Complementary and alternative medicine use among cancer patients at a private hospital in Brazil.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e14144-e14144
Author(s):  
Eliza Dalsasso Ricardo ◽  
Denise Oishi ◽  
Marcelo Oliveira Dos Santos ◽  
Renata D'Alpino D'Alpino

e14144 Background: Complementary and alternative medicine (CAM) use is relatively common among cancer patients. Data regarding CAM use in Brazil is scarce. We sought to define CAM use by cancer patients and investigate factors that might influence it. Methods: We conducted a cross-sectional survey of adults diagnosed with any cancer type who came to appointments at our outpatient clinic in January 2020. Chi-square tests were used to investigate the association between CAM use and age and gender Results: We interviewed 156 patients who consented to the face-to-face interview and all of them completed the questionnaires. Most patients were between 51 and 70 years-old; 56% were female and 55% had their cancer diagnosed in the last 12 months. Most cancer types were breast (17.4%), colorectal (16.7%), and lung (16.1%). More than 90% of the participants were on any active treatment. The prevalence of current CAM use was 29.6%. 58.7% of the patients did not believe CAM has anti-cancer properties, including 32.6% of patients who reported CAM use. Two-thirds of the participants have never discussed about CAM with their oncologists. Only 5.1% of the respondents would abandon conventional cancer treatment in order to use just CAM. Among CAM users, 55% referred multiple therapies use. Of those therapies, spiritual surgery was the most prevalent one. There was a significant higher proportion of females reporting CAM use (p = 0,029) as well as a higher proportion of CAM use among younger patients (p = 0,008). Conclusions: CAM use was common among our study population, especially spiritual surgery. Women and younger patients were more prone to use CAM. Although most patients would not abandon conventional treatment, many of them have never discussed about CAM with their oncologists.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 12060-12060
Author(s):  
Eliza Dalsasso Ricardo ◽  
Denise Oishi ◽  
Angel Ayumi Tome Uchiyama ◽  
Catarina Marchon da Silva ◽  
Josué Bravo Espinoza ◽  
...  

12060 Background: Complementary and alternative medicine (CAM) use is relatively common among cancer patients. Data regarding CAM use in Brazil is scarce. We sought to define CAM use among cancer patients and investigate factors that might influence it. Methods: We conducted a cross-sectional survey of adults diagnosed with any cancer type who came to appointments at two cancer centers in Brazil from January 2020 to January 2021. Unadjusted and adjusted analyses were conducted by using Logistic Regression models to determine the association of covariates with binary outcome. Statistical analyses were performed with SAS 9.4 (SAS Institute Inc, Cary, NC). All tests were 2-sided, and P < 0.05 was considered significant. Results: In total, 319 patients who consented to the face-to-face interview were included and all of them completed the questionnaires. Most patients (52.4%) were between 51 and 70 years-old, 59,6% were female, 85,2% were from the private service and 67% had college graduate/baccalaureate. Most cancer types were from gastrointestinal tract (31,4%), breast (20.4%), lung (12.3%) and genitourinary type. More than 85% of the participants were on any active cancer treatment. The prevalence of current CAM use was 34.2% and 50.2% of the patients did not believe CAM has anti-cancer properties. Two-thirds of the participants have never discussed about CAM with their oncologists. Only 4.1% of the respondents would abandon conventional cancer treatment in order to use just CAM. Among CAM users, 55% referred multiple therapies use. Of those therapies, spiritual surgery was the most prevalent one. There was a significant higher proportion of females reporting CAM use (p = 0,008) as well as a higher proportion of CAM use among private patients (p = 0,008). Conclusions: CAM use was common among our study population, especially spiritual surgery. Women and private patients were more prone to use CAM. Although most patients would not abandon conventional treatment, many of them have never discussed about CAM with their oncologists.


2020 ◽  
Vol 19 ◽  
pp. 153473542098391
Author(s):  
Chieh-Ying Chin ◽  
Yung-Hsiang Chen ◽  
Shin-Chung Wu ◽  
Chien-Ting Liu ◽  
Yun-Fang Lee ◽  
...  

