Effects of integrative medicine on pain and anxiety among oncology inpatients.

Few studies have investigated the effectiveness of integrative medicine (IM) therapies on pain and anxiety among oncology inpatients.
Retrospective data obtained from electronic medical records identified patients with an oncology International Classification of Diseases-9 code who were admitted to a large Midwestern hospital between July 1, 2009 and December 31, 2012. Outcomes were change in patient-reported pain and anxiety, rated before and after individual IM treatment sessions, using a numeric scale (0-10).
Of 10948 hospital admissions over the study period, 1833 (17%) included IM therapy. Older patients had reduced odds of receiving any IM therapy (odds ratio [OR]: 0.97, 95% confidence interval [95% CI] = 0.96 to 0.98) and females had 63% (OR: 1.63, 95% CI = 1.38 to 1.92) higher odds of receiving any IM therapy compared with males. Moderate (OR: 1.97, 95% CI = 1.61 to 2.41), major (OR: 3.54, 95% CI = 2.88 to 4.35), and extreme (OR: 5.96, 95% CI = 4.71 to 7.56) illness severity were significantly associated with higher odds of receiving IM therapy compared with admissions of minor illness severity. After receiving IM therapy, patients averaged a 46.9% (95% CI = 45.1% to 48.6%, P <.001) reduction in pain and a 56.1% (95% CI = 54.3% to 58.0%, P <.001) reduction in anxiety. Bodywork and traditional Chinese Medicine therapies were most effective for reducing pain, while no significant differences among therapies for reducing anxiety were observed.
IM services to oncology inpatients resulted in substantial decreases in pain and anxiety. Observational studies using electronic medical records provide unique information about real-world utilization of IM. Future studies are warranted and should explore potential synergy of opioid analgesics and IM therapy for pain control.
AuthorsJill R Johnson, Daniel J Crespin, Kristen H Griffin, Michael D Finch, Jeffery A Dusek
JournalJournal of the National Cancer Institute. Monographs (J Natl Cancer Inst Monogr) Vol. 2014 Issue 50 Pg. 330-7 (Nov 2014) ISSN: 1745-6614 [Electronic] United States
PMID25749600 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
Copyright© The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.
  • Acupressure
  • Acupuncture Therapy
  • Adult
  • Age Factors
  • Aged
  • Anxiety (therapy)
  • Complementary Therapies (utilization)
  • Female
  • Humans
  • Inpatients (psychology)
  • Integrative Medicine
  • Male
  • Massage
  • Middle Aged
  • Neoplasms (complications, psychology)
  • Pain (etiology)
  • Pain Management (methods)
  • Retrospective Studies
  • Severity of Illness Index
  • Sex Factors

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