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Table 1 Studies included in the systematic review

From: Wrist-ankle acupuncture has a positive effect on cancer pain: a meta-analysis

Author, year

Sample

Age

Gender

Cancer type

The intervention for treatment group

The intervention for control group

Outcome indicator

Adverse reactions (%)

Shen, 2000 [19]

ADG: 34

CG: 31

ADG: 24–76

CG: 32–68

ADG:female 3

male 31

CG: female 3

male 28

Mixed

WAA + drug

Grade II pain: weak opioid analgesics plus adjuvants

Grade III pain: strong opioid analgesics plus adjuvants

Pain relief rate

Not reported

Hu, 2004 [20]

Moderate pain group

AG: 20

CG I: 20

Severe pain group

AG: 16

CG II: 20

ADG: 18

Moderate pain group

AG:48.9 ± 13.0

CG I:49.7 ± 13.5

Severe pain group

AG: 48.3 ± 7.9

CG II:51.1 ± 8.9

ADG:53.6 ± 11.3

Moderate pain group

AG:female 2

male 18

CG I:female 3

male 17

Severe pain group

AG: female 2

male 14

CG II:female 3

male 17

ADG:female 0

male 18

Liver cancer

WAA/ WAA + drug

CG I: weak opioids (Such as codeine)

CGII: morphine sulfate sustained-release tablets as a representative treatment

Pain relief rate; NRS

ADG: 3(16.7)

CG II: 12(60)

Han, 2012 [21]

AG:25

CG:25

AG:20–71

CG:19–73

AG:female 8

male 17

CG:female 6

male 19

Liver cancer

WAA

Three-step drug analgesia

Pain relief rate

AG: 2 (8)

CG: 19 (76)

Author, year

Sample

Age

Gender

Cancer type

The intervention for treatment group

The intervention for control group

Outcome indicator

Adverse reactions (%)

Zeng, 2014 [22]

AG:30

CG:30

AG:53.8 ± 12.8

CG:49.0 ± 14.1

AG:female 3

male 27

CG:female 2

male 28

Liver cancer

WAA

A single dose of morphine sulfate 10 mg

Pain relief rate

Unclear

Dong, 2015 [23]

AG:49

CG:36

ADG:41

AG:61 ± 13

CG:59 ± 12

ADG:63 ± 11

AG:female 16

male 33

CG:female 13

male 23

ADG:female 14

male 27

Liver cancer

WAA / WAA + drug

Three-step drug analgesia

Pain relief rate

AG:12(24.5)

CG:35(97.2)

ADG:39(95.1)

Wang, 2017 [24]

AG:20

CG:20

ADG:20

19–81

Female 25

male 35

Mixed

WAA / WAA + drug

Three-step drug analgesia

Pain relief rate

AG: 2 (10)

CG: 12 (60)

ADG: 6 (30)

Dong, 2018 [25]

ADG: 60

CG: 60

47.65 ± 22.41

Female 41

male 79

Mixed

WAA + drug

Strong opioid analgesia

Pain relief rate; NRS

ADG:35(58.3)

CG: 45 (75)

Zhang, 2018 [26]

ADG: 76

CG: 34

ADG: 46–69

CG: 45–75

ADG: female 26

male 50

CG: female 13

male 21

Gastric cancer

WAA + drug

Drug therapy

Pain relief rate

Not reported

Su, 2018 [27]

AG: 40

CG: 40

76.6 ± 2.5

Not reported

Bone metasta- sis of prostate cancer

WAA

Drug therapy

VAS

2(2.5)

Author, year

Sample

Age

Gender

Cancer type

The intervention for treatment group

The intervention for control group

Outcome indicator

Adverse reactions (%)

Fu, 2019 [28]

ADG: 18

CG: 18

ADG: 66 ± 12

CG: 64 ± 15

ADG: female 8

male 10

CG: female 8

male 10

Mixed

WAA + drug

Morphine sustained release tablets

Pain relief rate; NRS

ADG:3(18.75)

CG: 9(56.25)

Luan, 2019 [29]

ADG: 32

CG: 33

ADG: 31–70

CG: 44–68

ADG:female 15

male 17

CG: female 13

male 20

Mixed

WAA + drug

Opioid analgesics

Pain relief rate

Not reported

Wu, 2019 [30]

ADG: 30

CG: 30

ADG: 56 ± 3

CG: 58 ± 3

ADG:female 15

male 15

CG: female 14

male 16

Mixed

WAA + drug

Three-step drug analgesia

Pain relief rate; VAS

≥ grade III:

ADG: 0(0)

CG: 6(20)

Xu, 2020 [31]

ADG: 39

CG: 40

ADG:64.9 ± 11.0

CG:67.33 ± 13.1

ADG:female 21

male 18

CG: female 16

male 24

Mixed

WAA+ drug

Three-step drug analgesia

Pain relief rate

Not reported

  1. Note: AG Acupuncture Group (The acupuncture intervention is wrist-ankle acupuncture), ADG Acupuncture + Drug Group (The acupuncture intervention is wrist-ankle acupuncture; The drug treatment is the same as the control group), CG Control Group, WAA Wrist-Ankle Acupuncture, NRS Numerical Rating Scale, VAS Visual Analogue Scale