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Published in: Supportive Care in Cancer 6/2014

01-06-2014 | Original Article

Complementary and alternative medicine use and disclosure amongst Australian radiotherapy patients

Authors: Darren Hunter, Richard Oates, Janet Gawthrop, Michelle Bishop, Suki Gill

Published in: Supportive Care in Cancer | Issue 6/2014

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Abstract

Purpose

Information on complementary and alternative medicine (CAM) use in Australian radiotherapy patients is sparse. This study investigated the type and prevalence of CAM amongst an Australian regional radiotherapy patient cohort and the disclosure of information to the consultant radiation oncologist.

Methods

A single hardcopy questionnaire survey was provided to patients regarding the use of CAM and discussion with the treating medical practitioner. The National Centre for Complementary and Alternative Medicine (NCCAM) classification was used to group responses. The study was open for a period of 4 months, and all patients on treatment during this period were approached.

Results

A total of 170 questionnaires were distributed to eligible patients, and 152 patients returned a completed questionnaire (89.4 % response rate). Sixty-nine of the 152 patients (45.4 %) reported active CAM use. Of the 69 patients who used CAM, mind–body medicine (n = 54, 78.3 %) and biological-based therapies (n = 54, 78.3 %) were the commonest NCCAM group, whilst manipulative/body-based therapies (n = 44, 63.8 %), whole medical systems (n = 7, 10.1 %) and energy therapies (n = 5, 7.2 %) were the least common. The most common therapies were vitamins and mineral supplementation (n = 33, 47.8 %) and massage therapy (n = 18, 26.1 %). Of note, only 29 participants stated that they had discussed CAM therapies with their radiation oncologist.

