Impact of a complementary/integrative medicine program on the need for supportive cancer care-related medications

Shalom-Sharabi, Ilanit; Samuels, Noah; Lev, Efraim; Lavie, Ofer; Keinan‐Boker, Lital; Schiff, Elad; Ben‐Arye, Eran

doi:10.1007/s00520-017-3726-4

Cited by 16 publications

(13 citation statements)

References 31 publications

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“…TA true acupuncture; SA sham acupuncture; SC standard care for symptom control. In view of the growing consideration of acupuncture within the therapeutic armamentarium [54][55][56] for common systemic therapy related toxicities, and in recognition of the limited data [57] available in respect to radiation therapy, we sought to analyze the literature in the most rigorous way, aiming to provide evidence-based recommendations for clinical practice in head and neck cancer. Following our prespecified search strategy, only a limited number of articles qualified for qualitative analysis.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture for radiation-induced toxicity in head and neck squamous cell carcinoma: a systematic review based on PICO criteria

Bonomo

Stocchi

Caini

et al. 2021

Eur Arch Otorhinolaryngol

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Purpose In head and neck squamous cell carcinoma (HNSCC), the potential mitigating effect of complementary medicine interventions such as acupuncture for radiation-induced toxicity is unknown. This study aimed to assess the impact of acupuncture on the incidence and degree of severity of common radiation-induced side effects. Methods In accordance with pre-specified PICO criteria, a systematic review was performed. Two electronic databases (Medline and Embase) were searched over a 10-year time frame (01/01/10 to 30/09/20). Patients undergoing a curatively intended, radiation-based treatment for histologically confirmed squamous cell carcinoma of the nasopharynx, oropharynx, larynx, hypopharynx and oral cavity represented the target population of our study. Accurate information on the acupuncture methodology was reported. All included articles were evaluated to identify any potential source of bias Results Five papers were included in our qualitative analysis, for a total of 633 subjects. Compliance to per-protocol defined schedule of acupuncture sessions was high, ranging from 82 to 95.9%. Most patients (70.6%) were randomly allocated to receive acupuncture for its potential preventive effect on xerostomia. The large heterogeneity in study settings and clinical outcomes prevented from performing a cumulative quantitative analysis, thus no definitive recommendations can be provided. Conclusions Although shown to be feasible and safe, no firm evidence currently supports the use of acupuncture for the routine management of radiation-induced toxicity in HNSCC.

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Section: Discussionmentioning

confidence: 99%

Acupuncture for radiation-induced toxicity in head and neck squamous cell carcinoma: a systematic review based on PICO criteria

Bonomo

Stocchi

Caini

et al. 2021

Eur Arch Otorhinolaryngol

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“…La ascendente notoriedad que ha cobrado la MC se manifiesta por el impacto en la mejoría de los pacientes que acuden para su tratamiento. Diversos estudios aseguran que dicha afluencia se basa tanto en fenómenos sociales como terapéuticos, que se enmarcan en algunas tendencias que van desde una creciente insatisfacción junto con la pérdida de la confianza en la biomedicina tecnológicamente sofisticada (10,13,16) hasta un incremento en la demanda para controlar el costo de la salud (15) Shalom Sharabi et al, reportan que la medicina complementaria e integrativa podría reducir la necesidad de analgésicos no opioides entre los pacientes con cáncer de mama o cáncer ginecológico (17) . Zheng Z. et al, concluye que es seguro reducir la medicación con opioides en pacientes con dolor crónico, por el tamaño de la muestra no se puede confirmar si la electroacupuntura ofrece un beneficio adicional a la educación; esta terapia no farmacológica podría ser un complemento para disminuir la terapia con opioides en pacientes que están dispuestos a reducirlos (18) .…”

Section: Discussionunclassified

“…Las causas más frecuentes de consulta en el servicio de MC de EsSalud son las poliartrosis, la dorsalgia, la ansiedad, la obesidad y la cefalea. La intervención en este servicio es de manera integral, donde la reforma de los hábitos del paciente es trascendente para el cuidado de su salud (17) . Como antecedente, en EsSalud se hicieron diversas encuestas de consumo de medicamentos a los pacientes dados de alta en MEC, estas encuestas constaban de cuatro preguntas básicas: 1) ¿No disminuyó el consumo de su medicación?…”

Section: Introductionunclassified

Evaluación de la disminución del consumo de medicamentos en usuarios de los servicios de medicina complementaria de EsSalud 2017

Huamaní¹,

Ángulo-Bazán²

2019

Rev. per. med. integr.

