Complementary/alternative medicine use in a comprehensive cancer center and the implications for oncology
Complementary/alternative medicine use in a comprehensive cancer center and the implications for oncology
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DOI：
10.1200/jco.2000.18.13.2505
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发表时间：
2000-07-01
影响因子：
45.3
通讯作者：
Singletary, SE
中科院分区：
文献类型：
--
作者：
Richardson, MA;Sanders, T;Singletary, SE
目的：肿瘤学家意识到他们的患者使用补充/替代医学(CAM)。随着癌症发病率和生存时间的增加，CAM的使用可能会增加。这项研究评估了综合性癌症中心使用CAM的患病率和预测因素。对象和方法：受试者为至少18岁的讲英语的癌症患者，于1997年12月至1998年6月期间在德克萨斯州休斯敦的德克萨斯大学安德森癌症中心的八家门诊诊所之一就诊。在给予书面知情同意后，参与者完成了一份自我管理的问卷。使用CHI(2)和单因素Logistic回归分析来评估使用和不使用CAM之间的差异。结果：在453名参与者中，99.3%的人听说过CAM，回应率为51.4%。在这些人中，83.3%的人至少使用过一种CAM方法。使用最多的是精神实践(80.5%)、维生素和草药(62.6%)、运动和物理疗法(59.2%)和预测(P
Purpose: Oncologists are aware that their patients use complementary/alternative medicine (CAM). As cancer incidence rates and survival time increase, use of CAM will likely increase. This study assessed the prevalence and predictors of CAM use in a comprehensive cancer center.Subjects and Methods: Subjects were English-speaking cancer patients at least 18 years of age, attending one of eight outpatient clinics at The University of Texas M.D. Anderson Cancer Center, Houston, TX, between December 1997 and June 1998. After giving written informed consent, participants completed a self-administered questionnaire. Differences between CAM users and nonusers were assessed by chi(2) and univariate logistic regression analysis. A multivariate logistic regression model identified the simultaneous impact of demographic, clinical, and treatment variables on CAM use; P values were two-sided.Results: Of the 453 participants (response rate, 51.4%), 99.3% had heard of CAM. Of those, 83.3% had used at least one CAM approach. Use was greatest for spiritual practices (80.5%), vitamins and herbs (62.6%), and movement and physical therapies (59.2%) and predicted (P