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Eur J Obstet Gynecol Reprod Biol. 2019 Aug 12;241:49-55. doi: 10.1016/j.ejogrb.2019.08.003. [Epub ahead of print]

Visceral osteopathic manipulative treatment reduces patient reported digestive toxicities induced by adjuvant chemotherapy in breast cancer: A randomized controlled clinical study.

Author information

1
Medical Oncology Unit, Centre Georges-François Leclerc, Dijon, France.
2
Methodology and Biostatistics Unit, Centre Georges-François Leclerc, Dijon, France.
3
Methodology and Biostatistics Unit, Centre Georges-François Leclerc, Dijon, France. Electronic address: abertaut@cgfl.fr.

Abstract

OBJECTIVE:

Breast cancer patients often benefit from adjuvant chemotherapy, a protocol whose effectiveness is accompanied by disabling adverse effects. The aim of this controlled clinical study was to determine the impact of visceral osteopathy on the incidence of nausea/vomiting, constipation and overall quality of life (QoL) in women operated for breast cancer and undergoing adjuvant chemotherapy in Centre Georges François Leclerc, CGFL.

STUDY DESIGN:

Ninety-four women operated for a breast cancer stage 1-3, in complete resection and to whom a 3 FEC 100 chemotherapy was prescribed, were randomly allocated to experimental or placebo group. Experimental group underwent a visceral osteopathic technique and placebo group was subjected to a superficial manipulation after each chemotherapy cycle. Rate of grade ≥1 nausea/vomiting or constipation, on the first 3 cycles of FEC 100, were reported. QoL was evaluated using the EORTC QLQ-C30 questionnaire.

RESULTS:

Rate of nausea/vomiting episodes of grade ≥1 was high in both experimental and placebo group. Constipation episodes of grade ≥1 were also frequent. No significant differences were found between the two groups concerning the rate of nausea/vomiting (p = 0.569) or constipation (p = 0.204) according to clinician reported side-effects but patient reported impact of constipation and diarrhoea on quality of life was significantly lower in experimental group (p = 0.036 and p = 0.038, respectively).

CONCLUSION:

Osteopathy does not reduce the incidence of nausea/vomiting in women operated for breast cancer and undergoing adjuvant chemotherapy. In contrast, patient reported digestive quality of life was significantly ameliorated by osteopathy. Clinicaltrials.gov Identifier: NCT02840890.

KEYWORDS:

Adjuvant chemotherapy; Breast cancer; Constipation; Nausea and vomiting; Osteopathy; Quality of life

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