Prevalence of complementary and alternative medicine use in cancer patients during treatment
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Goals of work
To assess complementary and alternative medicine (CAM) therapies being utilized by cancer patients during treatment and communication about CAM usage between the patient and physician.
Patients and methods
Newly diagnosed cancer patients receiving chemotherapy or radiation therapy were recruited to complete a CAM survey within 2 weeks after the termination of treatment. Patients were queried on which CAM modalities they utilized and whether or not they were discussed with either their oncologist or primary care physician.
Of the patients surveyed, 91% reported using at least one form of CAM. The most widely used forms of CAM were prayer, relaxation and exercise. CAM users tended to be women chemotherapy patients with at least a high school education. Of the patients using CAM, 57% discussed the use of at least one of these therapies with their oncologist or primary care physician. The most frequent CAM modalities discussed with at least one physician were diets, massage, and herbal medicine.
An overwhelming proportion of cancer patients are using CAM, particularly prayer, relaxation, and exercise. However, patients may not discuss the use of CAMs at all or fully with their physician; if they do, it is most likely to be their oncologist, but not about the most frequently used CAMs. Future research needs to assess effective ways for oncologists to gather information about CAM usage by patients during allopathic treatment and discern ways these therapies may enhance or interfere with traditional cancer treatments.
KeywordsComplementary medicine Quality of life Symptom management Behavioral medicine
- 2.American Cancer Society (2005) Statistics for 2004. http://www.cancer.org/docroot/STT/stt_0.asp
- 3.Balneaves LG, Kristjanson LJ, Tataryn D (1999) Beyond convention: describing complementary therapy use by women living with breast cancer. Patient Educ Couns 38:143–153Google Scholar
- 4.Begbie SD, Kerestes ZL, Bell DR (1996) Patterns of alternative medicine use by cancer patients. Med J Aust 165:545–548Google Scholar
- 5.Bernstein BJ, Grasso T (2001) Prevalence of complementary and alternative medicine use in cancer patients. Oncology 15:1267–1272Google Scholar
- 7.Canales MK, Geller BM (2003) Surviving breast cancer: the role of complementary therapies. Fam Commun Health 26:11–24Google Scholar
- 8.Dooley MJ, Lee DY, Marriott JL (2004) Practitioners’ sources of clinical information on complementary and alternative medicine in oncology. Support Care Cancer 12:114–119Google Scholar
- 10.Ernst E (2000) The role of complementary and alternative medicine in cancer. Lancet Oncol 1:176–180Google Scholar
- 12.Feather BL, Wainstock JM, Remington A, Ringenberg QS (1988) Postmastectomy educational needs and social support. J Cancer Educ 3:135–144Google Scholar
- 13.Henderson JW, Donatelle RJ (2004) Complementary and alternative medicine use by women after completion of allopathic treatment for breast cancer. Altern Ther Health Med 10:52–57Google Scholar
- 14.Jordan ML, Delunas LR (2001) Quality of life and patterns of nontraditional therapy use by patients with cancer. Oncol Nurs Forum 28:1107–1113Google Scholar
- 20.Navo MA, Phan J, Vaughan C, Palmer JL, Michaud L, Jones KL, Bodurka DC, Basen-Engquist K, Hortobagyi GN, Kavanagh JJ, Smith JA (2004) An assessment of the utilization of complementary and alternative medication in women with gynecologic or breast malignancies. J Clin Oncol 22:671–677Google Scholar
- 21.NCCAM (2002) What is complementary and alternative medicine (CAM)? (publication no. D156). NCCAM, National Institutes of Health, Bethesda, MDGoogle Scholar
- 22.Newell S, Sanson-Fisher RW (2000) Australian oncologists’ self-reported knowledge and attitudes about non-traditional therapies used by cancer patients. Med J Aust 172:110–113Google Scholar
- 23.Ott MJ, Lynch M (2002) Integrating complementary and conventional symptom management in a cancer center. Oncol Nurs Forum 29:25–27Google Scholar
- 24.Patterson RE, Neuhouser ML, Hedderson MM, Schwartz SM, Standish LJ, Bowen DJ, Marshall LM (2002) Types of alternative medicine used by patients with breast, colon, or prostate cancer: predictors, motives, and costs. J Altern Complement Med 8:477–485Google Scholar
- 25.Ponholzer A, Struhal G, Madersbacher S (2003) Frequent use of complementary medicine by prostate cancer patients. Eur Urol 43:604–608Google Scholar
- 26.Redeker NS, Lev EL, Ruggiero J (2000) Insomnia, fatigue, anxiety, depression, and quality of life of cancer patients undergoing chemotherapy. Sch Inq Nurs Pract 14:275–290Google Scholar
- 30.Savard J, Morin CM (2001) Insomnia in the context of cancer: a review of a neglected problem. J Clin Oncol 19:895–908Google Scholar
- 31.Sparber A, Bauer L, Curt G, Eisenberg D, Levin T, Parks S, Steinberg SM, Wootton J (2000) Use of complementary medicine by adult patients participating in cancer control trials. Oncol Nurs Forum 27:623–630Google Scholar
- 32.Verhoef MJ, Hilsden RJ, O’Beirne M (1999) Complementary therapies and cancer care: an overview. Patient Educ Couns 38:93–100Google Scholar
- 33.White JD (2002) Complementary and alternative medicine research: a National Cancer Institute perspective. Semin Oncol 29:546–551Google Scholar