Complementary and alternative medicine in the management of pain, dyspnea, and nausea and vomiting near the end of life. A systematic review
Language: 
English
Abstract: 

To review the evidence for efficacy of complementary and alternative medicine (CAM) modalities in treating pain, dyspnea, and nausea and vomiting in patients near the end of life, original articles were evaluated following a search through MEDLINE, CancerLIT, AIDSLINE, PsycLIT, CINAHL, and Social Work Abstracts databases. Search terms included alternative medicine, palliative care, pain, dyspnea, and nausea. Two independent reviewers extracted data, including study design, subjects, sample size, age, response rate, CAM modality, and outcomes. The efficacy of a CAM modality was evaluated in 21 studies of symptomatic adult patients with incurable conditions. Of these, only 12 were directly accessed via literature searching. Eleven were randomized controlled trials, two were non-randomized controlled trials, and eight were case series. Acupuncture, transcutaneous electrical nerve stimulation, supportive group therapy, self-hypnosis, and massage therapy may provide pain relief in cancer pain or in dying patients. Relaxation/imagery can improve oral mucositis pain. Patients with severe chronic obstructive pulmonary disease may benefit from the use of acupuncture, acupressure, and muscle relaxation with breathing retraining to relieve dyspnea. Because of publication bias, trials on CAM modalities may not be found on routine literature searches. Despite the paucity of controlled trials, there are data to support the use of some CAM modalities in terminally ill patients. This review generated evidence-based recommendations and identified areas for future research.

Author(s): 
Pan, C. X.
Morrison, R. S.
Ness, J.
Fugh-Berman, A.
Leipzig, R. M.
Item Type: 
Journal Article
Publication Title: 
Journal of Pain and Symptom Management
Journal Abbreviation: 
J Pain Symptom Manage
Publication Date: 
2000-11
Publication Year: 
2000
Pages: 
374-387
Volume: 
20
Issue: 
5
ISSN: 
0885-3924
Library Catalog: 
PubMed
Extra: 
PMID: 11068159

Turabian/Chicago Citation

C. X. Pan, R. S. Morrison, J. Ness, A. Fugh-Berman and R. M. Leipzig. 2000-11. "Complementary and alternative medicine in the management of pain, dyspnea, and nausea and vomiting near the end of life. A systematic review." Journal of Pain and Symptom Management 20: 5: 374-387.

Wikipedia Citation

<ref> {{Cite journal | doi = | issn = 0885-3924 | volume = 20 | pages = 374-387 | last = Pan | first = C. X. | coauthors = Morrison, R. S., Ness, J., Fugh-Berman, A., Leipzig, R. M. | title = Complementary and alternative medicine in the management of pain, dyspnea, and nausea and vomiting near the end of life. A systematic review | journal = Journal of Pain and Symptom Management | date = 2000-11 | pmid = | pmc = }} </ref>