Breast Cancer Research and Treatment

, Volume 116, Issue 2, pp 387–396

Complementary and alternative therapies among very long-term breast cancer survivors

Authors

    • Center for Human Nutrition, David Geffen School of Medicine at UCLAUniversity of California at Los Angeles
  • P. A. Ganz
    • Jonsson Comprehensive Cancer Center and School of Public HealthUniversity of California at Los Angeles
  • L. Bernstein
    • Department of Cancer EtiologyCity of Hope Comprehensive Cancer Center
Epidemiology

DOI: 10.1007/s10549-008-0158-3

Cite this article as:
Carpenter, C.L., Ganz, P.A. & Bernstein, L. Breast Cancer Res Treat (2009) 116: 387. doi:10.1007/s10549-008-0158-3

Abstract

Breast cancer patients may have different complementary and alternative medicine (CAM) usage rates and may turn to CAM for different reasons than healthy adults. CAM has mostly been studied in recently diagnosed women; no studies have included survivors 10 years post-diagnosis. We examined very long-term breast cancer survivors to determine whether CAM users had dissimilar patterns of association with survivorship factors. Interviews of 374 breast cancer case patients from a population-based case–control breast cancer study of young women from Los Angeles County, California, during the 1980s occurred at follow-up; 371 patients with complete information were included. CAM represented 28 herbal remedies. Quality-of-life originated from the Medical Outcomes Study Short Form 36 questionnaire (SF-36). Higher rates of CAM (59%) usage occurred compared to nationwide estimates. CAM users resembled non-users on follow-up age, exercise, original disease, treatment, smoking, body-mass index, alcohol, and fear of recurrence. CAM users had a higher prevalence of medical co-morbidities (P = 0.0005), and scored significantly lower on the SF-36 emotional well-being subscale than non-CAM users (P = 0.01). CAM users and non-users did not differ on the SF-36 physical sub-scale. Very long-term breast cancer survivors who use CAM may have poorer emotional functioning and more medical problems than non-users.

Keywords

Breast neoplasmsComplementary therapiesSurvivors

Abbreviations

CAM

Complementary and alternative medicine

QOL

Quality-of-life

SF-36

Medical Outcomes Study Short Form 36 questionnaire

NHIS

National health interview survey

MCS

Mental component summary scale

PCS

Physical component summary scale

MET

Metabolic equivalent energy expenditure

OR

Odds ratio

Copyright information

© Springer Science+Business Media, LLC. 2008