Complementary and Alternative Medicine use and Its Association with Quality of Life Among Cancer Patients Receiving Chemotherapy in Ethiopia: A Cross Sectional Study

Erku, Daniel Asfaw; Mekuria, Abebe Basazn; Belachew, Sewunet Admasu

doi:10.1016/j.jval.2016.09.2280

Cited by 12 publications

(28 citation statements)

References 31 publications

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“…A recent systematic review on the use of traditional, complementary and alternative medicine in sub‐Saharan Africa showed that T&CM use by patients with cancer ranged from 34.5% to 79% (James, Wardle, Steel, & Adams, ). Use was highest in Ethiopia (Erku, ; James et al, ). It is, therefore, important that healthcare professionals be aware of the high prevalence and the likelihood of persistence of use of T&CM by patients with cancer.…”

Section: Discussionmentioning

confidence: 99%

“…In Iran, 219 of 625 patients with cancer (35%) reported use of T&CM (Montazeri, Sajadian, Ebrahimi, Haghighat, & Harirchi, ). Use of T&CM by patients with cancer is high in sub‐Saharan Africa: 34.5%–65% of patients with cancer in Nigeria reported use of T&CM, while up to 73.5% and 79.0% used T&CM in Ghana and Ethiopia respectively (Asuzu et al, ; Erku, ; Ezeome & Anarado, ; Yarney et al, ). In East Africa, up to 70% of the population in general first consult with traditional healers before visiting biomedical facilities (Maurice, ).…”

Section: Introductionmentioning

confidence: 99%

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Use of traditional and complementary medicines by cancer patients at a national cancer referral facility in a low‐income country

2019

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Objective The aim of this study was to describe use of traditional and complementary medicines (T&CM) and associated factors among patients with cancer. Methods We conducted a cross‐sectional study at the Uganda Cancer Institute (UCI) involving patients with selected solid tumours. Independent variables included age, sex, marital status, cancer site and stage. Main outcome variables were use and disclosure of use of T&CM. Results The majority of participants were women (n = 352; 81.9%). Breast cancer (n = 312; 71.9%) was the predominant cancer type. 55.4% of participants (n = 240) self‐reported use of T&CM. Among them, 68.3% (140/205) reported using them to treat/cure cancer, 35.6% (72/202) for strengthening the immune system and 31.2% (63/202) for management of pain. Patients with advanced stage cancers were more likely to be users compared with those in stage one. The majority (81.9%, 195/238) of T&CM users did not disclose use to their healthcare professionals. The main reasons for nondisclosure included lack of inquiry by clinicians (79.6%, 117/147) and fear of disapproval and/or rebuke (11.6%, 17/147). Conclusion Use of T&CM by patients with cancer under biomedical care is common but often undisclosed to the healthcare professionals.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of traditional and complementary medicines by cancer patients at a national cancer referral facility in a low‐income country

2019

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“…Erku found in the study in which he evaluated the use of TCM and its effect on the quality of life in cancer patients receiving chemotherapy that patients using TCM were in the severe stage of cancer. As these patients were also educationally and economically more advanced, it was considered that it was more possible for them to find out TCM practices (16). In our study, there was no correlation between the use of TCM and the stage of cancer.…”

Section: Discussionmentioning

confidence: 47%

Bir Palyatif Bakım Merkezinde Yatan Kanser Hastalarında Geleneksel ve Tamamlayıcı Tıp Uygulamalarını Kullanma Durumunu Araştırma

