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Evidence Explorer / Collection

INTERVENTIONS & CLINICAL QUESTIONS

The A–Z evidence index

109 records connecting a specific approach to a specific use. Open a record for its setting, result and limitations, then follow the full review or brief.

Descriptive evidence labels are attached to the named outcome. They are not formal GRADE ratings, product endorsements or individualized recommendations. Index compiled October 11, 2026.

Devices & physical care · Movement & rehabilitation · Nutrients & supplements · Botanicals & natural products · Conventional care comparator · Nutrition & hydration · Mind–body & integrative care · Clinical question overview

Devices & physical care

Cooling gloves & socks — Mixed evidence

Goal: Neuropathy prevention
Setting: Taxane chemotherapy, mainly breast cancer

Evidence: Small randomized and self-controlled studies

Finding: Some studies suggest less neuropathy; a randomized trial missed its primary sensory endpoint.

Limit: Cooling methods differ; cold intolerance and unblinded comparisons complicate interpretation.

Read the full evidence record →

Sources: self-controlled study · randomized trial

MS-0137 · Existing review indexed October 11, 2026

Handheld fan for breathlessness — Short-term randomized signal

Goal: Breathlessness
Setting: Advanced cancer and palliative care

Evidence: Small randomized trial, 40 participants

Finding: A one-point breathlessness reduction occurred in 80% with facial airflow versus 25% with leg airflow.

Limit: Short duration and subjective outcomes; sustained benefit remains uncertain.

Read the full evidence record →

Sources: randomized trial of 40 patients · 2026 systematic review and meta-analysis

MS-0132 · Existing review indexed October 11, 2026

Oral cryotherapy / ice chips — Guideline-supported settings

Goal: Mouth-sore prevention
Setting: Bolus 5-FU; high-dose melphalan before autologous transplant

Evidence: Randomized trials and MASCC/ISOO guidance

Finding: Evidence supports reducing mucositis in these specific treatment settings.

Limit: Brief cooling cannot be assumed effective with prolonged drug exposure or every regimen.

Read the full evidence record →

Sources: Cochrane review · MASCC/ISOO guideline

MS-0108 · Existing review indexed October 11, 2026

Scalp cooling — Randomized benefit for a specific goal

Goal: Hair retention
Setting: Breast cancer chemotherapy

Evidence: SCALP randomized trial

Finding: Hair preservation after four cycles: 50.5% with cooling versus 0% among evaluable controls.

Limit: Preservation meant less than 50% loss; incomplete protection and regimen-specific results.

Read the full evidence record →

Sources: 2017 SCALP trial · 2024 randomized trial

MS-0105 · Existing review indexed October 11, 2026

Movement & rehabilitation

Colorectal surgery prehabilitation — Positive complication signal

Goal: Surgical recovery
Setting: Elective colorectal cancer surgery

Evidence: PREHAB randomized trial, 251 participants

Finding: Severe complications: 17.1% versus 29.7% with standard care.

Limit: The primary walking-distance comparison was not significant; trial stopped early during COVID-19.

Read the full evidence record →

Sources: PREHAB randomized trial · 2024 systematic review

MS-0113 · Existing review indexed October 11, 2026

Exercise during ADT — Supportive randomized evidence

Goal: Strength and fatigue
Setting: Prostate cancer on androgen-deprivation therapy

Evidence: Supervised aerobic and resistance exercise trials

Finding: Trials support strength, fitness and fatigue benefits during ADT.

Limit: These results do not establish prostate cancer control or survival benefit.

Read the full evidence record →

Sources: randomized trial · trial of 57 men

MS-0130 · Existing review indexed October 11, 2026

Exercise with metastatic breast cancer — Positive randomized signal

Goal: Fatigue and quality of life
Setting: Metastatic breast cancer

Evidence: PREFERABLE-EFFECT, 357 participants

Finding: At six months, advantages of 5.3 points for physical fatigue and 4.8 for quality of life on 0–100 scales.

Limit: Modest average effects; unstable bone lesions excluded; no survival claim.

Read the full evidence record →

Sources: 2024 PREFERABLE-EFFECT randomized trial · research program

MS-0124 · Existing review indexed October 11, 2026

Lung surgery prehabilitation — Positive randomized signal

Goal: Surgical recovery
Setting: Higher-risk adults awaiting lung resection

Evidence: Multicenter randomized trial, 122 participants

Finding: Pulmonary complications: 34% with the program versus 55% with usual care; median stay 7 versus 9 days.

Limit: A combined breathing, nutrition, smoking-cessation and psychological program cannot isolate one component.

