Open Dialogue About Complementary Alternative Medicine

Author(s):  
2021 ◽  
Author(s):  
Mette Stie ◽  
Charlotte Delmar ◽  
Birgitte Nørgaard ◽  
Lars Henrik Jensen

Abstract Complementary alternative medicine (CAM) may reduce the symptom burden of side effects to antineoplastic treatment but also cause new side effects and non-adherence to conventional treatment. The aim of this randomized controlled study was to investigate the impact of integrative open dialogue about CAM (IOD-CAM) on cancer patients’ health and quality of life (QoL). Patients undergoing curative or palliative antineoplastic treatment were randomly assigned to standard care (SC) plus IOD-CAM or SC alone. A nurse specialist facilitated IOD-CAM in one or two sessions. The primary endpoint was the frequency of grade 3–4 adverse events (AE) eight weeks after enrollment. Secondary endpoints were frequency of grade 1–4 AE and patient reported QoL, psychological distress, perceived information, attitude towards and use of CAM 12 and 24 weeks after enrollment. Survival was analyzed post-hoc. Fifty-seven patients were randomized to IOD-CAM and 55 to SC. No significant difference in frequency of grade 3–4 AEs was shown between the two groups eight weeks after enrollment. The same applied to grade 1–4 AE and QoL, psychological distress, and perceived information 12 and 24 weeks after enrollment. However, a tendency towards better QoL, improved survival, and lower level of anxiety was found in the IOD-CAM group. IOD-CAM is not superior to SC in reducing frequency of AEs in patients undergoing oncology treatment. IOD-CAM does not compromise patient safety; it may reduce psychological stress, and improve QoL and overall survival. Further research on the effect of IOD-CAM on emotional well-being and overall survival is warranted.


2019 ◽  
Vol 10 (2) ◽  
pp. 94
Author(s):  
Elfira Husna ◽  
Siti Mutia Kossasy

Data WHO menunjukkan angka kejadian stroke meningkat setiap tahunnya. Stroke menyebabkan dampak negatif bagi pasien yang bertahan dengan ketidakmampuan fungsi tubuh. Pasien pascastroke seringkali berada dalam kondisi kronis yang membutuhkan pengobatan dan perawatan. Bahkan, pengobatan konvensional tidak sepenuhnya efektif untuk banyak kondisi neurologis umum. Berdasarkan survei yang dilakukan oleh National Health Interview Survey (2007), hampir setengah dari orang dewasa dengan stroke melaporkan penggunaan Complementary Alternative Medicine (CAM) sebagai pengobatan. Jenis penelitian ini adalah penelitian deskriptif yang dilakukan dengan metode peramalan kuantitatif Time Series. Analisa time series merupakan metode dimana sejumlah observasi diambil selama beberapa periode dan digunakan sebagai dasar dalam menyusun ramalan untuk beberapa periode di masa depan. Observasi dilakukan terhadap data laporan bulanan RSSN dengan metode dokumentasi dari bulan januari 2010 sampai dengan bulan Desember 2016 di RS Stroke Nasional Bukittinggi. Hasil penelitian menunjukkan bahwa peramalan dengan metode double eksponential smoothing dilakukan pada pasien stroke dengan akupuntur dan terapi okupasi. Hasil Ramalan menunjukkan bahwa jumlah pasien stroke dengan perawatan akupuntur pada tahun 2016 cenderung mengalami kenaikan. Jumlah keseluruhan pasien stroke dengan perawatan akupuntur mengalami kenaikan pada tahun 2016 yaitu mencapai 292 pasien. Ramalan jumlah pasien stroke dengan terapi okupasi tahun 2016 mencapai 7 pasien.


2015 ◽  
Vol 22 (3) ◽  
pp. 372-382 ◽  
Author(s):  
Jonatas Zeni Klafke ◽  
Fernando Garcez Porto ◽  
Amanda Spring de Almeida ◽  
Mariana Migliorini Parisi ◽  
Gabriela Elisa Hirsch ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abdul Rahman Jazieh ◽  
Khadega A. Abuelgasim ◽  
Husam I. Ardah ◽  
Mohammad Alkaiyat ◽  
Omar B. Da’ar

Abstract Background The use of complementary and alternative medicine (CAM) is common among cancer patients and it may reflect the individual and societal beliefs on cancer therapy. Our study aimed to evaluate the trends of CAM use among patients with cancer between 2006 and 2018. Methods We included 2 Cohorts of patients with cancer who were recruited for Cohort 1 between 2006 and 2008 and for Cohort 2 between 2016 and 2018. The study is a cross-sectional study obtaining demographic and clinical information and inquiring about the types of CAM used, the reasons to use them and the perceived benefits. We compared the changes in the patterns of CAM use and other variables between the two cohorts. Results A total of 1416 patients were included in the study, with 464 patients in Cohort 1 and 952 patients in Cohort 2. Patients in Cohort 2 used less CAM (78.9%) than Cohort 1 (96.8%). Cohort 1 was more likely to use CAM to treat cancer compared to Cohort 2 (84.4% vs. 73%, respectively, p < 0.0001,); while Cohort 2 used CAM for symptom management such as pain control and improving appetite among others. Disclosure of CAM use did not change significantly over time and remains low (31.6% in Cohort 1 and 35.7% for Cohort 2). However, physicians were more likely to express an opposing opinion against CAM use in Cohort 2 compared to Cohort 1 (48.7% vs. 19.1%, p < 0.001, respectively). Conclusion There is a significant change in CAM use among cancer patients over the decade, which reflects major societal and cultural changes in this population. Further studies and interventions are needed to improve the disclosure to physicians and to improve other aspects of care to these patients.


2007 ◽  
Vol 48 (5) ◽  
pp. 540-543 ◽  
Author(s):  
Ceyda Karadeniz ◽  
F. Güçlü Pınarlı ◽  
Aynur Oğuz ◽  
Türkiz Gürsel ◽  
Berna Canter

2000 ◽  
Vol 31 (3) ◽  
pp. 39-57 ◽  
Author(s):  
Cynthia A. Loveland Cook ◽  
Dorothy S. Becvar ◽  
Sharon L. Pontious

Sign in / Sign up

Export Citation Format

Share Document