Evaluating CAM treatment at the end of life: a review of clinical trials for massage and meditation.

Full Abstract

BACKGROUND:
There is a pressing need for improved end-of-life care. Use of complementary and alternative medicine (CAM) may improve the quality of care but few controlled trials have evaluated CAM at the end of life.

OBJECTIVES:
To determine the strength of evidence for the benefits of touch and mind-body therapies in seriously ill patients.

METHODS:
Systematic review of randomized controlled trials of massage and mind-body therapies. A PubMed search of English language articles was used to identify the relevant studies.

RESULTS:
Of 27 clinical trials testing massage or mind-body interventions, 26 showed significant improvements in symptoms such as anxiety, emotional distress, comfort, nausea and pain. However, results were often inconsistent across studies and there were variations in methodology, so it was difficult to judge the clinical significance of the results.

CONCLUSIONS:
Use of CAM at the end of life is warranted on a case-by-case basis. Limitations in study design and sample size of the trials analyzed mean that routine use of CAM cannot be supported. There are several challenges to be addressed in future research into the use of CAM in end-of-life patients.

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Author information

Author/s: Lafferty, William E (WE); Downey, Lois (L); McCarty, Rachelle L (RL); Standish, Leanna J (LJ); Patrick, Donald L (DL);

Affiliation: University of Washington, School of Public Health and Community Medicine, Department of Health Services, Seattle, WA 98195, USA. billlaf(-atsign-)u.washington.edu

Grants: 5 R01 CA10620 (Agency:NCI NIH HHS)

Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural; Review

Journal: Complementary therapies in medicine (Complement Ther Med), published in Scotland. (Language: eng)

Reference: 2006-Jun; vol 14 (issue 2) : pp 100-12

Dates: Created 2006/06/12; Completed 2006/09/08; Revised 2007/11/15;

PMID: 16765848, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Massage
Meditation
Pain - prevention & control
Palliative Care - methods
Terminal Care

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