Read the full evidence record →

Sources: 2025 multicenter randomized trial · 2026 meta-analysis

MS-0136 · Existing review indexed October 11, 2026

Pelvic-floor training — Mixed rehabilitation evidence

Goal: Urinary continence
Setting: After radical prostatectomy

Evidence: Randomized trials

Finding: Structured training may accelerate continence recovery in some patients.

Limit: Long-term benefit and the best training intensity are not uniform across trials.

Read the full evidence record →

Sources: randomized trial of 97 men · more recent randomized trial

MS-0127 · Existing review indexed October 11, 2026

Strength training with lymphedema — Supportive randomized evidence

Goal: Strength and symptom management
Setting: Breast cancer survivors with stable arm lymphedema

Evidence: Randomized trial, 141 participants

Finding: Progressive training improved strength; flare-ups occurred in 14% versus 29%.

Limit: The primary limb-swelling comparison was not different; stable lymphedema was required.

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Sources: 2009 randomized trial · systematic review in the 2019 journal collection

MS-0103 · Existing review indexed October 11, 2026

Structured exercise after colon cancer — Positive phase III evidence

Goal: Disease-free survival
Setting: Resected high-risk stage II or stage III colon cancer after chemotherapy

Evidence: CHALLENGE randomized trial, 889 participants

Finding: Five-year disease-free survival: 80.3% versus 73.9%; difference 6.4 percentage points.

Limit: Three-year supported program in a defined setting; not evidence of a universal cancer cure.

Read the full evidence record →

Sources: 2025 CHALLENGE randomized trial · ASCO’s exercise guideline

MS-0047 · Existing review indexed October 11, 2026

Nutrients & supplements

Acetyl-L-carnitine for taxane neuropathy — Harm signal

Goal: Neuropathy prevention
Setting: Women receiving adjuvant taxane chemotherapy for breast cancer

Evidence: Randomized double-blind trial; 409 evaluable participants

Read the full evidence record →

Sources: Hershman et al., 2013 randomized trial · SWOG S0715 two-year follow-up

MS-N001 · New brief; sources checked October 11, 2026

Alpha-lipoic acid for chemotherapy neuropathy — Benefit not established

Goal: Neuropathy prevention or symptoms
Setting: Chemotherapy-related neuropathy

Evidence: Randomized trial plus broader narrative review

Finding: Evidence from diabetic neuropathy does not establish benefit in chemotherapy neuropathy.

Limit: Prevention, pain relief and nerve recovery are separate endpoints; trial adherence was a limitation.

Read the full evidence record →

Sources: SYDNEY 2 · 2024 Cochrane review

MS-0038 · Existing review indexed October 11, 2026

IV vitamin C in pancreatic cancer — Investigational randomized signal

Goal: Cancer-control research
Setting: Metastatic pancreatic cancer with gemcitabine/nab-paclitaxel

Evidence: Small randomized trial; 36 randomized, 34 treated

Read the full evidence record →

Sources: 2024 randomized trial of pharmacological ascorbate · NCI: Intravenous Vitamin C (PDQ)

MS-N003 · New brief; sources checked October 11, 2026

L-glutamine in pancreatic cancer — Early-phase investigational

Goal: Cancer-control research
Setting: Advanced pancreatic cancer with gemcitabine/nab-paclitaxel

Evidence: GlutaPanc single-arm phase I; 16 evaluable

Finding: Dose-finding and response signals support further research.

Limit: No randomized chemotherapy-only comparator; cannot attribute survival to glutamine.

Read the full evidence record →

Sources: GlutaPanc phase 1 report, Nature Cancer (2026) · Published study protocol (2023)

MS-0029 · Existing review indexed October 11, 2026

Melatonin for sleep — Small randomized signal

Goal: Sleep
Setting: Selected breast cancer survivors

Evidence: Placebo-controlled trial, 95 participants

Finding: Average sleep-score improvement was 1.9 points with melatonin versus 0.1 with placebo.

Limit: Selected post-treatment population; no demonstrated recurrence or survival benefit.

Read the full evidence record →

Sources: 2014 placebo-controlled trial · September 2026 report

MS-0126 · Existing review indexed October 11, 2026

Omega-3s for weight loss — Inconsistent evidence

Goal: Weight and muscle support
Setting: Advanced cancer with wasting

Evidence: Large randomized trials; nutrition guidance

Finding: Large trials did not reliably reverse weight or lean-mass loss.

Limit: Purified EPA, enriched drinks and other omega-3 products are different interventions.

