The safety of acupuncture in children and adolescents with cancer therapy-related thrombocytopenia
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Acupuncture is frequently used to manage the side effects associated with cancer therapy. In acupuncture practice, the presence of thrombocytopenia is a relative contraindication to acupuncture use among patients with cancer. However, the safety of acupuncture in patients with cancer treatment-related thrombocytopenia has not been previously investigated.
Medical records of 32 patients receiving acupuncture at an academic medical center with an established acupuncture program during treatment for cancer or during stem cell transplantation were reviewed.
Of 237 acupuncture sessions, 20%, 8%, and 19% of the sessions were administered to patients with severe, moderate, and mild thrombocytopenia, respectively. No bleeding side effects were observed.
This retrospective case series provides descriptive data on the safety of acupuncture using Japanese J-type Seirin needles, with mild manual stimulation administered at 0.5-cun depth in patients with cancer with and without thrombocytopenia. Prospective trials are needed to confirm these initial observations.
- Sagar SM (2008) Acupuncture as an evidence-based option for symptom control in cancer patients. Curr Treat Options Oncol 9:117–126 CrossRef
- National Center for Complementary and Alternative Medicine. (2007) An Introduction to Acupuncture. NCCAM
- Xinnong C (2003) Chinese acupuncture and moxibustion, revised edn. Foreign Language Press, Beijing
- Taromina K, Ladas E, Rooney D, Hughes D, Kelly K (2006) A Retrospective review investigating the feasibility of acupuncture as a supportive care agent in a pediatric oncology service. In: Society for Integrative Oncology, Annual Meeting November 9, 2006.
- Gottschling S, Reindl TK, Meyer S et al (2008) Acupuncture to alleviate chemotherapy-induced nausea and vomiting in pediatric oncology—a randomized multicenter crossover pilot trial. Klin Padiatr 220:365–370 CrossRef
- Schiffer CA, Anderson KC, Bennett CL et al (2001) Platelet transfusion for patients with cancer: clinical practice guidelines of the American Society of Clinical Oncology. J Clin Oncol 19:1519–1538
- Lu T (2003) Treatment of aplastic anemia with acupuncture. Medical Acupuncture 15:40–42
- Oomman S, Liu D, Cummings M (2005) Acupuncture for acute postoperative pain relief in a patient with pregnancy-induced thrombocytopenia—a case report. Acupunct Med 23:83–85 CrossRef
- MacPherson H, Thomas K, Walters S, Fitter M (2001) A prospective survey of adverse events and treatment reactions following 34,000 consultations with professional acupuncturists. Acupunct Med 19:93–102 CrossRef
- White A, Hayhoe S, Hart A, Ernst E (2001) Adverse events following acupuncture: prospective survey of 32000 consultations with doctors and physiotherapists. BMJ 323:485–486 CrossRef
- Yamashita H, Tsukayama H, Tanno Y, Nishijo K (1999) Adverse events in acupuncture and moxibustion treatment: a six-year survey at a national clinic in Japan. J Altern Complement Med 5:229–236 CrossRef
- Jindal V, Ge A, Mansky PJ (2008) Safety and efficacy of acupuncture in children: a review of the evidence. J Pediatr Hematol Oncol 30:431–442 CrossRef
- The safety of acupuncture in children and adolescents with cancer therapy-related thrombocytopenia
Supportive Care in Cancer
Volume 18, Issue 11 , pp 1487-1490
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Complementary/alternative therapies
- Pediatric and adolescents
- Industry Sectors
- Author Affiliations
- 1. Division of Pediatric Oncology, Department of Pediatrics, Columbia University Medical Center, New York, NY, USA
- 2. Division of Pediatric Oncology, Columbia University Medical Center, 161 Ft.Washington, 7th floor, New York, NY, 10032, USA