Patient initiation of complementary and alternative medical therapies (CAM) following cancer diagnosis.
Purpose: Complementary and alternative medicine use is prevalent in both healthy and oncologic populations. However, few data exist to quantify complementary and alternative medicine initiation specifically after cancer diagnosis. This study evaluated patients' complementary and alternative medicine...
| Publicado en: | Cancer Journal Vol. 12; no. 6; pp. 467 - 475 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Nov/Dec2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106199265&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106199265 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15289117 4U5 jtl: Cancer Journal issn: 15289117 maglogo: N pubinfo: dt: Nov/Dec2006 vid: 12 iid: 6 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 106199265 NLM17207316 2009510965 10.1097/00130404-200611000-00006 NLM17207316 106199265 ppf: 467 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Patient initiation of complementary and alternative medical therapies (CAM) following cancer diagnosis. aug: au: Vapiwala N Mick R Hampshire MK Metz JM DeNittis AS Vapiwala, Neha Mick, Rosemarie Hampshire, Margaret K Metz, James M DeNittis, Albert S affil: Hospital of University of Pennsylvania, Department of Radiation Oncology, Philadelphia, Pennsylvania 19104, USA sug: subj: Alternative Therapies Neoplasms Drug Therapy Cross Sectional Studies Female Male Neoplasms Diagnosis Prevalence Questionnaires Human Female Male ab: Purpose: Complementary and alternative medicine use is prevalent in both healthy and oncologic populations. However, few data exist to quantify complementary and alternative medicine initiation specifically after cancer diagnosis. This study evaluated patients' complementary and alternative medicine usage patterns, reasons, and general perceptions after cancer diagnosis and during or after conventional cancer therapy.Methods: An Internet- and clinic-based piloted questionnaire was distributed from July 2004 through September 2004. In total, 604 responses were analyzed (64% Internet, 36% oncology clinics). Patients were predominantly white females; almost half held college or graduate degrees. Respondents reported past or present history of >or=1 conventional treatment(s), primarily chemotherapy and radiotherapy.Results: Initiation of >or=1 complementary and alternative medicine after diagnosis was reported by 54% of those surveyed. Complementary and alternative medicine users were more likely than non-users to have a history of chemotherapy (P=0.003) and enrollment in clinical trials (P=0.007). Complementary and alternative medicine use was greater in females (P=0.004) and patients with higher education levels (P<0.001), but not in whites compared to non-whites (P=0.34). The most commonly cited reason for complementary and alternative medicine use after diagnosis was "general overall health." Less than one-third of patients cited their healthcare providers as primary sources of complementary and alternative medicine information. The vast majority of users (86%) expressed satisfaction with complementary and alternative medicine as a cost-effective approach.Discussion: About one-half of adult cancer patients initiate complementary and alternative medicine therapy after diagnosis and during or after conventional oncologic treatments. Healthcare providers should be aware of patients' reasons for complementary and alternative medicine use, both for symptom management and quality-of-life. Healthcare providers should also be familiar with patients' complementary and alternative medicine information sources and should supplement these sources with discussions of pertinent safety profiles and potential interactions with standard therapies. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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