- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04608175
The Efficacy of Acupuncture as a Complementary Treatment for Pain and Anxiety After Breast Cancer Surgery
The Efficacy of Acupuncture as a Complementary Treatment for Pain and Anxiety After Breast Cancer Surgery: Pragmatic Randomized Control Trial
Background: Breast cancer is one of the most prevalent cancers worldwide. Fortunately, survival has improved in recent years thanks to its early detection and curative treatments such as mastectomy. However, this medical procedure is associated with a range of unwanted effects such as postoperative pain and anxiety. Some studies have reported that acupuncture could be an effective treatment to control these types of symptoms, although only few studies have been conducted on women undergoing mastectomy.
Methods: This is a pragmatic randomized controlled trial with blind assessors. The study will be conducted in the Breast Unit of Hospital Universitario Sagrado Corazon of Barcelona (Spain). A sample of 40 women will be recruited and randomized to receive acupuncture treatment in addition to standard care procedures, or standard care procedures alone. The main outcome, pain, will be assessed after the surgical intervention and 4, 10 and 30 days later using the numerical rating scale. Secondary outcomes include anxiety, use of analgesics, nausea, adverse effects, and surgical complications.
Discussion: Acupuncture is a low-cost non-pharmacological strategy. This study will help to clarify its possible role in controlling post-mastectomy adverse effects.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Carles Fernández, Phusical Terapist
- Phone Number: 0034651503494
- Email: carlesfj@blanquerna.url.edu
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosis of breast cancer
- Primary breast cancer patient
- Candidate for breast cancer surgery (mastectomy)
- Aged between 20 and 70 years old
- Consenting to participate in the study and signing the informed consent form.
Exclusion Criteria:
- Have a previous history of breast cancer
- Have a previous diagnosis of a severe psychiatric disorder
- Present risk factors associated with breast cancer
- Do not speak Spanish or Catalan
- Are currently participating in another trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Acupuncture group
The experimental group will receive the standard treatment administered in these cases (analgesic regimen and nursing care procedures), in addition to the following acupuncture therapy. In the first visit (preoperative), the anamnesis and energy diagnosis of each patient will be carried out following the practices of Traditional Chinese Medicine (TCM) to design a personalized treatment based on the patient's medical history. A treatment of approximately 10 to 12 acupuncture points will be designed considering the TCM diagnosis and medical history of each patient. Both TCM diagnosis and the points used will be reassessed in each session. The points belonging to the upper extremity of the affected breast will be treated on the contralateral side, taking care not to insert any needle in the limb on the affected side. No points in the operated region will be used. |
Treatment of disease by inserting needles along specific pathways or meridians.
The placement varies with the disease being treated.
It is sometimes used in conjunction with heat, moxibustion, acupressure, or electric stimulation.
|
NO_INTERVENTION: Control group
The control group will only receive standard care procedures (analgesic regimen and nursing care procedures), although they will have the same follow up visits as the patients in the intervention group to facilitate analysis of the study variables.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Post-intervention pain at 12 hours after surgery
Time Frame: 12 hours after surgery (before the acupuncture treatment)
|
Pain will be evaluated using the numerical rating scale (NRS).
This measure uses a scale of 0 to 10 in which the higher values represent the most severe pain.
|
12 hours after surgery (before the acupuncture treatment)
|
Post-intervention pain at 48 hours after surgery
Time Frame: 48 hours after surgery (after the acupuncture treatment)
|
Pain will be evaluated using the numerical rating scale (NRS).
This measure uses a scale of 0 to 10 in which the higher values represent the most severe pain.
|
48 hours after surgery (after the acupuncture treatment)
|
Post-intervention pain at first out-patient visit
Time Frame: In the first out-patient visit between 10 and 12 days after the intervention (evaluated before the acupuncture session)
|
Pain will be evaluated using the numerical rating scale (NRS).
This measure uses a scale of 0 to 10 in which the higher values represent the most severe pain.
|
In the first out-patient visit between 10 and 12 days after the intervention (evaluated before the acupuncture session)
|
Analgesic compsumption during hospital stay
Time Frame: During the hospital stay
|
Amount of analgesic medication administered (ex: mg)
|
During the hospital stay
|
Analgesic compsumption at home
Time Frame: From discharge until day 15 after surgery.
|
Amount of analgesic medication administered (ex: mg)
|
From discharge until day 15 after surgery.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Anxiety at 12 hours
Time Frame: Evaluations will be made 12 hours after the intervention
|
Anxiety will be evaluated by the Spanish version of the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A).
This scale has a score between 0 and 21 for either anxiety or depression with greater punctuation indicating a worse condition.
|
Evaluations will be made 12 hours after the intervention
|
Anxiety at 48 hours
Time Frame: Evaluations will be made 48 hours after the intervention
|
Anxiety will be evaluated by the Spanish version of the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A).
This scale has a score between 0 and 21 for either anxiety or depression with greater punctuation indicating a worse condition.
|
Evaluations will be made 48 hours after the intervention
|
Anxiety at first visit
Time Frame: Evaluations will be made at first visit, between 10 and 12 days after the intervention.
|
Anxiety will be evaluated by the Spanish version of the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A).
This scale has a score between 0 and 21 for either anxiety or depression with greater punctuation indicating a worse condition
|
Evaluations will be made at first visit, between 10 and 12 days after the intervention.
|
Anxiety at one month
Time Frame: Evaluations will be made at one month after surgery.
|
Anxiety will be evaluated by the Spanish version of the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A).
This scale has a score between 0 and 21 for either anxiety or depression with greater punctuation indicating a worse condition.
|
Evaluations will be made at one month after surgery.
|
Postoperative nausea after surgery
Time Frame: At 12 hours after surgery
|
The intensity of postoperative nausea will also be evaluated by the numerical rating scale (NRS)
|
At 12 hours after surgery
|
Postoperative nausea at 24-48 hours
Time Frame: At 24-48 hours after surgery
|
The intensity of postoperative nausea will also be evaluated by the numerical rating scale (NRS)
|
At 24-48 hours after surgery
|
Post-operative complications
Time Frame: Up to one month.
|
Post-operative complications such as seroma, infection and wound healing will be recorded.
|
Up to one month.
|
Acupuncture adverse events
Time Frame: Up to one month.
|
Adverse events possibly linked to acupuncture such as pain, hematomas etc. will be recorded.
|
Up to one month.
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (ANTICIPATED)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 001 (NavyGHB)
- 2019/59-FIS-HUSC (OTHER: Hospital Sagrado Corazón)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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