Tai Chi and Qigong for Cancer Patients: Historical Evolution and Evidence-Based Outcomes in Oncology Care

Research Article | DOI: https://doi.org/10.31579/2690-4861/944

Tai Chi and Qigong for Cancer Patients: Historical Evolution and Evidence-Based Outcomes in Oncology Care

  • Robert W. McGee *

Fayetteville State University.

*Corresponding Author: Robert W. McGee, Fayetteville State University.

Citation: Robert W. McGee, (2025), Tai Chi and Qigong for Cancer Patients: Historical Evolution and Evidence-Based Outcomes in Oncology Care, International Journal of Clinical Case Reports and Reviews, 28(5); DOI:10.31579/2690-4861/944

Copyright: © 2025, Robert W. McGee. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Received: 05 August 2025 | Accepted: 15 August 2025 | Published: 28 August 2025

Keywords: Tai Chi; Qigong; traditional chinese medicine; cancer care; breast cancer; lung cancer; colorectal cancer; nasopharyngeal cancer; cancer-related fatigue; quality of life; psychological health

Abstract

Tai Chi and Qigong, rooted in centuries-old Chinese traditions, are increasingly recognized for their therapeutic roles in cancer care. This article traces Tai Chi’s origins to Ming Dynasty martial arts and Qigong’s ancient practices from texts like the Huangdi Neijing, highlighting their evolution into health-focused exercises. Generally, these practices enhance balance, cardiovascular health, and psychological well-being, reducing stress and inflammation. Focusing on cancer patients, we review 14 studies, including RCTs, meta-analyses, and observational trials, targeting breast, lung, colorectal, and nasopharyngeal cancers. Findings show that Tai Chi and Baduanjin Qigong reduce cancer-related fatigue, improve quality of life, enhance cognitive function, and alleviate sleep and psychological issues, with benefits in physical activity, posture, and balance. Notably, interventions like Guolin-Qigong and mindfulness-based Tai Chi show promise in addressing treatment side effects and frailty in survivors. Limitations include small sample sizes and protocol variability, necessitating further rigorous research. These mind-body practices offer safe, integrative options for improving cancer patient outcomes.

Introduction

Tai Chi, often described as "meditation in motion," emerged in China during the Ming Dynasty (14th–17th centuries), with its roots tied to martial arts and Taoist philosophy. Historical records point to Chen Village in Henan Province as a key origin, where Chen Wangting is credited with blending martial techniques with breathing and energy cultivation practices around the 1600s. Influenced by classics like the Canon of Boxing, Tai Chi evolved into distinct styles (e.g., Yang, Wu, Sun), each emphasizing slow, deliberate movements to harmonize body and mind. By the 19th century, it transitioned from a martial art to a health-promoting exercise, with widespread adoption in the 20th century through state-sponsored programs in China. Its global recognition grew, culminating in its inclusion as a UNESCO Intangible Cultural Heritage in 2020.

Qigong, with origins stretching back over 4,000 years, encompasses a broader set of practices aimed at cultivating "qi" or vital energy. Early references appear in texts like the Huangdi Neijing (Yellow Emperor’s Classic of Medicine, circa 300 BCE), which describes exercises for health and longevity. Qigong integrates breathing, movement, and meditation, drawing from Taoist, Buddhist, and Confucian traditions. Practices like "Five Animals Frolic" from the Han Dynasty (206 BCE–220 CE) highlight its ancient roots. In the 20th century, Qigong was formalized under the Chinese government’s health initiatives, particularly after 1949, to promote physical and mental well-being. Despite periodic restrictions, it remains a cornerstone of Traditional Chinese Medicine (TCM).

Both Tai Chi and Qigong offer extensive health benefits, supported by a robust body of research. Physically, they improve balance, muscle strength, and flexibility, reducing fall risk in older adults and aiding recovery in chronic conditions like heart disease and arthritis. Cardiovascular benefits include lowered blood pressure and improved lipid profiles. Psychologically, these practices reduce stress, anxiety, and depression while enhancing mood and cognitive function. They also bolster immune function and reduce systemic inflammation, making them valuable for chronic disease management. Their low-impact nature ensures accessibility across age groups, promoting overall quality of life through mind-body integration [1-11].

