Acupressure bands do not improve chemotherapy-induced nausea control in pediatric patients receiving highly emetogenic chemotherapy: A single-blinded, randomized controlled trial.

Abstract

BACKGROUND:

Chemotherapy-induced nausea and vomiting remain common, distressing side effects of chemotherapy. It has been reported that acupressure prevents chemotherapy-induced nausea in adults, but it has not been well studied in children.

METHODS:

In this multicenter, prospective, randomized, single-blind, sham-controlled trial, the authors compared acute-phase nausea severity in patients ages 4 to 18 years who were receiving highly emetic chemotherapy using standard antiemetic agents combined with acupressure wrist bands, the most common type of acupressure, versus sham bands. Patients wore acupressure or sham bands continuously on each day of chemotherapy and for up to 7 days afterward. Chemotherapy-induced nausea severity in the delayed phase and chemotherapy-induced vomiting control in the acute and delayed phases also were compared.

RESULTS:

Of the 187 patients randomized, 165 contributed nausea severity assessments during the acute phase. Acupressure bands did not reduce the severity of chemotherapy-induced nausea in the acute phase (odds ratio [OR], 1.33; 95% confidence limits, 0.89-2.00, in which an OR <1.00 favored acupressure) or in the delayed phase (OR, 1.23; 95% CL, 0.75-2.01). Furthermore, acupressure bands did not improve daily vomiting control during the acute phase (OR, 1.57; 95% CL, 0.95-2.59) or the delayed phase (OR, 0.84; 95% CL, 0.45-1.58). No serious adverse events were reported.

CONCLUSIONS:

Acupressure bands were safe but did not improve chemotherapy-induced nausea or vomiting in pediatric patients who were receiving highly emetic chemotherapy. Cancer 2018;124:1188-96. © 2017 American Cancer Society.

• Authors: L Lee Dupuis, Kara M Kelly, Jeffrey P Krischer, Anne-Marie Langevin, Roy N Tamura, Ping Xu, Lu Chen, E Anders Kolb, Nicole J Ullrich, Olle Jane Z Sahler, Eleanor Hendershot, Ann Stratton, Lillian Sung, Thomas W McLean
• Journal: Cancer (Cancer) Vol. 124 Issue 6 Pg. 1188-1196 (03 15 2018) ISSN: 1097-0142 [Electronic] United States
• PMID: 29266260 (Publication Type: Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, N.I.H., Extramural)
• Copyright: © 2017 American Cancer Society.

Chemical References

• Antiemetics
• Antineoplastic Agents

Topics

• Acupressure (instrumentation, methods)
• Adolescent
• Antiemetics (therapeutic use)
• Antineoplastic Agents (adverse effects)
• Child
• Child, Preschool
• Combined Modality Therapy
• Female
• Humans
• Male
• Nausea (chemically induced, diagnosis, therapy)
• Neoplasms (drug therapy)
• Prospective Studies
• Severity of Illness Index
• Single-Blind Method
• Treatment Outcome