Read the full evidence record →

Sources: multicenter randomized trial · phase III trial involving 421 people with incurable cancer and wasting

MS-0107 · Existing review indexed October 11, 2026

Probiotics during pelvic radiation — Mixed, strain-specific evidence

Goal: Diarrhea prevention
Setting: Pelvic radiation

Evidence: Randomized placebo-controlled trials

Finding: Some favorable signals, but a large trial missed its overall primary endpoint.

Limit: Strain, dose and treatment setting vary; probiotics are not one interchangeable intervention.

Read the full evidence record →

Sources: double-blind randomized trial · meta-analysis of randomized trials

MS-0128 · Existing review indexed October 11, 2026

Vitamin B6 for hand–foot syndrome — No demonstrated benefit

Goal: Hand–foot syndrome prevention
Setting: Capecitabine treatment

Evidence: Placebo-controlled phase III trial and other trials

Finding: Pyridoxine did not significantly prevent moderate or severe hand–foot syndrome.

Limit: Plausibility and routine vitamin needs do not establish benefit from high doses.

Read the full evidence record →

Sources: double-blind phase 3 trial · meta-analysis

MS-0112 · Existing review indexed October 11, 2026

Vitamin D for AI joint pain — No consistent symptom benefit

Goal: Joint symptoms
Setting: Breast cancer on aromatase inhibitors

Evidence: Randomized trials

Finding: Higher vitamin D levels did not reliably prevent joint symptoms.

Limit: Correcting deficiency and protecting bone health are separate indications.

Read the full evidence record →

Sources: 2019 randomized trial · 2017 VITAL trial in women starting letrozole

MS-0059 · Existing review indexed October 11, 2026

Zinc for taste changes — No consistent benefit

Goal: Taste and appetite
Setting: Head and neck radiation

Evidence: Phase III placebo-controlled trial

Finding: The largest trial did not significantly prevent taste changes or accelerate recovery.

Limit: Small earlier studies differ; correcting deficiency is a separate question.

Read the full evidence record →

Sources: multicenter N01C4 trial · 18-patient randomized trial

MS-0135 · Existing review indexed October 11, 2026

Botanicals & natural products

American ginseng for fatigue — Conditional guideline option

Goal: Fatigue
Setting: Adults during or after cancer treatment

Evidence: N07C2 placebo-controlled trial; ASCO–SIO guideline

Finding: Primary four-week comparison was not significant; eight-week improvement was 20 versus 10.3 points.

Limit: Specific Wisconsin American ginseng preparation; no cancer-control result.

Read the full evidence record →

Sources: N07C2 randomized, double-blind trial · 2024 ASCO–Society for Integrative Oncology fatigue guideline

MS-0048 · Existing review indexed October 11, 2026

Cannabinoids for cancer pain — Benefit not established

Goal: Pain
Setting: Advanced cancer with pain despite opioids

Evidence: Nabiximols randomized trials, including phase III

Finding: Larger confirmatory trials did not meet primary pain endpoints.

Limit: Standardized THC:CBD spray evidence does not generalize to every cannabis product.

Read the full evidence record →

Sources: randomized graded-dose trial · phase 3 trial

MS-0129 · Existing review indexed October 11, 2026

Cannabinoids for refractory chemotherapy nausea — Conditional adjunctive option

Goal: Nausea and vomiting
Setting: Adults with symptoms despite guideline-based antiemetics

Evidence: ASCO cannabis and cannabinoid guideline, 2024

Read the full evidence record →

Sources: ASCO cannabis and cannabinoids guideline, 2024

MS-N012 · New brief; sources checked October 11, 2026

Curcumin for radiation skin reactions — Oral negative; topical uncertain

Goal: Radiation skin symptoms
Setting: Breast radiotherapy

Evidence: Large oral RCT; small topical studies

Finding: The large oral trial did not improve its primary dermatitis endpoint; topical pilots ask a separate question.

Limit: Oral supplements and gels cannot be treated as equivalent.

Read the full evidence record →

Sources: multicenter randomized trial, published online in December 2017 and in the 2018 journal issue · pilot placebo-controlled trial published March 27, 2025

MS-0104 · Existing review indexed October 11, 2026

Ginger for chemotherapy nausea — Mixed; positive trial signal

Goal: Acute nausea
Setting: Chemotherapy with antiemetic medication

Evidence: Randomized placebo-controlled trial

Finding: One trial found lower acute nausea severity when ginger was added to antiemetics.

Limit: Preparation, acute versus delayed symptoms and background antiemetics affect applicability.

