Use of complementary and alternative medicine in cancer patients: a European survey
Use of complementary and alternative medicine in cancer patients: a European survey
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DOI：
10.1093/annonc/mdi110
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发表时间：
2005-04-01
影响因子：
50.5
通讯作者：
Patiraki, E
中科院分区：
文献类型：
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作者：
Molassiotis, A;Fernandez-Ortega, P;Patiraki, E
背景资料：本研究的目的是探讨使用补充和替代医学（CAM）在癌症患者在一些欧洲countries.Methods：一个描述性调查设计。14个国家参加了这项研究，并通过描述性问卷从956 patients.Results收集数据：数据表明，CAM是流行的癌症患者中使用某种形式的CAM（国家之间的范围14.8%至73.1%）的35.9%。一个异质组的58种治疗被确定为正在使用。草药和疗法是最常用的CAM疗法，还有顺势疗法、维生素/矿物质、药茶、精神疗法和放松技巧。草药的使用从诊断前的三倍增加到诊断后的三倍。多因素分析显示，CAM用户的配置文件是年轻人，女性和具有较高的教育水平。信息来源主要是朋友/家人和媒体，而医生和护士在提供CAM相关信息方面发挥了很小的作用。大多数人使用CAM来提高身体对抗癌症的能力或改善身体和情感健康，许多人似乎从使用CAM中受益（即使这些好处不一定与使用CAM的最初原因有关）。大约4.4%的患者，但是，报告的副作用，大多是transient.Conclusions：这是必要的，卫生专业人员探索使用CAM与他们的癌症患者，教育他们潜在的有益的治疗方法，在光的有效性有限的证据，并努力实现一个综合的模式提供医疗保健。
Background: The aim of this study was to explore the use of complementary and alternative medicine (CAM) in cancer patients across a number of European countries.Methods: A descriptive survey design was developed. Fourteen countries participated in the study and data was collected through a descriptive questionnaire from 956 patients.Results: Data suggest that CAM is popular among cancer patients with 35.9% using some form of CAM (range among countries 14.8% to 73.1%). A heterogeneous group of 58 therapies were identified as being used. Herbal medicines and remedies were the most commonly used CAM therapies, together with homeopathy, vitamins/minerals, medicinal teas, spiritual therapies and relaxation techniques. Herbal medicine use tripled from use before diagnosis to use since diagnosis with cancer. Multivariate analysis suggested that the profile of the CAM user was that of younger people, female and with higher educational level. The source of information was mainly from friends/family and the media, while physicians and nurses played a small part in providing CAM-related information. The majority used CAM to increase the body's ability to fight cancer or improve physical and emotional well-being, and many seemed to have benefited from using CAM (even though the benefits were not necessarily related to the initial reason for using CAM). Some 4.4% of patients, however, reported side-effects, mostly transient.Conclusions: It is imperative that health professionals explore the use of CAM with their cancer patients, educate them about potentially beneficial therapies in light of the limited available evidence of effectiveness, and work towards an integrated model of health-care provision.