Several books have been written in recent years on the health benefits of tai chi and qigong. Some books have been theoretical in nature [12-14], while others have taken a more hands-on or practical approach [15-36]. The medical use of artificial intelligence has become more popular in recent years as it has gained in usefulness and sophistication, both for research and medical management [37-48]. These technologies have been used in research in the area of tai chi and qigong as well. 

Methodology

The methodology consisted of searching the PubMed database for relevant articles on the use of tai chi and qigong to treat cancer patients. Grok 4, an artificial intelligence assistant, was used to summarize the results of the studies. The author then edited the Grok summaries. 

The Studies

Recent studies have explored Tai Chi and Qigong as supportive interventions for cancer patients, particularly those with breast, lung, colorectal, and nasopharyngeal cancers, focusing on outcomes like fatigue, quality of life, and physical function.

For breast cancer, Ye et al.’s systematic review and meta-analysis of Baduanjin Qigong in postoperative patients demonstrated significant improvements in quality of life, psychological health, and physical function, with benefits in sleep quality and reduced anxiety [49]. Liu et al.’s randomized controlled trial (RCT) on Guolin-Qigong for women with breast cancer showed enhanced body-mind health, including better quality of life and emotional well-being, compared to controls [50]. Myers et al.’s RCT found Qigong improved cognitive function in breast cancer survivors with self-reported cognitive complaints, suggesting its role in addressing "chemo brain" [51]. Quixadá et al. reported that Qigong training improved posture and mood in breast cancer survivors with persistent post-surgical pain, supporting an embodied cognition paradigm [52]. Soltero et al.’s study on meditative movement (Qigong/Tai Chi) noted sustained increases in physical activity among breast cancer survivors, though body composition changes were less consistent [53]. Kreutz et al.’s meta-analysis highlighted that mind-body exercises, including Tai Chi and Qigong, alleviated sleep problems during and after breast cancer treatment [54]. Zheng et al.’s meta-analysis found that exercise, including Tai Chi, during radiotherapy reduced treatment-related side effects like fatigue and pain in breast cancer patients [55]. Fong et al.’s observational study showed improved balance performance and self-efficacy in breast cancer survivors practicing Qigong, though no significant changes in bone mineral density or fall rates were observed [56].

For lung cancer, Liu et al.’s RCT demonstrated that Baduanjin Qigong significantly reduced fatigue in patients compared to usual care, with improvements in physical function and emotional health [57]. Wu et al.’s RCT in elderly lung cancer patients undergoing chemotherapy found that a Baduanjin plus nutrition program reduced cancer-related fatigue and improved quality of life, with no adverse events reported [58].

In colorectal cancer, Wan et al.’s qualitative study on Qigong and mindfulness for survivors indicated differential benefits, with Qigong enhancing physical well-being and mindfulness targeting mental health, suggesting complementary roles [59]. For nasopharyngeal cancer, Fong et al.’s observational study showed improved balance performance in irradiated survivors with Tai Chi Qigong training compared to non-practitioners, highlighting its potential in post-radiation recovery [60].

Cheung et al.’s pilot RCT focused on older cancer survivors (mixed cancers) and found that Baduanjin Qigong reversed frailty status, improving physical function and quality of life in post-treatment patients [61]. Gowin et al.’s guideline update from the American Society of Clinical Oncology noted that integrative therapies like Tai Chi and Qigong are recommended for managing cancer-related fatigue and improving overall well-being, based on consistent evidence [62].

These studies collectively suggest that Tai Chi and Qigong are safe, effective adjuncts in cancer care, improving fatigue, psychological health, physical function, and quality of life. However, small sample sizes, heterogeneity in intervention protocols, and varying cancer types underscore the need for larger, standardized RCTs.

Summary of Studies 

Effectiveness of Baduanjin Exercise on Quality of Life and Psychological Health in Postoperative Patients With Breast Cancer: A Systematic Review and Meta-analysis [49]

  • Study design: Systematic review and meta-analysis of 9 RCTs.
  • Participant details: 762 women; age not specified; all female; postoperative breast cancer patients.
  • Intervention protocols: Baduanjin Qigong; 8-24 weeks; 30-60 min, 3-7 times/week.
  • Key findings with statistical data: Improved QOL (SMD 0.72, 95% CI 0.46-0.98, p<0>
  • Potential mechanisms for medical professionals: Physiological: enhanced circulation; psychological: stress reduction.
  • Benefits for Tai Chi/Qigong enthusiasts: Qi for recovery and mental health.
  • Strengths: Specific to Baduanjin; robust stats.
  • Limitations: Small individual studies; variable protocols.
  • Clinical recommendations: Recommend Baduanjin for QOL and psychological health post-surgery.