Read the full evidence record →

Sources: randomized, double-blind trial published in 2012 · 2022 umbrella review of ginger and human health

MS-0049 · Existing review indexed October 11, 2026

Laetrile / amygdalin (“B17”) — No established efficacy; toxicity concern

Goal: Cancer-treatment claim
Setting: Patients with various advanced cancers

Evidence: NCI review, including a phase II study

Read the full evidence record →

Sources: NCI: Laetrile/Amygdalin (PDQ)

MS-N006 · New brief; sources checked October 11, 2026

Medicinal mushroom extracts — Product-specific, uncertain applicability

Goal: Adjunctive cancer-treatment research
Setting: Product-specific studies, including PSK and reishi

Evidence: NCI evidence summary of clinical and preclinical studies

Read the full evidence record →

Sources: NCI: Medicinal Mushrooms (PDQ) · NCI listing: reishi for AI-related symptoms; check current status

MS-N005 · New brief; sources checked October 11, 2026

Mistletoe extracts — Uncertain evidence

Goal: Quality of life and cancer-control claims
Setting: Multiple cancer settings; specific injectable extracts

Evidence: Heterogeneous clinical studies summarized by NCI

Read the full evidence record →

Sources: NCI: Mistletoe Extracts (PDQ)

MS-N004 · New brief; sources checked October 11, 2026

Peppermint aromatherapy for nausea — Preliminary signal

Goal: Nausea
Setting: Adults receiving chemotherapy with standard antiemetics

Evidence: Open-label, quasi-randomized controlled pilot

Read the full evidence record →

Sources: Peppermint-oil quasi-randomized pilot study

MS-N011 · New brief; sources checked October 11, 2026

St. John’s wort and irinotecan — Documented interaction

Goal: Treatment-interaction safety
Setting: People receiving irinotecan

Evidence: Small randomized crossover pharmacokinetic study

Read the full evidence record →

Sources: Mathijssen et al., 2002 interaction study · NCI: Cancer therapy interactions

MS-N002 · New brief; sources checked October 11, 2026

Tart cherry for AI joint pain — Small randomized signal

Goal: Joint pain
Setting: Nonmetastatic hormone-positive breast cancer on aromatase inhibitors

Evidence: Double-blind trial; 48 analyzed over six weeks

Finding: Mean percentage pain decrease: 34.7% versus 1.4% with placebo.

Limit: Small, short study; exclusions and industry funding warrant attention.

Read the full evidence record →

Sources: Tart cherry and aromatase inhibitor-associated joint pain, Clinical Breast Cancer (2022; published online 2021)

MS-0031 · Existing review indexed October 11, 2026

Conventional care comparator

Oxybutynin for hot flashes — Short-term randomized benefit

Goal: Hot flashes
Setting: Women with frequent hot flashes, many on endocrine therapy

Evidence: Placebo-controlled trial, 150 randomized

Finding: Daily episodes fell by 4.8 or 7.5 with the two doses versus 2.6 with placebo.

Limit: Only 113 evaluable for the primary outcome; six-week follow-up.

Read the full evidence record →

Sources: 2019 ACCRU trial · 2026 ASCO systematic-review abstract

MS-0125 · Existing review indexed October 11, 2026

Nutrition & hydration

Fasting around treatment — Investigational

Goal: Cancer-control and tolerability research
Setting: Selected cancer trial populations

Evidence: Small trials and conference reports

Finding: Early signals merit research; a definitive cancer-control benefit is not established.

Limit: Fasting windows and fasting-mimicking diets differ; small studies and abstract-only reports limit confidence.

Read the full evidence record →

Sources: 2026 ASCO Annual Meeting, abstract 5517 · research regimen permitted fluids and up to 350 calories daily

MS-0064 · Existing review indexed October 11, 2026

Hydration and electrolytes — Treatment-specific guidance

Goal: Correcting fluid losses
Setting: During cancer treatment

Evidence: Clinical nutrition and supportive-care guidance

Finding: Replacing dehydration can help; extra water and alkaline water have no established anticancer role.

Limit: Needs vary with losses, treatment, kidney and heart function.

Read the full evidence record →

Sources: More on when to seek care. · eviQ’s cisplatin guidance

MS-0138 · Existing review indexed October 11, 2026

Nutrition shakes — Practical nutrition guidance

Goal: Intake and weight support
Setting: Cancer-related poor intake

Evidence: Nutrition guidance and product-label comparison

Finding: The guide compares 13 formulas by calories, protein and practical features.

Limit: A label comparison does not show a brand improves cancer outcomes; formulations change.

