Complementary and alternative medicine use among cancer survivors: a population-based study
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The use of complementary and alternative medicine (CAM) among cancer survivors is high, yet less is known about reasons behind such use or the communication of CAM with conventional medical providers.
Cross-sectional, multivariate logistic regression models were developed to evaluate the similarities and differences between cancer survivors and non-cancer controls in the 2007 National Health Interview Survey with 23,393 participants, including 1,471 cancer survivors.
Among cancer survivors, 66.5% reported ever using CAM and 43.3% having used CAM in the past year. When compared with the general population, cancer survivors used CAM more often for general disease prevention, immune enhancement, and for pain (Adjusted Odds Ratio [AOR] 1.27, 95% Confidence Interval [CI] 1.10–1.48; AOR 1.32, 95% CI 1.05–1.62; AOR 1.42, 95% CI 1.05–1.92, respectively). Cancer survivors were more likely to use CAM because of recommendations from their provider (AOR 1.54, 95% CI 1.26–1.88) and were more likely to disclose their CAM use to their provider (AOR 1.45, 95% CI 1.22–1.72).
When compared to the general population, cancer survivors were more likely to use CAM and communicate this use with providers, indicating a growing integration of CAM in conventional medical care.
Implications for Cancer Survivors
Cancer survivors are more likely than the general population to communicate CAM use with providers, suggesting greater integration of CAM use in conventional care. However, the majority of CAM use is still not being communicated to providers, indicating an important area for improvement in patient-centered care.
- Altekruse SF, Kosary CL, Krapcho M, Neyman N, Aminou R, Waldron W, et al. (eds). SEER Cancer Statistics Review, 1975–2007, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2007/, based on November 2009 SEER data submission, posted to the SEER web site, 2010.
- Ernst E, Cassileth BR. The prevalence of complementary/alternative medicine in cancer: a systematic review. Cancer. 1998;83(4):777–82. CrossRef
- Richardson MA, Sanders T, Palmer JL, Greisinger A, Singletary SE. Complementary/alternative medicine use in a comprehensive cancer center and the implications for oncology. J Clin Oncol. 2000;18(13):2505–14.
- Cassileth BR, Vickers AJ. High prevalence of complementary and alternative medicine use among cancer patients: implications for research and clinical care. J Clin Oncol. 2005;23(12):2590–2. CrossRef
- Boon HS, Olatunde F, Zick SM. Trends in complementary/alternative medicine use by breast cancer survivors: comparing survey data from 1998 and 2005. BMC Womens Health. 2007;7:4. CrossRef
- Mao JJ, Farrar JT, Xie SX, Bowman MA, Armstrong K. Use of complementary and alternative medicine and prayer among a national sample of cancer survivors compared to other populations without cancer. Complement Ther Med. 2007;15(1):21–9. CrossRef
- Goldstein MS, Lee JH, Ballard-Barbash R, Brown ER. The use and perceived benefit of complementary and alternative medicine among Californians with cancer. Psychooncology. 2008;17(1):19–25. CrossRef
- Mao JJ, Armstrong K, Bowman MA, Xie SX, Kadakia R, Farrar JT. Symptom burden among cancer survivors: impact of age and comorbidity. J Am Board Fam Med. 2007;20(5):434–43. CrossRef
- Rowland JH, Baker F. Introduction: resilience of cancer survivors across the lifespan. Cancer. 2005;104(11 Suppl):2543–8. CrossRef
- Baker F, Denniston M, Smith T, West MM. Adult cancer survivors: how are they faring? Cancer. 2005;104(11 Supplement):2565–76. CrossRef
- Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, et al. Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey. Jama. 1998;280(18):1569–75. CrossRef
- Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Adv Data. 2004;27(343):1–19.
- Henderson JW, Donatelle RJ. The relationship between cancer locus of control and complementary and alternative medicine use by women diagnosed with breast cancer. Psycho-oncology. 2003;12(1):59–67. CrossRef
- Singh H, Maskarinec G, Shumay DM. Understanding the motivation for conventional and complementary/alternative medicine use among men with prostate cancer. Integr Cancer Ther. 2005;4(2):187–94. CrossRef
- Astin JA, Reilly C, Perkins C, Child WL. Breast cancer patients’ perspectives on and use of complementary and alternative medicine: a study by the Susan G. Komen Breast Cancer Foundation. J Soc Integr Oncol. 2006;4(4):157–69. CrossRef
- Shen J, Andersen R, Albert PS, Wenger N, Glaspy J, Cole M, et al. Use of complementary/alternative therapies by women with advanced-stage breast cancer. BMC Complement Altern Med. 2002;2:8. CrossRef
- Humpel N, Jones SC. Gaining insight into the what, why and where of complementary and alternative medicine use by cancer patients and survivors. Eur J Cancer Care Engl. 2006;15(4):362–8. CrossRef
- Carpenter JS, Andrykowski MA, Sloan P, Cunningham L, Cordova MJ, Studts JL, et al. Postmastectomy/postlumpectomy pain in breast cancer survivors. J Clin Epidemiol. 1998;51(12):1285–92. CrossRef
- Barg FK, Cronholm PF, Straton JB, Keddem S, Knott K, Grater J, et al. Unmet psychosocial needs of Pennsylvanians with cancer: 1986–2005. Cancer. 2007;110(3):631–9. CrossRef
- Mao JJ, Palmer SC, Straton J, Cronholm P, Keddem S, Knott K, et al. Cancer survivors with unmet needs were more likely to use complementary and alternative medicine. J Cancer Surviv. 2008. doi:101007/s11764-008-0052-3.