Özkaya

Karakaya²,

Aslaner

et al. 2020

Konuralp Tıp Dergisi

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In parallel with the increase in the prevalence of chronic diseases in the world, there is an increase in cancer cases. When the patients admitted to the oncology polyclinics were examined; these patients were found to be receiving support from traditional and alternative medicine methods. In this study, we aimed to analyse the factors, results, cost, and especially the status of informing physicians before using traditional and complementary medicine (TCM) in the palliative care clinic in cancer patients hospitalized in our clinic and using TCM practices. Methods: The study was cross-sectional and monocenter. The questionnaire was applied to the cancer patients who were between the ages of 18-80, hospitalized in the Palliative Care Center of Haydarpasa Numune Training and Research Hospital, who gave verbal and written consent to participate in the study, hospitalized for more than three days, and who were conscious and not currently receiving curative treatment. Results: Of the patients, 29.7% stated that they applied TCM (n: 22). There was no correlation between the status of using TCM practice and age, gender, educational status and cancer stage. The most common method of TCM is phytotherapy. Of the patients, 50% used TCM method for the treatment of fatigue. Of the patients, 63.6% consulted their doctors before applying TCM method. Conclusions: The fact that patients have prejudices that they will be evaluated negatively when they inform the health personnel about the TCM method they use makes it difficult to reach the real prevalence of TCM method use. In our study, the rate of patients telling TCM use to their doctors was found to be higher than the literature. We think that the biopsychosocial patient approach in palliative care increases the incidence of patients and their complaints in the treatment process.

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“…The second part, which was based on a questionnaire previously developed by Erku, collected information on CAM use. 18 Patients reporting CAM use were asked to provide additional information, such as the type, reasons or motivations for CAM use, consultations with doctors, side effects, 19,20 and perceived effects of CAM use. However, the questionnaire was modified for the purposes of the present study and some new items were added (eg, personal spending on CAM and number of CAMs used).…”

Section: Methodsmentioning

confidence: 99%

Complementary and Alternative Medicine Use in Breast Cancer Patients at a Medical Center in Taiwan: A Cross-Sectional Study

Chin

Chen

et al. 2020

Integr Cancer Ther

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Background Complementary and alternative medicine (CAM) is becoming more common in medical practice, but little is known about the concurrent use of CAM and conventional treatment. Therefore, the aim was to investigate the types of CAM used and their prevalence in a regional patient cohort with breast cancer (BC). Methods BC patients were interviewed with a structured questionnaire survey on the use of CAM in southern Taiwan at an Integrative Breast Cancer Center (IBCC). The National Centre for Complementary and Integrative Health (NCCIH) classification was used to group responses. Over a period of 8 months, all patients receiving treatment for cancer at the IBCC were approached. Results A total of 106 BC patients completed the survey (response rate: 79.7%). The prevalence of CAM use was 82.4%. Patients who were employed, were receiving radiotherapy and hormone therapy, and had cancer for a longer duration were more likely to use CAM ( P < .05). Multivariate analysis identified employment as an independent predictor of CAM use (OR = 6.92; 95% CI = 1.33-36.15). Dietary supplementation (n = 69, 82.1%) was the type of CAM most frequently used, followed by exercise (n = 48, 57.1%) and traditional Chinese medicine (n = 29, 34.5%). The main reason for using CAM was to ameliorate the side effects of conventional therapies. Almost half (46.4%) of these CAM users did not disclose that they were using it in medical consultations with their physicians. Most chose to use CAM due to recommendations from family and friends. Conclusion A large portion of BC patients at the IBCC undergoing anti-cancer treatment courses used CAM, but less than half discussed it with their physicians. Given the high prevalence of CAM, it would be justifiable to direct further resources toward this service so that cancer patients can benefit from a holistic approach to their treatment.

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Complementary and Alternative Medicine use and Its Association with Quality of Life Among Cancer Patients Receiving Chemotherapy in Ethiopia: A Cross Sectional Study

Cited by 12 publications

References 31 publications

Use of traditional and complementary medicines by cancer patients at a national cancer referral facility in a low‐income country

Use of traditional and complementary medicines by cancer patients at a national cancer referral facility in a low‐income country

Bir Palyatif Bakım Merkezinde Yatan Kanser Hastalarında Geleneksel ve Tamamlayıcı Tıp Uygulamalarını Kullanma Durumunu Araştırma

Complementary and Alternative Medicine Use in Breast Cancer Patients at a Medical Center in Taiwan: A Cross-Sectional Study

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