Complementary/Alternative Medicine Use in a Comprehensive Cancer Center and the Implications for Oncology

Richardson, Mary; Sanders, Tina; Palmer, J. Lynn; Greisinger, Anthony; Singletary, S. Eva

doi:10.1200/jco.2000.18.13.2505

Cited by 909 publications

(789 citation statements)

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“…In contrast to earlier research about gender differences in CAMuse (Molassiotis et al, 2005;Richardson et al, 2000), no differences in CAM-use among women and men were found in this study. One possible reason for these contradictory research results might be related to the group studied as well as differences in how men and women respond to symptoms.…”

Section: Discussioncontrasting

confidence: 99%

“…Despite the link between dissatisfaction with care and increased use of CAM, few studies have explored LC-patients use of CAM. While it is known that cancer patients report using more CAM than the general population (Mao et al, 2007), the prevalence varies from 7e83% in different studies (Ernst and Cassileth, 1998;Richardson et al, 2000). The only relevant European study found that approximately one quarter of LC-patients in eight European countries including Sweden, used CAM (Molassiotis et al, 2006).…”

Section: Introduction and Aimsmentioning

confidence: 99%

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Push or pull? Relationships between lung cancer patients’ perceptions of quality of care and use of complementary and alternative medicine

Lövgren

Wilde‐Larsson

Hök

et al. 2011

European Journal of Oncology Nursing

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Section: Discussioncontrasting

confidence: 99%

Section: Introduction and Aimsmentioning

confidence: 99%

Push or pull? Relationships between lung cancer patients’ perceptions of quality of care and use of complementary and alternative medicine

Lövgren

Wilde‐Larsson

Hök

et al. 2011

European Journal of Oncology Nursing

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“…More recent studies have reported an even higher prevalence of between 70 and 80% (Richardson et al, 2000;Bernstein and Grasso, 2001;Ashikaga et al, 2002). The nature of CAMs used, for example, vitamins and other supplements, herbal remedies, physical and psychological treatments, also varies greatly (Risberg et al, 1998;Richardson et al, 2000;Sparber et al, 2000;Bernstein and Grasso, 2001;Ashikaga et al, 2002).…”

mentioning

confidence: 99%

Potential health risks of complementary alternative medicines in cancer patients

et al. 2004

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Many cancer patients use complementary alternative medicines (CAMs) but may not be aware of the potential risks. There are no studies quantifying such risks, but there is some evidence of patient risk from case reports in the literature. A cross-sectional survey of patients attending the outpatient department at a specialist cancer centre was carried out to establish a pattern of herbal remedy or supplement use and to identify potential adverse side effects or drug interactions with conventional medicines. If potential risks were identified, a health warning was issued by a pharmacist. A total of 318 patients participated in the study. Of these, 164 (51.6%) took CAMs, and 133 different combinations were recorded. Of these, 10.4% only took herbal remedies, 42.1% only supplements and 47.6% a combination of both. In all, 18 (11.0%) reported supplements in higher than recommended doses. Health warnings were issued to 20 (12.2%) patients. Most warnings concerned echinacea in patients with lymphoma. Further warnings were issued for cod liver/fish oil, evening primrose oil, gingko, garlic, ginseng, kava kava and beta-carotene. In conclusion, medical practitioners need to be able to identify the potential risks of CAMs. Equally, patients should be encouraged to disclose their use. Also, more research is needed to quantify the actual health risks.

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“…Around 40 % of cancer patients in Germany use CAM during or after cancer treatment [7]. Since the 1970s, the percentages of cancer patients in western industrialized nations using CAM has continually risen, from 25 to 49 % [7][8][9][10]. In the USA, Australia and Europe between 38 and 60 % of all cancer patients use CAM during the course of disease for therapeutic support [1,11,12].…”

mentioning

confidence: 99%

Development and Validation of a Standardized Questionnaire and Standardized Diary for Use in Integrative Medicine Consultations in Gynecologic Oncology

Hack

Hüttner

Fasching

et al. 2015

Geburtshilfe Frauenheilkd

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Introduction: Use of complementary and alternative medicine (CAM) in diagnoses is not standardized and is very heterogeneous. There are few published standards on integrative medicine consultations or CAM-specific validated follow-up questionnaires. The aim of this study was to develop a standard for integrative medicine consultations, a patient questionnaire which could be used as a basis for medical decisions, and a diary to evaluate the course of the integrative therapy. Patients and Methods: Between June 2013 and September 2014 a standardized integrative medicine consultation in gynecologic oncology was developed and implemented at the Department of Gynecology and Obstetrics of Erlangen University Hospital. A standard operating procedure for consultations was developed; the necessary instruments were developed and validated. Results: Overall patient assessment of the integrative medicine questionnaire and the integrative medicine diary with regard to the time required for completion, comprehensibility, complexity and functionality was positive. Patients evaluated the standardized overall concept of the integrative medicine consultation and its instruments as suitable. Conclusion: Our team is one of the first study groups to develop, validate and publish a standard procedure for integrative medicine consultations. In future, the standard operating procedure for integrative medicine procedures of the Department of Gynecology and Obstetrics of Erlangen University Hospital could be introduced in other hospitals and certified breast cancer centers and gynecologic cancer centers. This would offer patients maximum security and a standardized quality of care in integrative medicine.

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Complementary/Alternative Medicine Use in a Comprehensive Cancer Center and the Implications for Oncology

Cited by 909 publications

References 50 publications

Push or pull? Relationships between lung cancer patients’ perceptions of quality of care and use of complementary and alternative medicine

Push or pull? Relationships between lung cancer patients’ perceptions of quality of care and use of complementary and alternative medicine

Potential health risks of complementary alternative medicines in cancer patients

Development and Validation of a Standardized Questionnaire and Standardized Diary for Use in Integrative Medicine Consultations in Gynecologic Oncology

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