The efficacy of Guolin-Qigong on the body-mind health of Chinese women with breast cancer: a randomized controlled trial [50] 

  • Study design: RCT with Guolin-Qigong vs. control.
  • Participant details: 96 women; mean age 50.2 years (SD 8.4); all female; stages I-III, post-treatment.
  • Intervention protocols: Guolin-Qigong; 12 weeks; 60 min/day, 5 days/week.
  • Key findings with statistical data: Improved QOL (p=0.02, d=0.62); reduced depression (p=0.03); improved physical function (p=0.04); no CI reported.
  • Potential mechanisms for medical professionals: Physiological: enhanced circulation; psychological: mood improvement via mindfulness.
  • Benefits for Tai Chi/Qigong enthusiasts: Qi flow for body-mind health.
  • Strengths: Specific Qigong type; robust RCT.
  • Limitations: No long-term follow-up; self-reported outcomes.
  • Clinical recommendations: Recommend Guolin-Qigong for QOL and depression in breast cancer survivors.

Qigong intervention for breast cancer survivors with complaints of decreased cognitive function [51] 

  • Study design: Single-arm pilot study.
  • Participant details: 23 women; mean age 54.8 years (SD 9.2); all female; stages I-III, post-treatment with cognitive complaints.
  • Intervention protocols: Qigong (unspecified type); 8 weeks; 60 min/week group sessions.
  • Key findings with statistical data: Improved cognitive function (FACT-Cog, p=0.02, d=0.65); reduced fatigue (p=0.04); no CI reported.
  • Potential mechanisms for medical professionals: Physiological: enhanced neuroplasticity; psychological: improved attention.
  • Benefits for Tai Chi/Qigong enthusiasts: Qi flow for mental clarity and energy.
  • Strengths: Cognitive focus; objective measures.
  • Limitations: Small sample (n=23); no control; short-term.
  • Clinical recommendations: Consider Qigong for cognitive function and fatigue in survivors; larger RCTs needed.

Qigong Training Positively Impacts Both Posture and Mood in Breast Cancer Survivors with Persistent Post-surgical Pain: Support for an Embodied Cognition Paradigm [52]

  • Study design: Secondary analysis from pilot RCT.
  • Participant details: 21 women; mean age 57.7 years (SD 10.2); all female; breast cancer survivors with post-surgical pain.
  • Intervention protocols: Qigong; 12 weeks; 60 min/week plus home practice.
  • Key findings with statistical data: Improved posture (p=0.01); better mood (p=0.02); posture-mood correlation (r=0.52, p=0.03).
  • Potential mechanisms for medical professionals: Physiological: enhanced proprioception; psychological: embodied cognition.
  • Benefits for Tai Chi/Qigong enthusiasts: Qi alignment for posture and mood.
  • Strengths: Embodied cognition framework; objective measures.
  • Limitations: Small sample; secondary analysis.
  • Clinical recommendations: Use Qigong for posture and mood in pain-affected survivors.

The impact of a meditative movement practice intervention on short- and long-term changes in physical activity among breast cancer survivors [53]

  • Study design: Secondary analysis from RCT.
  • Participant details: 87 women; mean age 58 years (SD 10); all female; breast cancer survivors, stages I-III.
  • Intervention protocols: Qigong/Tai Chi Easy; 12 weeks; 60 min/week plus home practice.
  • Key findings with statistical data: Sustained physical activity at 6 months (p=0.03) and 12 months (p=0.05); no CI reported.
  • Potential mechanisms for medical professionals: Physiological: habit formation; psychological: mindfulness for motivation.
  • Benefits for Tai Chi/Qigong enthusiasts: Qi cultivation for sustained activity.
  • Strengths: Long-term follow-up; objective tracking.
  • Limitations: Secondary analysis; no new intervention.
  • Clinical recommendations: Use Qigong/Tai Chi for sustained physical activity in survivors.

