Effect of non-pharmacological interventions on chemotherapy induced delayed nausea and vomiting for tumors: A systematic review and Bayesian network meta-analysis

Objective: To evaluate the efficacy of non-pharmacological interventions in improving chemotherapy induced delayed nausea and vomiting symptoms using a network meta-analysis. Methods: Four Chinese databases (CNKI, Wanfang Data Knowledge Service Platform, VIP, Sinomed) and five English databases (Pub...

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Main Authors: Yongni Wang, Fang Wang, Feifei Hu, Fang Long
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Complementary Therapies in Medicine
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Online Access:http://www.sciencedirect.com/science/article/pii/S0965229924001122
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author Yongni Wang
Fang Wang
Feifei Hu
Fang Long
author_facet Yongni Wang
Fang Wang
Feifei Hu
Fang Long
author_sort Yongni Wang
collection DOAJ
description Objective: To evaluate the efficacy of non-pharmacological interventions in improving chemotherapy induced delayed nausea and vomiting symptoms using a network meta-analysis. Methods: Four Chinese databases (CNKI, Wanfang Data Knowledge Service Platform, VIP, Sinomed) and five English databases (PubMed, Cochrane Library, Embase, Web of Science, CINAHL) were searched from the establishment of the database to April 2024. A Bayesian network meta-analysis was performed on the response rate to the improvement of chemotherapy induced delayed nausea and vomiting, as well as improvement in KPS score, under different non-pharmacological interventions by using R 4.4.0 software and the GeMTC package. Results: A total of 58 RCTs 4081 patients were selected, involving 14 non-pharmacological interventions. The results of Meta-analysis showed that acupoint patch was identified as the most probable superior intervention in the improvement of chemotherapy induced delayed nausea and vomiting, and acupuncture was identified as the most probable superior intervention on the improvement of KPS scores. Conclusion: Non-pharmacological interventions can serve as an effective complementary approach to managing delayed chemotherapy-induced nausea and vomiting. In particular, acupoint application may be the optimal complementary therapy to mitigate the incidence of delayed nausea and vomiting, though more high-quality, large-scale evidence is required to conclusively demonstrate the efficacy of acupuncture in enhancing the quality of life for cancer patients.
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spelling doaj-art-e209e54054a9455082ecf2ff78f046542025-01-30T05:12:52ZengElsevierComplementary Therapies in Medicine0965-22992025-03-0188103124Effect of non-pharmacological interventions on chemotherapy induced delayed nausea and vomiting for tumors: A systematic review and Bayesian network meta-analysisYongni Wang0Fang Wang1Feifei Hu2Fang Long3School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, ChinaDirector's Office, Guang' an Hospital, Affiliated Hospital of Chengdu University of Chinese Medicine/Guang' an Hospital of Traditional Chinese Medicine, Guang' an 638001, China; Corresponding author.School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, ChinaSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, ChinaObjective: To evaluate the efficacy of non-pharmacological interventions in improving chemotherapy induced delayed nausea and vomiting symptoms using a network meta-analysis. Methods: Four Chinese databases (CNKI, Wanfang Data Knowledge Service Platform, VIP, Sinomed) and five English databases (PubMed, Cochrane Library, Embase, Web of Science, CINAHL) were searched from the establishment of the database to April 2024. A Bayesian network meta-analysis was performed on the response rate to the improvement of chemotherapy induced delayed nausea and vomiting, as well as improvement in KPS score, under different non-pharmacological interventions by using R 4.4.0 software and the GeMTC package. Results: A total of 58 RCTs 4081 patients were selected, involving 14 non-pharmacological interventions. The results of Meta-analysis showed that acupoint patch was identified as the most probable superior intervention in the improvement of chemotherapy induced delayed nausea and vomiting, and acupuncture was identified as the most probable superior intervention on the improvement of KPS scores. Conclusion: Non-pharmacological interventions can serve as an effective complementary approach to managing delayed chemotherapy-induced nausea and vomiting. In particular, acupoint application may be the optimal complementary therapy to mitigate the incidence of delayed nausea and vomiting, though more high-quality, large-scale evidence is required to conclusively demonstrate the efficacy of acupuncture in enhancing the quality of life for cancer patients.http://www.sciencedirect.com/science/article/pii/S0965229924001122Non-pharmacologicalComplementary interventionsChemotherapy induced delayed nausea and vomitingNetwork meta-analysis
spellingShingle Yongni Wang
Fang Wang
Feifei Hu
Fang Long
Effect of non-pharmacological interventions on chemotherapy induced delayed nausea and vomiting for tumors: A systematic review and Bayesian network meta-analysis
Complementary Therapies in Medicine
Non-pharmacological
Complementary interventions
Chemotherapy induced delayed nausea and vomiting
Network meta-analysis
title Effect of non-pharmacological interventions on chemotherapy induced delayed nausea and vomiting for tumors: A systematic review and Bayesian network meta-analysis
title_full Effect of non-pharmacological interventions on chemotherapy induced delayed nausea and vomiting for tumors: A systematic review and Bayesian network meta-analysis
title_fullStr Effect of non-pharmacological interventions on chemotherapy induced delayed nausea and vomiting for tumors: A systematic review and Bayesian network meta-analysis
title_full_unstemmed Effect of non-pharmacological interventions on chemotherapy induced delayed nausea and vomiting for tumors: A systematic review and Bayesian network meta-analysis
title_short Effect of non-pharmacological interventions on chemotherapy induced delayed nausea and vomiting for tumors: A systematic review and Bayesian network meta-analysis
title_sort effect of non pharmacological interventions on chemotherapy induced delayed nausea and vomiting for tumors a systematic review and bayesian network meta analysis
topic Non-pharmacological
Complementary interventions
Chemotherapy induced delayed nausea and vomiting
Network meta-analysis
url http://www.sciencedirect.com/science/article/pii/S0965229924001122
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