Supportive Care in Cancer

, Volume 18, Issue 11, pp 1487–1490

The safety of acupuncture in children and adolescents with cancer therapy-related thrombocytopenia

  • Elena J. Ladas
  • Diane Rooney
  • Katherine Taromina
  • Deborah H. Ndao
  • Kara M. Kelly
Short Communication

DOI: 10.1007/s00520-010-0926-6

Cite this article as:
Ladas, E.J., Rooney, D., Taromina, K. et al. Support Care Cancer (2010) 18: 1487. doi:10.1007/s00520-010-0926-6

Abstract

Purpose

Acupuncture is frequently used to manage the side effects associated with cancer therapy. In acupuncture practice, the presence of thrombocytopenia is a relative contraindication to acupuncture use among patients with cancer. However, the safety of acupuncture in patients with cancer treatment-related thrombocytopenia has not been previously investigated.

Methods

Medical records of 32 patients receiving acupuncture at an academic medical center with an established acupuncture program during treatment for cancer or during stem cell transplantation were reviewed.

Results

Of 237 acupuncture sessions, 20%, 8%, and 19% of the sessions were administered to patients with severe, moderate, and mild thrombocytopenia, respectively. No bleeding side effects were observed.

Conclusions

This retrospective case series provides descriptive data on the safety of acupuncture using Japanese J-type Seirin needles, with mild manual stimulation administered at 0.5-cun depth in patients with cancer with and without thrombocytopenia. Prospective trials are needed to confirm these initial observations.

Keywords

Thrombocytopenia Acupuncture Complementary/alternative therapies Pediatric and adolescents 

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Elena J. Ladas
    • 1
  • Diane Rooney
    • 1
  • Katherine Taromina
    • 1
  • Deborah H. Ndao
    • 1
  • Kara M. Kelly
    • 1
    • 2
  1. 1.Division of Pediatric Oncology, Department of PediatricsColumbia University Medical CenterNew YorkUSA
  2. 2.Division of Pediatric OncologyColumbia University Medical CenterNew YorkUSA