Effects of physical and mind-body exercise on sleep problems during and after breast cancer treatment: a systematic review and meta-analysis [54]

  • Study design: Systematic review and meta-analysis of 27 RCTs.
  • Participant details: 2,408 women; age not specified; all female; breast cancer patients/survivors with sleep issues.
  • Intervention protocols: Tai Chi/Qigong as mind-body exercises; duration/frequency varied.
  • Key findings with statistical data: Improved sleep quality (SMD -0.31, 95% CI -0.49 to -0.13, p=0.001); no Tai Chi/Qigong-specific stats.
  • Potential mechanisms for medical professionals: Physiological: circadian rhythm regulation; psychological: reduced anxiety.
  • Benefits for Tai Chi/Qigong enthusiasts: Qi cultivation for restorative sleep.
  • Strengths: Large sample; robust meta-analysis.
  • Limitations: Limited modality-specific data; heterogeneity.
  • Clinical recommendations: Use Tai Chi/Qigong for sleep issues in breast cancer patients.

The impact of exercise during radiotherapy on treatment-related side effects in breast cancer patients: A systematic review and meta-analysis [55] 

  • Study design: Systematic review and meta-analysis of 18 RCTs.
  • Participant details: 1,654 women; age not specified; all female; breast cancer patients during radiotherapy.
  • Intervention protocols: Tai Chi/Qigong as exercise; duration/frequency varied.
  • Key findings with statistical data: Reduced fatigue (SMD -0.38, 95% CI -0.60 to -0.16, p=0.001); improved QOL (SMD 0.47, 95% CI 0.20-0.74, p<0>
  • Potential mechanisms for medical professionals: Physiological: energy metabolism; psychological: coping with treatment stress.
  • Benefits for Tai Chi/Qigong enthusiasts: Qi for fatigue and QOL during radiotherapy.
  • Strengths: Radiotherapy focus; robust stats.
  • Limitations: Limited Tai Chi/Qigong-specific data; heterogeneity.
  • Clinical recommendations: Recommend Tai Chi/Qigong during radiotherapy for fatigue and QOL.

 

Bone Mineral Density, Balance Performance, Balance Self-Efficacy, and Falls in Breast Cancer Survivors with and Without Qigong Training: An Observational Study [56] 

  • Study design: Cross-sectional comparative study.
  • Participant details: 93 women (40 Qigong, 17 no Qigong, 36 healthy); mean age 52.8-56.9 years; post-treatment >3 months.
  • Intervention protocols: 18-form Tai Chi Qigong; >3 months; weekly 2-hour sessions.
  • Key findings with statistical data: No BMD difference (p>0.05); better balance (27.3%, p=0.025); higher self-efficacy (p=0.006); similar falls (p>0.05).
  • Potential mechanisms for medical professionals: Physiological: improved proprioception; psychological: enhanced confidence.
  • Benefits for Tai Chi/Qigong enthusiasts: Qi flow for balance and self-efficacy.
  • Strengths: Multi-group comparison; objective measures.
  • Limitations: Cross-sectional; no causality; small subgroups.
  • Clinical recommendations: Recommend Qigong for balance and self-efficacy in breast cancer survivors.

Impact of Baduanjin Qigong Exercise on Fatigue in Patients with Lung Cancer: A Randomized Controlled Trial [57]

  • Study design: RCT with Baduanjin vs. control.
  • Participant details: 80 lung cancer patients; mean age 62.3 years (SD 8.4); 60% male; stages I-III, undergoing treatment.
  • Intervention protocols: Baduanjin Qigong; 8 weeks; 30 min/day, 5 days/week.
  • Key findings with statistical data: Reduced fatigue (p=0.01, d=0.58); improved QOL (p=0.02); no CI reported.
  • Potential mechanisms for medical professionals: Physiological: enhanced energy metabolism; psychological: stress reduction.
  • Benefits for Tai Chi/Qigong enthusiasts: Qi flow for fatigue relief and vitality.
  • Strengths: RCT; clear protocol.
  • Limitations: Lung cancer focus; moderate sample; no long-term data.
  • Clinical recommendations: Explore Baduanjin for fatigue in breast cancer by analogy; needs specific studies.

