Moxibustion for alleviating chemotherapy-induced gastrointestinal adverse effects: A systematic review of randomized controlled trials. (February 2022)

• Record Type: Journal Article
• Authors: Yao, Ziqian; Xu, Zhongbo; Xu, Tielong; Liu, Xiaowu; Xu, Sheng; Wan, Chanjun; Zhou, Xu
• Is Part Of: Complementary therapies in clinical practice. Volume 46(2022)
• Publication Date: 2022-02
• Subjects: Moxibustion -- Gastrointestinal adverse effects -- Chemotherapy -- Malignant tumours -- Systematic review; Integrative medicine -- Periodicals; Integrative medicine -- Research -- Periodicals; Alternative medicine -- Periodicals; 615.5
• DOI: 10.1016/j.ctcp.2021.101527
• Languages: English
• ISSNs: 1744-3881

Abstract

Abstract: Objective: This systematic review aims to assess whether moxibustion is effective and safe for gastrointestinal adverse effects, a common and thorny issue arising from chemotherapy. Methods: Seven electronic databases were searched up to August 28, 2021, to identify randomized controlled trials (RCTs) comparing moxibustion versus non-moxibustion treatments for various gastrointestinal adverse effects after chemotherapy. The Karnofsky performance status (KPS) and quality of life scores and the incidence of moxibustion-related adverse events were also investigated. Effects in meta-analyses were measured by risk ratios (RRs) or mean differences (MDs). Results: Thirty-two RCTs (n = 2990) were included. Compared to the controls, moxibustion significantly reduced the incidences of nausea/vomiting (RR 0.70, 95% CI 0.61–0.79), severe nausea/vomiting (RR 0.39, 95% CI 0.29–0.51), diarrhoea (RR 0.56, 95% CI 0.38–0.82), constipation (RR 0.59, 95% CI 0.44–0.78), and abdominal distension (RR 0.60, 95% CI 0.46–0.78). The KPS (MD 7.53, 95% CI 3.42–11.64) and quality of life (MD 8.88, 95% CI 0.96–16.80) scores were also significantly improved after moxibustion. The results did not support a benefit of moxibustion on inappetence (RR 0.69, 95% CI 0.40–1.22) or abdominal pain (RR 0.60, 95% CI 0.28–1.30). All adverse events related to moxibustion were mild. Conclusions: Moderate-to very-low-quality evidence suggests that moxibustion may be safely used as an adjuvant treatment after chemotherapy to reduce the incidences of nausea and vomiting, diarrhoea, constipation, and abdominal distension and improve the performance status and quality of life in patients with malignant tumours. Its effects on abdominal pain and inappetence are uncertain. Highlights: Moxibustion may reduce the incidences of nausea and vomiting, abdominal distension, diarrhoea, and constipation. Moxibustion may help improve self-care ability and quality of life in patients with malignant tumours. Moxibustion treatment is generally safe for patients undergoing chemotherapy when properly administered. The effects of moxibustion on abdominal pain and inappetence after chemotherapy remain uncertain.