- Ashikaga T, Bosompra K, O’Brien P, Nelson L. Use of complimentary and alternative medicine by breast cancer patients: prevalence, patterns and communication with physicians. Support Care Cancer. 2002;10(7):542–8. CrossRef
- Tasaki K, Maskarinec G, Shumay DM, Tatsumura Y, Kakai H. Communication between physicians and cancer patients about complementary and alternative medicine: exploring patients’ perspectives. Psychooncology. 2002;11(3):212–20. CrossRef
- Monti DA, Yang J. Complementary medicine in chronic cancer care. Semin Oncol. 2005;32(2):225–31. CrossRef
- Deng G, Cassileth BR. Integrative oncology: complementary therapies for pain, anxiety, and mood disturbance. CA Cancer J Clin. 2005;55(2):109–16. CrossRef
- Burstein HJ, Gelber S, Guadagnoli E, Weeks JC. Use of alternative medicine by women with early-stage breast cancer. N Engl J Med. 1999;340(22):1733–9. CrossRef
- Yap KP, McCready DR, Fyles A, Manchul L, Trudeau M, Narod S. Use of alternative therapy in postmenopausal breast cancer patients treated with tamoxifen after surgery. Breast J. 2004;10(6):481–6. CrossRef
- Weiger WA, Smith M, Boon H, Richardson MA, Kaptchuk TJ, Eisenberg DM. Advising patients who seek complementary and alternative medical therapies for cancer. Ann Intern Med. 2002;137(11):889–903.
- Saper RB, Kales SN, Paquin J, Burns MJ, Eisenberg DM, Davis RB, et al. Heavy metal content of ayurvedic herbal medicine products. Jama. 2004;292(23):2868–73. CrossRef
- Matthews SC, Camacho A, Mills PJ, Dimsdale JE. The internet for medical information about cancer: help or hindrance? Psychosomatics. 2003;44(2):100–3. CrossRef
- Schmidt K, Ernst E. Assessing websites on complementary and alternative medicine for cancer. Ann Oncol. 2004;15(5):733–42. CrossRef
- [online] NCfHSNHISNdr. Available from: http://www.cdc.gov/nchs/about/major/nhis/nhis_2007_data_release.htm.
- Yabroff K, Lawrence W, Clauser S, Davis W, Brown M. Burden of illness in cancer survivors: findings from a population-based national sample. J Natl Cancer Inst. 2004;96(17):1322–30. CrossRef
- (NHIS) NCfHSNHIS. Available from: http://www.cdc.gov/nchs/about/major/nhis/nhis_2007_data_release.htm. 2007 data release.
- (NCCAM) NCfCaAM. http://nccam.nih.gov/health/whatiscam/overview.htm. Website.
- (NCCAM) NCfCaAM. Expanding horizons of health care: Strategic plan 2005–2009. Available from: http://nccam.nih.gov/about/plans/2005.
- Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report. 2008;10(12):1–23.
- American Statistical Association. Section on survey research methods: summary of survey analysis software. 2005.
- Nahin RL, Barnes PM, Stussman BJ, Bloom B. Costs of complementary and alternative medicine (CAM) and frequency of visits to CAM practitioners: United States, 2007. Natl Health Stat Report. 2009;30(18):1–14.
- Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM. Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol. 2005;23(24):5814–30. CrossRef
- Cohen L, Markman M. Integrative oncology: incorporating complementary medicine into conventional cancer care. Totowa: Humana; 2008.
- Brauer JA, El Sehamy A, Metz JM, Mao JJ. Complementary and alternative medicine and supportive care at leading cancer centers: a systematic analysis of websites. J Altern Complement Med. 2010;16(2):183-6. CrossRef
- Cassileth BR. Society for integrative oncology first international conference, New York City, November 2004. Welcome address. J Soc Integr Oncol. 2005;3(4):121. CrossRef
- Gardiner P, Kemper KJ, Legedza A, Phillips RS. Factors associated with herb and dietary supplement use by young adults in the United States. BMC Complement Altern Med. 2007;7:39. CrossRef
- Richardson MA, Masse LC, Nanny K, Sanders C. Discrepant views of oncologists and cancer patients on complementary/alternative medicine. Support Care Cancer. 2004;12(11):797–804. CrossRef
- Sleath B, Callahan L, DeVellis RF, Sloane PD. Patients’ perceptions of primary care physicians’ participatory decision-making style and communication about complementary and alternative medicine for arthritis. J Altern Complement Med. 2005;11(3):449–53. CrossRef
- Swenson SL, Buell S, Zettler P, White M, Ruston DC, Lo B. Patient-centered communication: do patients really prefer it? J Gen Intern Med. 2004;19(11):1069–79. CrossRef
- Roberts C, Benjamin H, Chen L, Gavigan M, Gesme DH, McCarthy P, et al. Assessing communication between oncology professionals and their patients. J Cancer Educ. 2005;20(2):113–8. CrossRef
- Cooper-Patrick L, Gallo JJ, Gonzales JJ, Vu HT, Powe NR, Nelson C, et al. Race, gender, and partnership in the patient-physician relationship. Jama. 1999;282(6):583–9. CrossRef
- Desai MM, Bruce ML, Desai RA, Druss BG. Validity of self-reported cancer history: a comparison of health interview data and cancer registry records. Am J Epidemiol. 2001;153(3):299–306. CrossRef
- Complementary and alternative medicine use among cancer survivors: a population-based study
Journal of Cancer Survivorship
Volume 5, Issue 1 , pp 8-17
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- Springer US
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- Complementary therapies
- Clinical oncology
- Industry Sectors
- Author Affiliations
- 1. Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
- 2. Abramson Cancer Center, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
- 3. Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA, USA