Conclusions

CAM use was prevalent amongst cancer patients undergoing radiotherapy, but frequently not discussed with the treating radiation oncologist. Considering the high prevalence of CAM, further resources could be justifiably directed at providing this service for cancer patients to foster a more holistic approach to their care.
Literature
2.
go back to reference Wieland LS, Manheimer E, Berman BM (2011) Development and classification of an operational definition of complementary and alternative medicine for the Cochrane collaboration. Altern Ther Health Med 17(2):50–59PubMedCentralPubMed Wieland LS, Manheimer E, Berman BM (2011) Development and classification of an operational definition of complementary and alternative medicine for the Cochrane collaboration. Altern Ther Health Med 17(2):50–59PubMedCentralPubMed
5.
go back to reference Richardson MA, Sanders T, Palmer JL, Greisinger A, Singletary SE (2000) Complementary/alternative medicine use in a comprehensive cancer center and the implications for oncology. J Clin Oncol Off J Am Soc Clin Oncol 18(13):2505–2514 Richardson MA, Sanders T, Palmer JL, Greisinger A, Singletary SE (2000) Complementary/alternative medicine use in a comprehensive cancer center and the implications for oncology. J Clin Oncol Off J Am Soc Clin Oncol 18(13):2505–2514
7.
go back to reference Hyodo I, Amano N, Eguchi K, Narabayashi M, Imanishi J, Hirai M, Nakano T, Takashima S (2005) Nationwide survey on complementary and alternative medicine in cancer patients in Japan. J Clin Oncol Off J Am Soc Clin Oncol 23(12):2645–2654. doi:10.1200/JCO.2005.04.126 CrossRef Hyodo I, Amano N, Eguchi K, Narabayashi M, Imanishi J, Hirai M, Nakano T, Takashima S (2005) Nationwide survey on complementary and alternative medicine in cancer patients in Japan. J Clin Oncol Off J Am Soc Clin Oncol 23(12):2645–2654. doi:10.​1200/​JCO.​2005.​04.​126 CrossRef
10.
go back to reference Lifshitz DA, Shikanov SA, Razmaria AA, Eggener SE, Liao C, Chang A, Shalhav AL (2011) Clinical and histologic predictors of renal function decline after laparoscopic partial nephrectomy. J Endourol Endourological Soc 25(9):1435–1441. doi:10.1089/end.2010.0646 CrossRef Lifshitz DA, Shikanov SA, Razmaria AA, Eggener SE, Liao C, Chang A, Shalhav AL (2011) Clinical and histologic predictors of renal function decline after laparoscopic partial nephrectomy. J Endourol Endourological Soc 25(9):1435–1441. doi:10.​1089/​end.​2010.​0646 CrossRef
11.
go back to reference Klafke N, Eliott JA, Wittert GA, Olver IN (2012) Prevalence and predictors of complementary and alternative medicine (CAM) use by men in Australian cancer outpatient services. Ann Oncol 23(6):1571–1578. doi:10.1093/annonc/mdr521 PubMedCrossRef Klafke N, Eliott JA, Wittert GA, Olver IN (2012) Prevalence and predictors of complementary and alternative medicine (CAM) use by men in Australian cancer outpatient services. Ann Oncol 23(6):1571–1578. doi:10.​1093/​annonc/​mdr521 PubMedCrossRef
12.
go back to reference Field KM, Jenkins MA, Friedlander ML, McKinley JM, Price MA, Weideman P, Keogh LA, McLachlan SA, Lindeman GJ, Hopper JL, Butow PN, Phillips KA (2009) Predictors of the use of complementary and alternative medicine (CAM) by women at high risk for breast cancer. Eur J Cancer 45(4):551–560. doi:10.1016/j.ejca.2008.09.023 PubMedCrossRef Field KM, Jenkins MA, Friedlander ML, McKinley JM, Price MA, Weideman P, Keogh LA, McLachlan SA, Lindeman GJ, Hopper JL, Butow PN, Phillips KA (2009) Predictors of the use of complementary and alternative medicine (CAM) by women at high risk for breast cancer. Eur J Cancer 45(4):551–560. doi:10.​1016/​j.​ejca.​2008.​09.​023 PubMedCrossRef
13.
go back to reference Pedersen CG, Christensen S, Jensen AB, Zachariae R (2009) Prevalence, socio-demographic and clinical predictors of post-diagnostic utilisation of different types of complementary and alternative medicine (CAM) in a nationwide cohort of Danish women treated for primary breast cancer. Eur J Cancer 45(18):3172–3181. doi:10.1016/j.ejca.2009.09.005 PubMedCrossRef Pedersen CG, Christensen S, Jensen AB, Zachariae R (2009) Prevalence, socio-demographic and clinical predictors of post-diagnostic utilisation of different types of complementary and alternative medicine (CAM) in a nationwide cohort of Danish women treated for primary breast cancer. Eur J Cancer 45(18):3172–3181. doi:10.​1016/​j.​ejca.​2009.​09.​005 PubMedCrossRef
16.
go back to reference Micke O, Bruns F, Glatzel M, Schönekaes K, Micke P, Mücke R, Büntzel J (2009) Predictive factors for the use of complementary and alternative medicine (CAM) in radiation oncology. Eur J Integr Med 1(1):19–25CrossRef Micke O, Bruns F, Glatzel M, Schönekaes K, Micke P, Mücke R, Büntzel J (2009) Predictive factors for the use of complementary and alternative medicine (CAM) in radiation oncology. Eur J Integr Med 1(1):19–25CrossRef
17.
