12/20/2023 0 Comments Auricula acupuncture for influenza aThey have been reported by up to 84% of women taking tamoxifen, with 60% reporting symptoms as severe. Hot flushes and night sweats (HFNS) are a consequence of adjuvant hormonal treatments (tamoxifen and aromatase inhibitors) for breast cancer, of which there were 55,000 new cases annually in the UK from 2015–2017. In day-to-day clinical practice, NADA appears to be a safe effective intervention for breast cancer survivors. This first analysis of a long-term auricular acupuncture service compares favourably with outcomes of other studies for reducing HFNS frequency and associated menopausal symptoms. Results are comparable to published research. Two adverse events were reported, neither were serious. WHQ showed improvements in several symptoms associated with the menopause. HFRS problem rating showed a clinically meaningful reduction of ≥ 2 points at all measurement points. Median daily frequency of HFNS reduced from 9.6 (IQR 7.3) to 5.7 (IQR 5.8) at EOT and 6.3 (IQR 6.5) 18 weeks after EOT. Over 2285 treatments were given to 300 women 275 (92.3%) completed all eight treatments. Outcome measures administered at baseline, end of treatment (EOT), and 4 and 18 weeks after EOT included hot flush diaries, hot flush rating scale (HFRS) and women’s health questionnaire (WHQ). Methodsĭata were analysed from 415 referrals to a service offering women eight standardised treatments using the National Acupuncture Detoxification Association (NADA) protocol. This service evaluation aims to (1) assess whether usual practice alleviates symptoms in a clinically meaningful way and (2) compare these results with scientific evidence. We report real world clinical outcomes of a 15-year service offering breast cancer survivors auricular acupuncture to manage hot flushes and night sweats (HFNS) associated with adjuvant hormonal treatments. While clinical trials provide valuable data about efficacy of interventions, findings often do not translate into clinical settings.
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