Frequency of Use of Complementary and Alternative Medicine in Women With Breast Cancer

Lengacher, Cecile A.; Bennett, Mary; Kip, Kevin E.; Keller, Rosemary; LaVance, Melisa S.; Smith, Lynette S.; Cox, Charles E.

doi:10.1188/02.onf.1445-1452

Cited by 114 publications

(91 citation statements)

References 22 publications

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“…This figure is higher than the 40-43% of British adult supplement users according to two previous national UK surveys [31,32], but similar to recent findings by the Pathways study [18] reporting frequent use of botanical and other natural products by 41-58% of a cohort of 1,000 women within 5 years of their breast cancer diagnosis. In comparison to these findings earlier reports found lower pre-diagnostic supplement use by breast cancer patients which ranged from 24-33% [21,33]. Following diagnosis, there was a small overall increase of 5.2% in patients taking supplements accompanied by a significant increase in the use of the most common supplement types suggesting that supplement users pre-diagnosis took new individual supplements after their diagnosis.…”

Section: Supplement Use Before and After Diagnosiscontrasting

confidence: 43%

Significant changes in dietary intake and supplement use after breast cancer diagnosis in a UK multicentre study

Velentzis

Keshtgar

Woodside

et al. 2011

Breast Cancer Res Treat

114

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The diagnosis of cancer can motivate survivors to alter their lifestyle habits. Healthcare providers need to be aware of what changes patients are likely to make in order to derive more pertinent recommendations; however, few studies have reported pre-and post-diagnostic lifestyle behaviours. Semi-quantitative food frequency questionnaires (FFQs) completed approximately 1 year after diagnosis were used to evaluate dietary intake and supplement use before and after diagnosis in a cohort of 1,560 breast cancer patients participating in the UK, prospective DietCompLyf study. Intake of fruit and vegetables, wholegrains and lean sources of protein increased significantly postdiagnosis (P \ 0.05, each). Conversely, after diagnosis consumption of high-fat, high-sugar products, red meat, coffee, some alcoholic drinks and refined grains significantly decreased (P \ 0.05, each). Post-diagnostic changes in diet were accompanied by changes in the intake of macronutrients and a number of vitamins and minerals. Supplement use was highly prevalent (56.1%) pre-diagnosis, increasing to 62.8% after diagnosis (P = 0.001). Fish oils, multivitamin and minerals, and evening primrose oil were most often used and the proportion of users significantly increased (P \ 0.05, each) after diagnosis. The percentage of women using oestrogenic botanical supplements (OBSs) was small but more than doubled to 8.4% after diagnosis (P \ 0.05). British women participating in the DietCompLyf study reported significant changes in dietary intake and supplement use after their breast cancer diagnosis. These findings contribute to our understanding of female cancer survivors' dietary behaviours which is crucial for developing and implementing recommendations.

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Section: Supplement Use Before and After Diagnosiscontrasting

confidence: 43%

Significant changes in dietary intake and supplement use after breast cancer diagnosis in a UK multicentre study

Velentzis

Keshtgar

Woodside

et al. 2011

Breast Cancer Res Treat

114

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“…12 Bad experiences with conventional medicine and dissatisfaction with physicians have also been associated with CT use. 9,15,14 Strikingly high CT use has been observed in patients enrolled onto cancer clinical trials, 7,10 which is of concern because patients with cancer are oftentimes reticent to disclose their CT use to their oncologists, especially if not asked directly. 1,12 While it is recognized that breast cancer patients, in general, are high users of CT, all but one published study 16 were conducted in patients with early stage or mixed diagnoses.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Predictors of Complementary Therapy Use in Advanced-Stage Breast Cancer Patients

Gross

Liu

Bauer‐Wu

2007

JOP

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Purpose: Information on the use of complementary therapies in patients with advanced-stage cancer is limited. Given the disease and treatment complexities associated with the care of patients with metastatic cancer, oncology clinicians would benefit from having an appreciation of the extent of usage of unconventional, adjunctive therapies among these patients. This study evaluated the prevalence and demographic predictors of complementary therapy use in a sample of women with metastatic breast cancer. Methods:Subjects with stage IV breast cancer were recruited from six treatment facilities in New England. A written, mailed survey assessing complementary therapy use and sociodemographic information was completed by each subject, while disease and treatment information was obtained from medical records. Descriptive statistics and multivariate logistic regression analyses were conducted. Results:Of the 173 participants, 78% used at least one type of complementary therapy, 43% used two or more types, and 23% used three or more types, excluding spiritual practices and physical exercise. When including spiritual practices and physical exercise, 90% used at least one complementary therapy, 70% used two or more types, and 45% used three or more types. Visits to alternative health practitioners were predicted by younger age (P ϭ .009) and higher education level (P ϭ .002). Younger participants (P ϭ .045) were more likely to use and spend more money on vitamins and herbal products (P ϭ .02). Conclusions:Use of unconventional therapies is pervasive among metastatic breast cancer patients, particularly among those who are younger and highly educated. Oncology providers need to assess patients' complementary therapy use and consider potential interactions with prescribed treatment protocols.

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“…Similarly, in our study, prayer was reported as the most common CAM therapy employed by CAM users in cancer patients. Lengacher et al found that prayer, massage, herbal products, and meditation were the CAM therapies rated as being the most effective in women with breast cancer (28). In our study, praying, herbal products (Mint and Garlic), multivitamins and vitamin C were the most preferable CAM.…”

Section: Discussionmentioning

confidence: 62%

Use of Complementary and Alternative Medicine Among Iranian Cancer Patients in South of Iran

Amirmoezi¹,

Araghizadeh²,

Mohebbinia³

et al. 2017

Int J Cancer Manag

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Frequency of Use of Complementary and Alternative Medicine in Women With Breast Cancer

Cited by 114 publications

References 22 publications

Significant changes in dietary intake and supplement use after breast cancer diagnosis in a UK multicentre study

Significant changes in dietary intake and supplement use after breast cancer diagnosis in a UK multicentre study

Prevalence and Predictors of Complementary Therapy Use in Advanced-Stage Breast Cancer Patients

Use of Complementary and Alternative Medicine Among Iranian Cancer Patients in South of Iran

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