The relationship between hopelessness level and complementary and alternative medicine use in patients with breast cancer

Akyüz, Mahide Demirelöz; Oran, Nazan Tuna; Yücel, Ummahan; Ekşioğlu, Aysun; Koçak, Yeliz Çakır

doi:10.4103/jcrt.jcrt_815_17

Cited by 4 publications

(3 citation statements)

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“…We did not, however, find an association between the prevalence of CAM usage and patients' subjective evaluation of severity of the disease and effectiveness of oncological treatment. A prior literature evaluation demonstrated that patients with higher stages of cancer tended to choose CAM more frequently, but in these studies the severity of the disease was assessed on the basis of medical documentation, not on the basis of the patients' self-assessment [17,32]. Our finding can suggest that the decision about use of unconventional methods was not connected with the patient's malaise.…”

Section: Discussionmentioning

confidence: 72%

The prevalence of complementary and alternative methods and their impact on conventional cancer treatment among oncological patients in Poland – an institutional study

Reszka¹,

Moskal²,

Remiorz³

et al. 2021

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Introduction: Nowadays, complementary and alternative medicine (CAM) is gaining more adherents in Poland. Awareness of CAM methods among medical professionals is unsatisfactory. The gap that has been created in the Polish health care system opens the field for abuse. Poor knowledge about the popularity of CAM therapies among oncological patients in Poland led us to the evaluation of their prevalence and features. Aim of the research:To assess the prevalence of CAM procedures and their impact on conventional cancer treatment in Poland. Material and methods: A cross-sectional study was conducted in the Lower Silesian Oncology Centre, Poland. The final research group came to 355 respondents (209 women, 146 men, response rate 58%). Inclusion criteria comprised the following: diagnosed cancer, staged from early to advanced, and ongoing conventional treatment. Exclusion criteria were as follows: incomplete diagnostic path for cancer, age below 18 years, and complete remission of the disease. Results: CAM methods were used by 156 (43.9%) patients. The most popular were herbal drugs (50.6%), linseed (49.4%), and apricot seeds (32.7%). Approximately 40% of patients informed their doctor about CAM usage. More than 7% had resigned from standard treatment in the past. Almost 2% of respondents considered suspending therapy in the future. Factors associated with CAM use were as follows: female gender (51.2% vs. 33.56%; p < 0.05), secondary and higher education (47.1% secondary, 51.8% higher vs. 19.2% primary, 38.46% vocational; p < 0.05), education associated with health care (68.4% vs. 41.0%; p < 0.05). Conclusions: CAM techniques are popular among oncological patients in Poland and are often used on their own. No single factor affecting CAM use was established. Besides oncological treatment, patients should be informed about the effectiveness and the side-effects of CAM and the dangers associated with standard treatment refusal. StreszczenieWprowadzenie: Metody tzw. medycyny komplementarnej i alternatywnej (CAM) zyskują w Polsce na popularności. Wiedza pracowników ochrony zdrowia na ich temat jest niezadowalająca. Powstała w ten sposób luka w polskim systemie opieki zdrowotnej stwarza pole do nadużyć. Niedostateczna wiedza na temat rozpowszechnienia terapii CAM wśród pacjentów onkologicznych w Polsce skłoniła nas do oceny ich popularności i cech charakterystycznych. Cel pracy: Ocena popularności technik CAM oraz ich wpływu na konwencjonalne leczenie onkologiczne w Polsce. Materiał i metody: Badanie przekrojowe przeprowadzono w Dolnośląskim Centrum Onkologii. Ostateczna grupa badana liczyła 355 osób (209 kobiet, 146 mężczyzn, odsetek odpowiedzi 58%). Kryteria włączenia obejmowały: rozpoznany nowotwór, stadium od wczesnego do zaawansowanego, trwające leczenie onkologiczne. Kryteriami wykluczenia były: niepełna ścieżka diagnostyczna nowotworu, wiek poniżej 18 lat, całkowita remisja choroby.

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Section: Discussionmentioning

confidence: 72%

The prevalence of complementary and alternative methods and their impact on conventional cancer treatment among oncological patients in Poland – an institutional study

Reszka¹,

Moskal²,

Remiorz³

et al. 2021

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“…Complementary and or alternative medicine (CAM) for breast cancer treatment is widely documented in Lowand Middle-Income Countries (LMICs) in settings where: healthcare is not subsidised [1][2][3] ; there are limited facilities 4,5 , and dissatisfaction with healthcare services [6][7][8] ; cultural beliefs support the use of CAM 1,3,7 . Despite the widespread use of CAMs, relatively few patients disclose their use of CAMs to personnel in conventional healthcare facilities 9 .…”

Section: Introductionmentioning

confidence: 99%

“…Despite the widespread use of CAMs, relatively few patients disclose their use of CAMs to personnel in conventional healthcare facilities 9 . Studies in several countries suggest that patients viewed such disclosure as unnecessary, or they anticipated negative reactions to disclosure 4,10,11 . Disclosure is however in the best interests of patients as there may be risks associated with using CAMs alongside biomedical therapies [10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

Therapeutic pluralism and the politics of disclosure: breast cancer patients’ experiences in public healthcare

Githaiga¹,

Swartz²

2022

Afr H. Sci.

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Background: Despite the widespread utilisation of complementary and or alternative medicine (CAM) by breast cancer patients in low-and-middle-income countries, few disclose CAM use to their physicians. Objective: This study examines disclosure CAM use among a small sample of women attending a breast cancer clinic in a public health hospital in the Western Cape, South Africa. Methods: An Interpretative Phenomenological Analysis (IPA) approach was utilised in this study. Semi-structured in-depth interviews were conducted with a convenience sample of 17 women attending a breast clinic in a public hospital. Results: Non-disclosure of CAM use was attributed to minimal time for patient-doctor interactions due to resource constraints in public health facilities and the superior status accorded to biomedical doctors’ superior knowledge, associated with paternalism, leading to patients’ fear of reproach for using CAM. Consequently, disclosure of CAM only occurred in instances where it was deemed an absolute necessity. Conclusion: Considering the reality of an overstretched public healthcare system, what may be possible is an active attempt to communicate to patients that doctors are aware that patients may use a range of resources (such as CAM), which is their right, and further, recommend patient disclosure of CAM use to their doctors, because of the possibility of drug interactions and other potentially negative effects. Keywords: Breast cancer; alternative medicine; South Africa.

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Attitudes of healthcare workers towards complementary and alternative medicine practices: A cross-sectional study in Turkey

Sarman

Uzuntarla²

2022

European Journal of Integrative Medicine

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The relationship between hopelessness level and complementary and alternative medicine use in patients with breast cancer

Cited by 4 publications

References 1 publication

The prevalence of complementary and alternative methods and their impact on conventional cancer treatment among oncological patients in Poland – an institutional study

The prevalence of complementary and alternative methods and their impact on conventional cancer treatment among oncological patients in Poland – an institutional study

Therapeutic pluralism and the politics of disclosure: breast cancer patients’ experiences in public healthcare

Attitudes of healthcare workers towards complementary and alternative medicine practices: A cross-sectional study in Turkey

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