Read the full evidence record →

Sources: NCI nutrition guidance · Ensure Original (retail)

MS-0139 · Existing review indexed October 11, 2026

Mind–body & integrative care

Acupuncture for AI joint pain — Guideline-supported option

Goal: Joint pain
Setting: Adults with aromatase-inhibitor-related joint pain

Evidence: SIO–ASCO pain guideline based on controlled studies

Read the full evidence record →

Sources: SIO–ASCO integrative pain guideline, 2022

MS-N007 · New brief; sources checked October 11, 2026

Acupuncture for dry mouth — Modest randomized benefit

Goal: Dry mouth
Setting: Head and neck cancer after radiation

Evidence: Multicenter randomized trial, 258 participants

Finding: True acupuncture improved dry-mouth scores versus oral hygiene by 6.67 points at four weeks.

Limit: The mean difference was below the prespecified 10-point threshold; sham comparison was less convincing.

Read the full evidence record →

Sources: multicenter randomized trial · 2019 randomized trial

MS-0114 · Existing review indexed October 11, 2026

CBT-I — Guideline-supported

Goal: Insomnia
Setting: Cancer survivors; adapted approaches during treatment

Evidence: Randomized trials and ESMO insomnia guidance

Finding: Structured cognitive behavioral therapy improves insomnia outcomes.

Limit: Access, delivery and active-treatment burden vary; waiting-list trials have limitations.

Read the full evidence record →

Sources: 2023 ESMO insomnia guideline · 2018 trial

MS-0060 · Existing review indexed October 11, 2026

Hypnosis for procedural pain — Conditional guideline option

Goal: Procedural pain
Setting: Adults undergoing cancer-related procedures

Evidence: SIO–ASCO integrative pain guideline

Read the full evidence record →

Sources: SIO–ASCO integrative pain guideline, 2022

MS-N009 · New brief; sources checked October 11, 2026

Massage for palliative cancer pain — Conditional guideline option

Goal: Pain and comfort
Setting: Adults receiving palliative or hospice care

Evidence: SIO–ASCO integrative pain guideline

Read the full evidence record →

Sources: SIO–ASCO integrative pain guideline, 2022

MS-N008 · New brief; sources checked October 11, 2026

Mindfulness for anxiety — Guideline-supported

Goal: Anxiety and distress
Setting: During and after cancer treatment

Evidence: Randomized trials and SIO–ASCO guidance

Finding: Structured mindfulness programs can improve anxiety symptoms.

Limit: Program design and comparators differ; no recurrence or survival conclusion.

Read the full evidence record →

Sources: 2012 randomized trial · 2023 Society for Integrative Oncology–ASCO guideline

MS-0058 · Existing review indexed October 11, 2026

Tai chi and qigong for fatigue — Guideline-supported setting

Goal: Fatigue
Setting: Adults during cancer treatment

Evidence: ASCO–SIO fatigue guideline, 2024

Read the full evidence record →

Sources: ASCO–SIO fatigue guideline, 2024

MS-N010 · New brief; sources checked October 11, 2026

Yoga after treatment — Supportive randomized evidence

Goal: Fatigue and sleep
Setting: Cancer survivors, predominantly breast cancer

Evidence: YOCAS randomized trial

Finding: Gentle instructor-led yoga improved fatigue in a survivor trial.

Limit: Fatigue was a secondary outcome; participants and programs were selected.

Read the full evidence record →

Sources: multicenter randomized trial · 2024 meta-analysis of 18 breast-cancer trials

MS-0106 · Existing review indexed October 11, 2026

Clinical question overview

Complementary nausea approaches — Narrative overview

Goal: Nausea and vomiting
Setting: During chemotherapy

Evidence: Review of several distinct approaches

Finding: Introduces ginger, aromatherapy and other adjunctive approaches.

Limit: This overview is not a systematic review or a single-intervention efficacy record.

Read the full evidence record →

MS-0109 · Existing review indexed October 11, 2026

← Return to Evidence Explorer · How to judge a study

Added October 13, 2026

The existing acupuncture for aromatase-inhibitor joint pain record was also strengthened with trial denominators, absolute and responder effects, 52-week follow-up and safety details.

October 14 additions

MS-N018–MS-N027 · Added and source-checked October 14, 2026.

October 15, 2026 additions

MS-N029–MS-N038 · Added and source-checked October 15, 2026.

October 16, 2026 additions

MS-N039–MS-N048 · Added and source-checked October 16, 2026.

New records added October 17, 2026

MS-N049–MS-N058 · Primary sources and relevant guidance checked October 17, 2026.

Added October 18, 2026