go back to reference Wong LC, Chan E, Tay S, Lee KM, Back M (2010) Complementary and alternative medicine practices among Asian radiotherapy patients. Asia Pac J Clin Oncol 6(4):357–363PubMedCrossRef Wong LC, Chan E, Tay S, Lee KM, Back M (2010) Complementary and alternative medicine practices among Asian radiotherapy patients. Asia Pac J Clin Oncol 6(4):357–363PubMedCrossRef
18.
go back to reference Wong J, Bolderston A (2007) A descriptive study of departmental policies regarding patients use of complementary and alternative medicine in Ontario radiation therapy centres. Can J Med Radiat Technol 38(1):32–38CrossRef Wong J, Bolderston A (2007) A descriptive study of departmental policies regarding patients use of complementary and alternative medicine in Ontario radiation therapy centres. Can J Med Radiat Technol 38(1):32–38CrossRef
19.
go back to reference Bolderston A, Mitchell F, Cowan B, Mawson C (2008) Radiation therapists’ experiences with complementary alternative medicine use by their patients: a preliminary study. J Med Imaging Rad Sci 39:128–134CrossRef Bolderston A, Mitchell F, Cowan B, Mawson C (2008) Radiation therapists’ experiences with complementary alternative medicine use by their patients: a preliminary study. J Med Imaging Rad Sci 39:128–134CrossRef
20.
go back to reference Baum M, Ernst E, Lejeune S, Horneber M (2006) Role of complementary and alternative medicine in the care of patients with breast cancer: report of the European Society of Mastology (EUSOMA) Workshop, Florence, Italy, December 2004. Eur J Cancer 42(12):1702–1710. doi:10.1016/j.ejca.2006.02.020 PubMedCrossRef Baum M, Ernst E, Lejeune S, Horneber M (2006) Role of complementary and alternative medicine in the care of patients with breast cancer: report of the European Society of Mastology (EUSOMA) Workshop, Florence, Italy, December 2004. Eur J Cancer 42(12):1702–1710. doi:10.​1016/​j.​ejca.​2006.​02.​020 PubMedCrossRef
21.
go back to reference Pirri C (2011) Integrating complementary and conventional medicine. Cancer Forum 35(1):1–9 Pirri C (2011) Integrating complementary and conventional medicine. Cancer Forum 35(1):1–9
22.
go back to reference Rausch SM, Winegardner F, Kruk KM, Phatak V, Wahner-Roedler DL, Bauer B, Vincent A (2011) Complementary and alternative medicine: use and disclosure in radiation oncology community practice. Support Care Cancer 19(4):521–529PubMedCrossRef Rausch SM, Winegardner F, Kruk KM, Phatak V, Wahner-Roedler DL, Bauer B, Vincent A (2011) Complementary and alternative medicine: use and disclosure in radiation oncology community practice. Support Care Cancer 19(4):521–529PubMedCrossRef
23.
go back to reference Chen LN, Suy S, Uhm S, Oermann EK, Ju AW, Chen V, Hanscom HN, Laing S, Kim JS, Lei S, Batipps GP, Kowalczyk K, Bandi G, Pahira J, McGeagh KG, Collins BT, Krishnan P, Dawson NA, Taylor KL, Dritschilo A, Lynch JH, and Collins SP (2013) Stereotactic body radiation therapy (SBRT) for clinically localized prostate cancer: the Georgetown University experience. Radiat Oncol. 8: p. 58. DOI: 10.1186/1748-717X-8-58 Chen LN, Suy S, Uhm S, Oermann EK, Ju AW, Chen V, Hanscom HN, Laing S, Kim JS, Lei S, Batipps GP, Kowalczyk K, Bandi G, Pahira J, McGeagh KG, Collins BT, Krishnan P, Dawson NA, Taylor KL, Dritschilo A, Lynch JH, and Collins SP (2013) Stereotactic body radiation therapy (SBRT) for clinically localized prostate cancer: the Georgetown University experience. Radiat Oncol. 8: p. 58. DOI: 10.​1186/​1748-717X-8-58
24.
go back to reference Robotin MC, Penman AG (2006) Integrating complementary therapies into mainstream cancer care: which way forward? Med J Aust 185(7):377–379PubMed Robotin MC, Penman AG (2006) Integrating complementary therapies into mainstream cancer care: which way forward? Med J Aust 185(7):377–379PubMed
25.
go back to reference Hollenberg D, Cowan B, Wright N (2008) New and uncharted territory: integrative medicine in the medical radiation sciences. Can J Med Rad Technol 38(4):23–30CrossRef Hollenberg D, Cowan B, Wright N (2008) New and uncharted territory: integrative medicine in the medical radiation sciences. Can J Med Rad Technol 38(4):23–30CrossRef
26.
go back to reference Thomas J, Beinhorn C, Norton D, Richardson M, Sumler SS, Frenkel M (2010) Managing radiation therapy side effects with complementary medicine. J Soc Integr Oncol 8(2):65–80PubMed Thomas J, Beinhorn C, Norton D, Richardson M, Sumler SS, Frenkel M (2010) Managing radiation therapy side effects with complementary medicine. J Soc Integr Oncol 8(2):65–80PubMed
Metadata
Title
Complementary and alternative medicine use and disclosure amongst Australian radiotherapy patients
Authors
Darren Hunter
Richard Oates
Janet Gawthrop
Michelle Bishop
Suki Gill
Publication date
01-06-2014
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 6/2014
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-014-2120-8

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