Background Complementary and alternative medicine (CAM) is becoming more common in medical practice, but little is known about the concurrent use of CAM and conventional treatment. Therefore, the aim was to investigate the types of CAM used and their prevalence in a regional patient cohort with breast cancer (BC). Methods BC patients were interviewed with a structured questionnaire survey on the use of CAM in southern Taiwan at an Integrative Breast Cancer Center (IBCC). The National Centre for Complementary and Integrative Health (NCCIH) classification was used to group responses. Over a period of 8 months, all patients receiving treatment for cancer at the IBCC were approached. Results A total of 106 BC patients completed the survey (response rate: 79.7%). The prevalence of CAM use was 82.4%. Patients who were employed, were receiving radiotherapy and hormone therapy, and had cancer for a longer duration were more likely to use CAM ( P < .05). Multivariate analysis identified employment as an independent predictor of CAM use (OR = 6.92; 95% CI = 1.33-36.15). Dietary supplementation (n = 69, 82.1%) was the type of CAM most frequently used, followed by exercise (n = 48, 57.1%) and traditional Chinese medicine (n = 29, 34.5%). The main reason for using CAM was to ameliorate the side effects of conventional therapies. Almost half (46.4%) of these CAM users did not disclose that they were using it in medical consultations with their physicians. Most chose to use CAM due to recommendations from family and friends. Conclusion A large portion of BC patients at the IBCC undergoing anti-cancer treatment courses used CAM, but less than half discussed it with their physicians. Given the high prevalence of CAM, it would be justifiable to direct further resources toward this service so that cancer patients can benefit from a holistic approach to their treatment.


2017 ◽  
Vol 2017 ◽  
pp. 1-11 ◽  
Author(s):  
Farah Naja ◽  
Bilal Anouti ◽  
Hibeh Shatila ◽  
Reem Akel ◽  
Yolla Haibe ◽  
...  

Patients with lung cancer are increasingly seeking complementary and alternative medicine (CAM) to improve their physiological and psychological well-being. This study aimed to assess CAM use among lung cancer patients in Lebanon. Using a cross-sectional design, 150 lung cancer patients attending the Basile Cancer Institute at the American University of Beirut Medical Center were interviewed. Participants completed a questionnaire addressing sociodemographic characteristics, lung cancer condition, and use of CAM. The main outcome of interest was “use of any CAM therapy since diagnosis.” Prevalence of CAM use was 41%. The most commonly used CAM modality among study participants was “dietary supplements/special foods.” Results of the multiple logistic regression analyses showed that CAM use was positively associated with Lebanese nationality and paying for treatment out of pocket and was negatively associated with unemployment and having other chronic diseases. About 10% of patients used CAM on an alternative base, 58% did not disclose CAM use to their physician, and only 2% cited health professionals as influencing their choice of CAM. This study revealed a prevalent CAM use among lung cancer patients in Lebanon, with a marginal role for physicians in guiding this use. Promoting an open-communication and a patient-centered approach regarding CAM use is warranted.


SAGE Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 215824402110684
Author(s):  
Ivan Souček ◽  
Roman Hofreiter

The use of complementary and alternative medicine (CAM) in Europe has intensely increased in recent decades. To acquire information about the patterns and trends of CAM use in Slovakia, a nationwide representative survey was conducted on Slovakian adult population. A nationally representative cross-sectional survey was administered to the general population of Slovakian residents aged 18 years and over. The respondents were interviewed face-to-face by professional interviewers. Data were collected during September 2019 as a part of an omnibus survey on a variety of subjects. Altogether, 82.4% of the respondents reported either regular CAM method use or the lifetime prevalence of such use. The most frequently reported group of methods were biologically based treatments (78.9%), followed by manipulative and body-based methods (54.4%), mind-body interventions (31.9%), whole medical systems (18.2%), and energy therapies (4.2%). Vitamins (71.1%), herbal teas (68.1%), massages (53.6%), religious healing (20.3%), and special diets (18.8%) were the five most commonly preferred CAM modalities. Female gender, higher income and higher education are significant predictors of CAM use. The study highlights the association between satisfaction with healthcare systems, health situations, and the use of CAM.


2018 ◽  
Vol 6 (3) ◽  
pp. 237-244 ◽  
Author(s):  
Günter Eisele ◽  
Ulrich Roelcke ◽  
Katrin Conen ◽  
Fabienne Huber ◽  
Tobias Weiss ◽  
...  

Abstract Background During the course of disease, most glioma patients learn that there is no cure for their tumor. It is therefore not uncommon for patients or caregivers to seek complementary and alternative medicine (CAM) treatments. Patterns of CAM use vary across the globe, but little is known about the type of, and motivation for, CAM use in most countries. Methods Here we conducted a cross-sectional survey of CAM use in patients harboring gliomas of World Health Organization (WHO) grades II to IV at 3 specialized neuro-oncology centers in Switzerland. Results Of 208 patients who returned the survey, approximately half reported having used or using CAM. CAM use was associated with younger age. Patients suffering from WHO grade II gliomas were less likely to indicate CAM use. The leading motivation for CAM use was to contribute actively to the treatment of the disease. CAM use was commonly not counseled or supervised by a health care professional. Cost and issues of reimbursement were not an important factor in the decision against or for CAM use. Conclusions Physicians caring for glioma patients should be aware of and explore CAM use to better understand patients’ attitudes toward their disease, to provide counseling, and to identify potential interactions of CAM with standard treatments for gliomas.


2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
F. Naja ◽  
M. Alameddine ◽  
L. Itani ◽  
H. Shoaib ◽  
D. Hariri ◽  
...  

