MedPath

Massage Therapy and Port-a-Catheter Insertion

Phase 1
Completed
Conditions
Cancer
Anxiety
Pain
Surgery
Interventions
Other: Massage Therapy
Other: Attention Control
Registration Number
NCT00991770
Lead Sponsor
Boston Medical Center
Brief Summary

The purpose of this study is to assess the feasibility and efficacy of massage therapy for reducing pre-operative anxiety and post-operative pain among predominantly low income minority cancer patients undergoing surgical placement of a Port-a-Catheter.

Detailed Description

Despite major advances in the understanding of cancer and its treatment, patients continue to suffer greatly. Massage is now included in the National Comprehensive Cancer Network guidelines for the treatment of refractory cancer pain (1), and many cancer patients are turning to massage and other complementary therapies to help alleviate both their psychological and physical symptoms. However, complementary therapies, such as massage, are often unaffordable or unavailable to predominantly low-income cancer patients at safety net hospitals like Boston Medical Center.

The vast majority of cancer patients receiving chemotherapy undergo implantation of a permanent central venous access device, often referred to as a port implantation or implanted port. Although the implanted port carries multiple benefits for ease of treatment, after the procedure patients often complain of headaches, muscle stiffness and neck and shoulder pain that lasts for several days. Pain medication is the only therapy commonly offered for this and is often inadequate (2). Furthermore, since this is often the first surgical procedure for cancer patients at the beginning of their treatment, they often have significant levels of pre-procedure anxiety (3,4). Safe, efficacious, and cost-effective interventions that can reduce the anxiety and pain related to port implantation are needed.

This pilot study will look at how feasible and effective massage therapy is in reducing pre-operative anxiety and post-operative pain among BMC patients already undergoing surgical placement of an implanted port.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Patients must be adults within one month of diagnosis with any form of cancer.
  • Patients must be scheduled to undergo, but have not yet received, port implantation.
  • Patients must have the ability to understand and sign a written informed consent.
Exclusion Criteria
  • Patients who are unable or unwilling to provide consent.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Massage TherapyMassage TherapyMassage therapy provided by a certified Massage Therapist
ControlAttention ControlEmpathic support conversation
Primary Outcome Measures
NameTimeMethod
Efficacy of massage therapy for reducing pre-operative anxiety among predominantly low income minority cancer patients undergoing surgical placement of an implanted port.Baseline (prior to first 20 min intervention) and post-intervention/pre-surgery
Efficacy of massage therapy for reducing post-operative pain among predominantly low income minority cancer patients undergoing surgical placement of an implanted port.Post-surgery/pre-second 20 min intervention and post-surgery/post-second 20 min intervention
Feasibility of using massage therapy to reduce pre-operative anxiety and post-operative pain among predominantly low income minority cancer patients undergoing surgical placement of an implanted port.Day of surgery
Secondary Outcome Measures
NameTimeMethod
Related costs of providing massage therapy to patients undergoing port-a-cath implantationDay of surgery
Effects of massage on the duration of the surgical procedureTime of surgery
Effect of massage on the amount of anesthesia used during the surgical procedureTime of surgery

Trial Locations

Locations (1)

Boston Medical Center - Ambulatory Surgery

🇺🇸

Boston, Massachusetts, United States

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