scholarly journals Breast Cancer - Review of Complementary and Alternative Medicine (CAM) and Traditional Chinese Medicine (TCM) Approach

Author(s):  
Luguang Luo
2020 ◽  
Vol 2020 ◽  
pp. 1-13
Author(s):  
Amally Ding ◽  
Jignesh P. Patel ◽  
Vivian Auyeung

The Traditional Chinese Medicine (TCM) Consultation Model for Adherence conceptualises the consultation process specific to patient adherence. It can be used to improve patient persistence with treatment by TCM practitioners and possibly other health professionals. The aim of this research was to determine the applicability of the TCM Consultation Model for Adherence in the wider complementary and alternative medicine (CAM) setting. A survey containing validated questionnaires and items developed specifically to test the model was administered online in the United Kingdom. SPSS 25 was used to perform Spearman’s correlations and Mann–Whitney U tests on the data. In total, 101 patients completed the survey. The results showed that patients having a therapeutic relationship and trusting in their practitioner was associated with overall adherence to CAM, while patients feeling supported was associated with all types of adherence to CAM. Specific behaviours of the TCM Consultation Model for Adherence that were positively correlated with adherence to CAM were identified. They could potentially be used by CAM practitioners to improve their patients’ adherence with treatment.


1999 ◽  
Vol 15 (3) ◽  
Author(s):  
Reginaldo Carvalho da Silva Filho ◽  
Gilmar Fernandes do Prado

Introdução. A insônia é uma queixa muito comum e a acupuntu-ra tem sido empregada em seu tratamento por milhares de anos, porém até o momento não dispomos de estudos científicos com evidências que comprovem sua eficácia. Objetivo. Identificar es-tudos clínicos de valor científico sobre os efeitos da acupuntura no tratamento da insônia. Método. Revisão sistemática com busca de artigos nas bases de dados: MEDLINE, Cochrane Library, Bio- Med Central, BMC Complementary and Alternative Medicine, SciELO, LILACS, ACUBRIEFS e Library of Shandong Unvier-sity of Traditional Chinese Medicine. Foram utilizadas as pala-vras chaves “ACUPUNTURA”, “AURICULAR” e “INSÔNIA”, em inglês, espanhol e francês. Foram incluídos ensaios clínicos, estudos ou séries de casos; com objetivo principal a avaliação do uso da acupuntura no tratamento da insônia; com desfecho a me-lhora, piora ou manutenção da insônia. Foram excluídos artigos sobre queixa diferente da insônia mesmo que relatasse alteração nesta queixa. Resultados. Foram encontrados 180 artigos, 31 pre-encheram os critérios de inclusão. Um total de 3574 pacientes fo-ram analisados, 1359 participaram de dos 11 estudos controlados. Os resultados nos grupos de acupuntura e controle, apareceram respectivamente em 412 (57,46%) e 141 (21,96%) para cura, 264 (36,82%) e 232 (36,14%) para melhora e 41 (5,72%) e 269 (41,90%) para falha. Conclusão. Os resultados encontrados suge-rem que a acupuntura pode ser uma intervenção eficaz para inso-nes, no entanto trabalhos com melhores e mais rigorosos métodos, como ensaios clínicos randomizados, controlados, simples-cego, e com amostras maiores devem ser realizados para determinar melhor a eficácia da acupuntura no tratamento da insônia.


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.


Sign in / Sign up

Export Citation Format

Share Document