The use of traditional, complementary and integrative medicine in Chinese adolescent and young adult patients with cancer: A multicenter cross-sectional study

Lam, Chun; Tin, Chung; Li, Michael Can Heng; Wong, Cho Lee; Loong, Herbert H. F.; Li, Chi Kong; Koon, Ho Kee; Cheung, Yin Ting

doi:10.1016/j.ejon.2023.102377

Cited by 3 publications

(1 citation statement)

References 42 publications

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“…Expectations among patients and their parents from CAM include improving general wellbeing; 'strengthening' the immune system; and reducing adverse effects of cancer treatments [ 25 , 26 ]. Providing a “cure” and improving survival or preventing recurrence are mentioned as well, though less frequently (between 5- to 49%, depending on the country and setting) [ 27 – 29 ]. Expectations among parents that CAM treatment can “cure” their child’s cancer, may contrast to those of the treating HCP [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

Integrative Medicine Across the Pediatric Cancer Care Trajectory: A Narrative Review

Ben-Arye,

Samuels,

Seifert

et al. 2024

Curr Oncol Rep

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Purpose of the review Children and adolescents with cancer, along with their parents and other informal caregivers, often report using complementary and alternative medicine (CAM) during active oncology and hemato-oncology treatment. Some adopt an “alternative” approach to conventional medical care, which often entails the use of these practices without the knowledge of the treating pediatrician. In contrast, many others search for consultation provided by a pediatric integrative oncology (IO) practitioner working with the conventional medical team. IO seeks to provide evidence-based complementary medicine therapies, many of which have been shown to augment conventional supportive and palliative care, while ensuring the patient’s safety. The present narrative review examines the current state of and future direction for the IO setting of care. Recent findings A large body of published clinical research supports the effectiveness of leading Pediatric IO modalities, while addressing potential safety-related concerns. Summary Despite the growing amount of clinical research supporting the beneficial effects and implementation of Pediatric IO models of care, there is still a need for further studies in order to establish clinical guidelines in the treatment of children and adolescents with cancer. Such IO-directed guidelines will need to address both the effectiveness and the safety of the CAM modalities being used in pediatric oncology and hemato-oncology settings, promoting a better understanding among pediatric healthcare professionals and helping them understand the indications for referral to the IO treatment service.

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Section: Introductionmentioning

confidence: 99%

Integrative Medicine Across the Pediatric Cancer Care Trajectory: A Narrative Review

Ben-Arye,

Samuels,

Seifert

et al. 2024

Curr Oncol Rep

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Real-world impact of acupuncture on analgesics and healthcare resource utilization in breast cancer survivors with pain

Ng,

Lee,

Lee

et al. 2024

BMC Med

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Background This study evaluated the real-world impact of acupuncture on analgesics and healthcare resource utilization among breast cancer survivors. Methods From a United States (US) commercial claims database (25% random sample of IQVIA PharMetrics® Plus for Academics), we selected 18–63 years old malignant breast cancer survivors experiencing pain and ≥ 1 year removed from cancer diagnosis. Using the difference-in-difference technique, annualized changes in analgesics [prevalence, rates of short-term (< 30-day supply) and long-term (≥ 30-day supply) prescription fills] and healthcare resource utilization (healthcare costs, hospitalizations, and emergency department visits) were compared between acupuncture-treated and non-treated patients. Results Among 495 (3%) acupuncture-treated patients (median age: 55 years, stage 4: 12%, average 2.5 years post cancer diagnosis), most had commercial health insurance (92%) and experiencing musculoskeletal pain (98%). Twenty-seven percent were receiving antidepressants and 3% completed ≥ 2 long-term prescription fills of opioids. Prevalence of opioid usage reduced from 29 to 19% (P < 0.001) and NSAID usage reduced from 21 to 14% (P = 0.001) post-acupuncture. The relative prevalence of opioid and NSAID use decreased by 20% (P < 0.05) and 19% (P = 0.07), respectively, in the acupuncture-treated group compared to non-treated patients (n = 16,129). However, the reductions were not statistically significant after adjustment for confounding. Patients receiving acupuncture for pain (n = 264, 53%) were found with a relative decrease by 47% and 49% (both P < 0.05) in short-term opioid and NSAID fills compared to those treated for other conditions. High-utilization patients (≥ 10 acupuncture sessions, n = 178, 36%) were observed with a significant reduction in total healthcare costs (P < 0.001) unlike low-utilization patients. Conclusions Although adjusted results did not show that patients receiving acupuncture had better outcomes than non-treated patients, exploratory analyses revealed that patients treated specifically for pain used fewer analgesics and those with high acupuncture utilization incurred lower healthcare costs. Further studies are required to examine acupuncture effectiveness in real-world settings.

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Integration of Traditional Medicine Services into Public Health Centers in Indonesia: A Qualitative Study

Yuniarsih,

Padmawati,

Madyaningrum

et al. 2024

Preprint

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Background: Many people are still using traditional medicine in various countries. This is a challenge for the government because they must effectively manage services, maintain quality, and protect patients. Integrating traditional medicine into public health centers provides safe and quality services. This study aimed to explore the perceptions and experiences of traditional medicine users and program implementers in Indonesian public health centers. Methods: This study used an exploratory qualitative research design. Data were collected from program implementers and traditional medicine users. Data were collected through focus group discussions and in-depth interviews from March to June 2023. The study had 16 participants included 10 implementers in focus group discussions and six users in in-depth interviews. analysis with an inductive approach was employed. Results: Three themes were identified, namely, user preferences for using traditional medicine, success factors of integration, and challenges for improvement of existing integration. Despite obstacles, many participants expressed their support for integration, particularly in terms of human resource readiness. Moreover, people tended to prefer traditional medicine services provided in public health centers over traditional healers because of individual belief, trust in the delivery services, and therapeutic effects. Conclusion: The integration of traditional medicine services into public health centers is essential to provide easy access and preserve traditional health services that are in line with local wisdom, effective, and safe.

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The use of traditional, complementary and integrative medicine in Chinese adolescent and young adult patients with cancer: A multicenter cross-sectional study

Cited by 3 publications

References 42 publications

Integrative Medicine Across the Pediatric Cancer Care Trajectory: A Narrative Review

Integrative Medicine Across the Pediatric Cancer Care Trajectory: A Narrative Review

Real-world impact of acupuncture on analgesics and healthcare resource utilization in breast cancer survivors with pain

Integration of Traditional Medicine Services into Public Health Centers in Indonesia: A Qualitative Study

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