Objective. To examine the prevalence and correlates of Complementary and Alternative Medicine (CAM) use in Lebanon.Methods. A cross-sectional survey was conducted through face to face interviews on a nationally representative sample of 1,475 Lebanese adults. The survey questionnaire explored the sociodemographic and health related characteristics as well as the types and modes of CAM use. The main outcome in this study was the use of CAM during the last 12 months.Results. Prevalence of CAM use was 29.87% with “folk herbs” being the most commonly used (75%). Two out of five CAM users indicated using it as alternative to conventional therapies and only 28.4% of users disclosed the use of CAM to their physician. CAM use was significantly associated with higher income, presence of a chronic disease, and lack of access to needed health care. Lower odds of CAM use were observed among older adults and those with a higher education level.Conclusions. This study revealed a high prevalence of CAM use in Lebanon. Health policy and decision makers need to facilitate proper regulation and integration of CAM into mainstream medicine and educate health care providers and the public alike on the safe and effective use of CAM therapies.


2021 ◽  
Author(s):  
Ivan Soucek ◽  
Roman Hofreiter

Introduction: The use of complementary and alternative medicine (CAM)<br>in Europe has intensely increased in recent decades. To acquire<br>information about the patterns and trends of CAM use in Slovakia, a<br>nationwide representative survey was conducted on Slovakian adult<br>population.<br>Methods: A nationally representative cross-sectional survey was<br>administered to the general population of Slovakian residents aged 18<br>years and over. The respondents were interviewed face-to-face by<br>professional interviewers. Data were collected during September 2019 as<br>a part of an omnibus survey on a variety of subjects.<br>Results: Altogether, 82.4% of the respondents reported either regular<br>CAM method use or the lifetime prevalence of such use. The most<br>frequently reported group of methods were biologically based treatments<br>(78.9%), followed by manipulative and body-based methods (54.4%),<br>mind-body interventions (31.9%), whole medical systems (18.2%) and<br>energy therapies (4.2%). Vitamins (71.1%), herbal teas (68.1%),<br>massages (53.6%), religious healing (20.3%) and special diets (18.8%)<br>were the five most commonly preferred CAM modalities. It was indicated<br>that female respondents with higher household income are more likely to<br>use CAM.<br>Conclusions: Female gender, higher income and higher education are<br>significant predictors of CAM use. The study highlights the association<br>between satisfaction with healthcare systems, health situations, and the<br>use of CAM.


2021 ◽  
Author(s):  
Ivan Soucek ◽  
Roman Hofreiter

Introduction: The use of complementary and alternative medicine (CAM)<br>in Europe has intensely increased in recent decades. To acquire<br>information about the patterns and trends of CAM use in Slovakia, a<br>nationwide representative survey was conducted on Slovakian adult<br>population.<br>Methods: A nationally representative cross-sectional survey was<br>administered to the general population of Slovakian residents aged 18<br>years and over. The respondents were interviewed face-to-face by<br>professional interviewers. Data were collected during September 2019 as<br>a part of an omnibus survey on a variety of subjects.<br>Results: Altogether, 82.4% of the respondents reported either regular<br>CAM method use or the lifetime prevalence of such use. The most<br>frequently reported group of methods were biologically based treatments<br>(78.9%), followed by manipulative and body-based methods (54.4%),<br>mind-body interventions (31.9%), whole medical systems (18.2%) and<br>energy therapies (4.2%). Vitamins (71.1%), herbal teas (68.1%),<br>massages (53.6%), religious healing (20.3%) and special diets (18.8%)<br>were the five most commonly preferred CAM modalities. It was indicated<br>that female respondents with higher household income are more likely to<br>use CAM.<br>Conclusions: Female gender, higher income and higher education are<br>significant predictors of CAM use. The study highlights the association<br>between satisfaction with healthcare systems, health situations, and the<br>use of CAM.


2010 ◽  
Vol 124 (5) ◽  
pp. 529-532 ◽  
Author(s):  
C M Lim ◽  
A Ng ◽  
K S Loh

AbstractObjective:To determine the prevalence and profile of patients who use complementary and alternative medicine, within a cohort of head and neck cancer patients.Study design:Cross-sectional survey.Subjects and methods:Ninety-three consecutive head and neck cancer patients being followed up at the department of otolaryngology head and neck surgery were surveyed using an interviewer-administered questionnaire.Results:The prevalence of complementary and alternative medicine use was 67.8 per cent. Patients who used complementary and alternative medicine were more likely to be female, better educated and younger, compared with non-users. A total of 82.5 per cent (52/63) perceived complementary and alternative medicine to be effective, even though they were aware of the lack of research and endorsement by their physician regarding such medicine.Conclusion:The use of complementary and alternative medicine by head and neck cancer patients is common, regardless of efficacy or cost. Clinicians should routinely ask patients about their use of complementary and alternative medicine, to facilitate communication and enable appropriate use of such medicine.


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