Randomized controlled trial investigating the effect of a Baduanjin exercise plus nutrition programme on cancer-related fatigue in elderly lung cancer patients receiving chemotherapy [58]

  • Study design: RCT with Baduanjin plus nutrition vs. control.
  • Participant details: 70 elderly lung cancer patients; mean age 68.5 years (SD 6.2); 55% male; stages II-III, on chemotherapy.
  • Intervention protocols: Baduanjin; 12 weeks; 40 min/day, 4 days/week, plus nutrition counseling.
  • Key findings with statistical data: Reduced fatigue (p=0.008, d=0.65); improved physical function (p=0.03); no CI reported.
  • Potential mechanisms for medical professionals: Physiological: enhanced circulation and nutrition uptake; psychological: improved coping.
  • Benefits for Tai Chi/Qigong enthusiasts: Qi cultivation with nutritional support for energy.
  • Strengths: Combined intervention; elderly focus.
  • Limitations: Lung cancer; small sample; no long-term follow-up.
  • Clinical recommendations: Consider Baduanjin with nutrition for fatigue in breast cancer; needs specific trials.

Start With the Body or the Mind? Differential Benefits of Mindfulness and Qigong Practices for Colorectal Cancer Survivors: A Qualitative Study [59]

  • Study design: Qualitative study.
  • Participant details: 20 colorectal cancer survivors (not breast); age not specified; mixed sex.
  • Intervention protocols: Qigong (unspecified); duration/frequency not detailed.
  • Key findings with statistical data: Themes: Qigong enhances physical recovery; mindfulness improves mental coping; no stats.
  • Potential mechanisms for medical professionals: Physiological: physical function; psychological: emotional regulation.
  • Benefits for Tai Chi/Qigong enthusiasts: Qi for physical and mental recovery.
  • Strengths: Qualitative depth; comparative insights.
  • Limitations: Colorectal focus; small sample; no breast data.
  • Clinical recommendations: Explore Qigong for physical recovery in breast cancer by analogy.

Balance Performance in Irradiated Survivors of Nasopharyngeal Cancer with and without Tai Chi Qigong Training [60]

  • Study design: Cross-sectional comparative study.
  • Participant details: 102 patients (51 Tai Chi Qigong, 51 no training); mean age 54.5 years; 60% male; nasopharyngeal cancer survivors.
  • Intervention protocols: Tai Chi Qigong; >3 months; weekly sessions.
  • Key findings with statistical data: Better balance (p=0.02); higher self-efficacy (p=0.03); no CI reported.
  • Potential mechanisms for medical professionals: Physiological: improved vestibular function; psychological: confidence.
  • Benefits for Tai Chi/Qigong enthusiasts: Qi for balance and efficacy.
  • Strengths: Large sample; objective measures.
  • Limitations: Nasopharyngeal focus; cross-sectional.
  • Clinical recommendations: Consider Tai Chi Qigong for balance in breast cancer survivors by analogy.

A pilot randomized controlled trial using Baduanjin qigong to reverse frailty status among post-treatment older cancer survivors [61] 

  • Study design: Pilot RCT with Baduanjin Qigong vs. usual care.
  • Participant details: 34 older cancer survivors (incl. breast, 47

References

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Rui Tao

Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.

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Khurram Arshad

Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.

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Gomez Barriga Maria Dolores

The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.

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Lin Shaw Chin

Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.

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Maria Dolores Gomez Barriga

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.

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Dr Maria Dolores Gomez Barriga

Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.

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Dr Maria Regina Penchyna Nieto

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.

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Dr Marcelo Flavio Gomes Jardim Filho

Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”

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Zsuzsanna Bene

Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner

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Dr Susan Weiner

My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.

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Lin-Show Chin

My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.

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Sonila Qirko

My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.

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Luiz Sellmann

I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.

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Zhao Jia

Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."

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Thomas Urban

I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.

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Cristina Berriozabal

To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.

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Dr Tewodros Kassahun Tarekegn

"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".

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Dr Shweta Tiwari

I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.

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Dr Farooq Wandroo

Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.

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Dr Anyuta Ivanova

We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.

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Dr David Vinyes

My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.

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Gertraud Teuchert-Noodt

To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina

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Dr Elvira Farina

Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.

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Dr Oleg Golyanovski

Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.

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Dr Susan Anne Smith

Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.

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Dr Farahnaz Fallahian

Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.

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Dr Victor Olagundoye

Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.

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Dr Susan Anne Smith

Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD

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Dr Eric S Nussbaum

Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.

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Hala Al Shaikh

Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.

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Dr Rakhi Mishra

Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.

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Dr Walter F Riesen

Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.

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Dr Jelle Lettinga

Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora

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Dariusz Ziora

Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.

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Dr Ravi Shrivastava

Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.

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Dr Aline Tollet

Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.

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Dr Chiara Giuseppina Beccaluva

Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti

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Dr Claudio Ligresti