Lee, S.H., Kim, J.Y., Yeo, S., Kim, S.H., & Lim, S. (2015). Meta-analysis of massage therapy on cancer pain. Integrative Cancer Therapies, 14, 297–304. 

DOI Link

Purpose

STUDY PURPOSE: To investigate the effects of massage therapy on cancer pain

TYPE OF STUDY: Meta-analysis and systematic review

Search Strategy

DATABASES USED: MEDLINE, EMBASE, CENTRAL, CINAHL, AMED, China Academic Journal, Korean medical databases
 
INCLUSION CRITERIA: Randomized, controlled trial and nonrandomized controlled trials, no massage as control

Literature Evaluated

TOTAL REFERENCES RETRIEVED: 265
 
EVALUATION METHOD AND COMMENTS ON LITERATURE USED: PEDro scale and Cochrane Risk of Bias tools were used to evaluate study quality.

Sample Characteristics

  • FINAL NUMBER STUDIES INCLUDED = 12  
  • TOTAL PATIENTS INCLUDED IN REVIEW = 559
  • SAMPLE RANGE ACROSS STUDIES: Not evaluable
  • KEY SAMPLE CHARACTERISTICS: Varied types of cancer and cancer treatments

Phase of Care and Clinical Applications

PHASE OF CARE: Multiple phases of care
 
APPLICATIONS: Palliative care

Results

Massage was associated with lower pain (SMD = –1.25, p = 0.0001). Subgroup analysis according to type of intervention, massage, aromatherapy massage, or foot reflexology showed positive effect of each type, though few studies in each subgroup existed. PEDro scores indicated that only three studies were low quality, and the rest were high quality; however, risk of bias evaluation varied widely and showed that most studies had moderate to high risk of bias. Effects of massage were more positive in those studies with higher risk of bias.

Conclusions

Findings show that massage therapy has positive benefits for cancer-related pain.

Limitations

  • High heterogeneity
  • Sample sizes within studies werenot provided
  • Given total patients across 12 studies, some of these must have been small. 
  • No differentiation between acute or chronic pain

Nursing Implications

Massage therapy is effective in reducing pain among patients with cancer. This low-risk intervention can be helpful in pain management.

Legacy ID

5880