Acupuncture in cancer care: recommendations for safe practice (peer-reviewed expert opinion).

de Valois, B., Young, T., Zollman, C., Appleyard, I., Ben-Arye, E., Cummings, M., Green, R., Hoffman, C., Lacey, J., Moir, F., Peckham, R., Stringer, J., Veleber, S., Weitzman, M. and Wode, K. 2024. Acupuncture in cancer care: recommendations for safe practice (peer-reviewed expert opinion). Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 32 (4) 229. https://doi.org/10.1007/s00520-024-08386-6

TitleAcupuncture in cancer care: recommendations for safe practice (peer-reviewed expert opinion).
TypeJournal article
Authorsde Valois, B., Young, T., Zollman, C., Appleyard, I., Ben-Arye, E., Cummings, M., Green, R., Hoffman, C., Lacey, J., Moir, F., Peckham, R., Stringer, J., Veleber, S., Weitzman, M. and Wode, K.
AbstractBackgroundUp-to-date recommendations for the safe practice of acupuncture in integrative oncology are overdue with new cancer treatments and an increase in survivors with late effects of disease; 17 years have elapsed since Filshie and Hester's 2006 guidelines. During 2022/2023 an expert panel assembled to produce updated recommendations aiming to facilitate safe and appropriate care by acupuncturists working with people with cancer.MethodsA core development team comprising three integrative oncology professionals comprehensively updated pre-existing unpublished recommendations. Twelve invited international experts (senior acupuncturists with and without experience of working in oncology settings, oncologists, physicians and nurses trained in integrative oncology, researchers, academics, and professional body representatives) reviewed the recommendations. In multiple iterations, the core team harmonised comments for final ratification. To aid dissemination and uptake the panel represents national and international integrative oncology associations and major cancer treatment centres in Europe, USA, Australia, and the Middle East.ResultsThese recommendations facilitate safe care by articulating contra-indications, cautions, and risks for patients both on and off treatment (surgery, SACT, radiotherapy). Situations where acupuncture may be contra-indicated or practices need adapting are identified. "Red and Amber Flags" highlight where urgent referral is essential.ConclusionThese are the first international, multidisciplinary peer-reviewed recommendations for safe acupuncture practice in integrative oncology. Concerns about safety remain a significant barrier to appropriate referral from oncology teams, to use by acupuncturists and to uptake by patients. Disseminating trustworthy, widely accessible guidance should facilitate informed, confident practice of acupuncture in and outside of oncology healthcare settings.
KeywordsCancer
Acupuncture
Integrative Oncology
Supportive Care
Clinical Recommendations
Safe Practice
Humans
Neoplasms
Acupuncture Therapy
Medical Oncology
Expert Testimony
Article number229
JournalSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
Journal citation32 (4)
ISSN0941-4355
1433-7339
Year2024
PublisherSpringer Nature
Publisher's version
License
CC BY 4.0
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1007/s00520-024-08386-6
PubMed ID38483623
Publication dates
Published online14 Mar 2024
Published in print01 Mar 2024
FunderEast and North Hertfordshire NHS Trust Research and Development
LicenseCC BY
Fileresponse.bin
response.bin

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