Skip to main content
Log in

Practitioners’ sources of clinical information on complementary and alternative medicine in oncology

  • Original Article
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Goals of work

The use of complementary and alternative medicine (CAM) amongst oncology patients is widespread. There is little data regarding the sources of clinical information on CAM that oncology practitioners utilise. The aim of this study was to investigate the sources of clinical information on CAM utilised by Australian oncology practitioners.

Methods

A structured self-administered questionnaire was sent to Australian oncology practitioners, defined as oncologists, oncology pharmacists and pharmacists at drug information centres (DICs). Key information was sought on their level of satisfaction with the accessibility, reliability and usefulness of this information and the frequency of, and initiating factors for, seeking this information.

Main results

A substantial proportion of oncologists (57.1%) reported having never sought information on CAM, compared to 27.3% of oncology pharmacists, and 18.8% of DIC pharmacists. Oncologists most commonly reported seeking information on CAM one to three times per year compared to four to ten times per year for oncology pharmacists. Databases were the most common information source used by oncologists (48.1%) and oncology pharmacists (91.7%) and the second most common information source used by DICs (92.3%). There was wide variation in the source of clinical information on CAM used by the three different professional groups.

Conclusion

Oncology practitioners often seek information on CAM; however the frequency, nature and sources of information utilised varied widely. The usefulness and reliability of the sources utilised were inconsistent.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bennet J, Brown CM (2000) Use of herbal remedies by patients in a health maintenance organisation, J Am Pharm Assoc 40: 353–358

    Google Scholar 

  2. Begbie SD (1996) Patterns of alternative medicine use by cancer patients. Med J Aust 165: 545–548

    CAS  PubMed  Google Scholar 

  3. Boon H, Stewart M, Kennard MA, Gray R, Sawka C, Brown JB, McWilliam C, Gavin A, Baron R, Aaron D, Haines-Kamkal T (2000) Use of complementary/alternative medicine by breast cancer survivors in Ontario: prevalence and perceptions). J Clin Oncol 18: 2515–2521

    CAS  PubMed  Google Scholar 

  4. Boon H, Brown JB, Gavin A, Kennard MA, Stewart M (1999) Breast cancer survivors’ perceptions of complementary/alternative medicine (CAM).: making the decision to use or not to use. Qual Health Res 9: 639–635

    CAS  PubMed  Google Scholar 

  5. Bourgeault IL (1996) Physicians’ attitudes towards patients’ use of alternative therapies. CMAJ 155: 1679–1685

    CAS  PubMed  Google Scholar 

  6. Chavez ML, Chapman RL (1997) In search of literature on alternative therapies. Am J Health Syst Pharm 54: 2635–2638

    Google Scholar 

  7. Crocetti E, Crotti N, Montella M, Musso M (1996) Complementary medicine and oncologists’ attitudes: a survey in Italy. Tumori 82: 539–542

    CAS  PubMed  Google Scholar 

  8. Drew AK, Myers SP (1997) Safety issues in herbal medicine: implications for the health professions. Med J Aust 166: 538–541

    CAS  PubMed  Google Scholar 

  9. Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, Kessler RC (1998) Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey. JAMA 280: 1569–1675

    CAS  PubMed  Google Scholar 

  10. Ernst E, Cassileth BR (1998) The prevalence of complementary/alternate medicine in cancer: a systematic review. Cancer 84: 777–782

    Article  Google Scholar 

  11. Fisher P, Ward A (1994) Complementary medicines in Europe. Br Med J 309: 107–111

    CAS  Google Scholar 

  12. Herbert CP, Verhoef MJ, Martin M, O’Beirne M, Doll R (1999) Complementary therapy and cancer: decision making by patients and their physicians setting a research agenda. Patient Educ Couns 38: 87–92

    Article  CAS  PubMed  Google Scholar 

  13. Hersh WR, Hickam DH (1998) How well do physicians use electronic information retrieval systems? A framework for investigation and systematic review. JAMA 280: 1347–1352

    CAS  Google Scholar 

  14. Kaegi E (1998) A patient’s guide to choosing unconventional therapies. CMAJ 158: 1161–1165

    CAS  PubMed  Google Scholar 

  15. Khallil MM, Savidge M, Hakkak R, Hine RJ (2001) The patterns of dietary supplement use among breast cancer patients in Arkansas. Proc Am Soc Clin Oncol 20: 1774