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Objetivo. Evaluar la disminución del consumo de medicamentos en usuarios de los servicios de medicina complementaria de EsSalud. Materiales y métodos. se realizó a través del seguimiento en los sistemas de gestión hospitalaria (SGH) y el sistema de gestión de los servicios de salud (SGSS) del consumo de medicamentos de 349 pacientes de medicina complementaria, antes de haber ingresado a este servicio y después de haber sido dados de alta del 01 al 31 de diciembre de 2017. Resultados. Se encontró que los motivos de consulta más frecuentes estaban dentro de las enfermedades osteomusculares como lumbalgias, dolor articular o cervicalgias y dorsalgias; seguidos de los trastornos de ansiedad y cefaleas por tensión. Los grupos farmacológicos más utilizados fueron antiinflamatorios no esteroideos (45,3%), otros analgésicos (15,2%), antiepilépticos (10,6%) y ansiolíticos (10,6%). Conclusiones. La mayoría de los pacientes con seguimiento de consumo de medicamentos, antes y después de usar el servicio de medicina complementaria, fueron adultos mayores y de sexo femenino; se encontraron diferencias significativas en las unidades consumidas después de usar los servicios de medicina complementaria en los grupos farmacológicos de antiinflamatorios no esteroideos, opioides, antipiréticos y otros analgésicos. Asimismo, hubo una disminución altamente significativa en las unidades consumidas de antiepilépticos, ansiolíticos, antidepresivos, relajantes musculares, antiulcerosos, hipoglicemiantes orales e hipolipemiantes. Palabras clave: Medicamentos, medicina complementaria (Fuente: DeCS)

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“…43 The additional cost of IO will therefore need to demonstrate financial savings in other ways, for example, by improving adherence to life-saving cancer treatment and reducing the overall burden of disease. [44][45][46] Finally, while a lack of evidence is commonly cited as a reason not to provide or fund IO, 47,48 the findings suggest that building the evidence-base is only one part of the solution. These findings are in line with other non-IO health services research that recognizes the complexities of cultural biases, pragmatic constraints, and the political and organizational realities of decision-makers that combined, often have a greater influence than scientific evidence in ''real-world'' health care priority setting and funding decisions.…”

Section: Australian Integrative Oncology Services S-95mentioning

confidence: 99%

Barriers and Facilitators to Integrative Oncology Services in Australia: A Changed Mind Set Required

Hunter

Grant

Delaney

et al. 2021

The Journal of Alternative and Complementary Medicine

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Objectives: This study aimed to explore barriers and facilitators to integrative oncology (IO) service provision and access in Australia.Design: The study design was mixed method with two substudies: a cross-sectional national cancer service survey of public and private sectors; and focus group interviews and an online survey of cancer survivors. Triangulation analysis of qualitative and quantitative data was used to identify and interrogate meta-themes.Subjects: The cancer service response rate was 93.2% (n = 275/295); 71/275 (25.8%) provided IO. Thirtythree cancer survivors from Anglo-European, Arabic, Vietnamese, and Chinese backgrounds were interviewed, and 121 survivors answered the online survey.Results: IO gaps were substantial, with no services in many regions and cities; a lack of diversity and availability of therapeutic options, including culturally appropriate services; and a mismatch between the high use of natural health products by survivors and types of IO services provided. Two overlapping meta-themes were identified: ''barriers and facilitators'' and ''peoples and institutions''; each with four subthemes, respectively, ''access/provision, affordability/funding, information/evidence, and culture/values'' and ''cancer survivors, healthcare professionals, organizations, and policies.'' While affordability/funding was the greatest barrier to survivors and providers, solutions varied (e.g., building a stronger evidence-base, business model advice) and often conflicted (e.g., public verses private sector funding). The most insidious barrier was professional/corporate cultures and values that influenced hospital policies (or lack thereof), conceptions of evidence and the therapeutic alliance. Survivors called for a change of mindset in the culture of medicine and value-based health care.Conclusions: The barriers and facilitators to IO services were more complex than building the evidence-base and demonstrating value to justify funding. To achieve a better alignment of patients' preferences with service provision, providers require more guidance on clinical governance, business models, local service gaps, and interprofessional collaboration. National strategies and funding models are needed to ensure appropriate, equitable IO service provision.

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Impact of a complementary/integrative medicine program on the need for supportive cancer care-related medications

Abstract: CIM treatments may reduce the need for NOAs among patients with breast or gynecological cancer.

Cited by 16 publications

References 31 publications

Acupuncture for radiation-induced toxicity in head and neck squamous cell carcinoma: a systematic review based on PICO criteria

Acupuncture for radiation-induced toxicity in head and neck squamous cell carcinoma: a systematic review based on PICO criteria

Evaluación de la disminución del consumo de medicamentos en usuarios de los servicios de medicina complementaria de EsSalud 2017

Barriers and Facilitators to Integrative Oncology Services in Australia: A Changed Mind Set Required

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