy-Induced Nausea and Vomiting: A Retrospective Review of Patients' Experience at a Single Institution and a Review of the Literature

Abstract

Abstract

Background:

Powerful antiemetics have controlled disabling chemotherapy-induced nausea and vomiting (CINV) for many patients. However, significant side-effects continue to impair patients' quality of life. Alternate modalities, such as acupuncture, have been used to alleviate the effects of chemotherapy.

Objective:

This report reviews the experience of patients who received acupuncture in the Cancer Center at Massachusetts General Hospital and analyzes the world's literature on this topic.

Materials and Methods:

The medical records of patients undergoing acupuncture during chemotherapy from 2003 to 2009 were reviewed. A patient self-reporting scoring system was used with the following values: 0=no change; 1=mild improvement (<than 50% response); 2=moderate improvement (>50% response); and 3=complete resolution.

Results:

From 2003 to 2009, there were 899 acupuncture sessions. All patients who received chemotherapy also received ondansetron. Using the patient self-reporting scoring system, complete resolution of symptoms was as follows: anxiety 90%; constipation 100%; neuropathy 50%; nausea 70%; vomiting 80%; and joint pain 40%. Acupuncture points PC 6 and Sp 9 were most commonly used.

Conclusions:

According to the results of this a retrospective review patient self-reporting suggests a robust alleviation of many symptoms. Many studies have also concluded that acupuncture may alleviate CINV, and may be useful for symptoms that are refractory to standard premedication.