    Google Scholar 

  16. Maher EJ, Young T, Feigel I (1994) Complementary therapies used by patients with cancer. Br Med J 309: 671–672

    CAS  Google Scholar 

  17. Metz JM, Devine P, DeNittis A, Stambaugh M, Jones H, Goldwein J, Whittington R (2001) Utilisation of the internet by oncology patients to obtain cancer related information. Proc Am Soc Clin Oncol 20: 1575

    Google Scholar 

  18. Munstedt K, Kirsch K, Milch W, Sachsse S, Vahrson H (1996) Unconventional cancer therapy: survey of patients with gynaecological malignancy. Arch Gynecol Obstet 258: 81–88

    Article  CAS  PubMed  Google Scholar 

  19. 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: 110–113

    CAS  PubMed  Google Scholar 

  20. O’Malley AS, Kerner JF, Johnson L (1999) Are we getting the message out at all? Health information sources and ethnicity. Am J Prev Med 17: 198–200

    Article  CAS  PubMed  Google Scholar 

  21. Owen DK, Lewith G, Stephens CR (2001) Can doctors respond to patients’ increasing interest in complementary and alternative medicine? Br Med J 322: 154–158

    Article  CAS  Google Scholar 

  22. Paltiel O, Avitzour M, Peretz T, Cherny N, Kaduri L, Pfeffer M, Wagner N, Soskolne V (2001) Determinants of the use of complementary therapies by patients with cancer. J Clin Oncol 19; 2439–2448

    Google Scholar 

  23. Richardson MA, White JD (2000) Complementary/alternative medicine and cancer research. A national initiative. Can Pract 8: 45–48

    Article  CAS  Google Scholar 

  24. Richardson MA, Sanders T, Palmer JL (2000) Complementary/alternative medicine use in a comprehensive cancer centre and the implications for oncology. J Clin Oncol 18:2505–2514

    CAS  PubMed  Google Scholar 

  25. Risberg T, Kaasa S, Wist E, Melsom H (1997) Why are cancer patients using non-proven complementary therapies? Eur J Cancer 33: 575–580

    CAS  PubMed  Google Scholar 

  26. Sawyer MG (1994) The use of alternative medicine by children with cancer. Med J Aust 160: 320–322

    CAS  PubMed  Google Scholar 

  27. Schofield PE, Juraskova I, Butow PN (2003) How oncologists discuss complementary therapy use with patients: an audio-tape audit. Support Care Cancer. 11:348–355

    Google Scholar 

  28. Smith R. What clinical information do doctors need? (1996) Br Med J 313: 1062–1068

    CAS  Google Scholar 

  29. Sweet VB, Gay WE, Leady MA, Stumpf JL (2003) Usefulness of herbal and dietary supplement references. Pharmacother 37: 494–499

    Article  Google Scholar 

  30. Verhoef MJ, Hilsden RJ, O’Beirne M (1999) Complementary therapies and cancer care: an overview. Patient Educ Couns 38: 93–100

    Article  CAS  PubMed  Google Scholar 

  31. Wharton R, Lewith G (1986) Complementary medicine and the general practitioner. Br Med J 292: 1498–1500

    CAS  Google Scholar 

  32. Wood AJJ (2002) Herbal remedies. N Eng J Med 347: 2046–2055

    Article  Google Scholar 

  33. Yakren S, Shi W, Thaler H, Agre P, Bach B, Schrag D (2001) Use of the internet and other information resources among adult cancer patients and their companions. Proc Am Soc Clin Oncol 21: 1589

    Google Scholar 

  34. Zollman C, Vickers A (1999) ABC of complementary medicine. Complementary medicine and the patient. Br Med J 319: 1486–1489

    CAS  Google Scholar 

  35. Zollman C, Vickers A (1999) ABC of complementary medicine. Complementary medicine and the doctor. Br Med J 319: 1558–1561

    CAS  Google Scholar 

Download references

Acknowledgements

The authors would like to acknowledge the support and assistance of the Society of Hospital Pharmacists of Australia and the Clinical Oncological Society of Australia, as well as all oncology practitioners who participated.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael Joseph Dooley.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dooley, M.J., Lee, D.YL. & Marriott, J.L. Practitioners’ sources of clinical information on complementary and alternative medicine in oncology. Support Care Cancer 12, 114–119 (2004). https://doi.org/10.1007/s00520-003-0570-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-003-0570-5

Keywords

Navigation