Complementary and alternative medicine or CAM is a term for generally used to describe medical products, practices and services that are not part of standard medical care. While complementary medicine are treatments that are used along with standard medical treatments, they are, however, not considered to be standard treatments. One example is using acupuncture to help lessen and reduce some side effects of cancer treatment. On the other had, alternative medicine are treatments that are used instead of standard medical treatments. Alternative treatment may include using a special diet to treat cancer instead of anticancer drugs that are prescribed by an oncologist.[1]
A new study has shed light on how cancer patients? attitudes and beliefs drive the use of complementary and alternative medicine. Published early online inCANCER, a peer-reviewed journal of the American Cancer Society, the findings may help hospitals develop more effective and accessible integrative oncology services for patients.[2]
Although many cancer patients use complementary and alternative medicine (CAM), what drives this usage is unclear. To investigate, a team led by Jun Mao, MD and Joshua Bauml, MD, of the Abramson Cancer Center at the University of Pennsylvania?s Perelman School of Medicine, conducted a survey-based study in their institution?s thoracic, breast, and gastrointestinal medical oncology clinics.
…expectation of therapeutic benefits, patient-perceived barriers regarding cost and access, and opinions of the patients? physician and their family members, may predict patients? use of complementary and alternative medicine following cancer diagnoses…
Expecting benefits from CAM
Among 969 participants surveyed between June 2010 and September 2011, patients who were younger, those who were female, and those who had a college education tended to expect greater benefits from complementary and alternative medicine. Nonwhite patients reported more perceived barriers to the use of complementary and alternative medicine compared with white patients, but their expectations concerning the medicine?s benefits were similar. Attitudes and beliefs about complementary and alternative medicine were much more likely to affect patients? use than clinical and demographic characteristics.
Socio-demographi factors
?We found that specific attitudes and beliefs–such as expectation of therapeutic benefits, patient-perceived barriers regarding cost and access, and opinions of patients? physician and family members–may predict patients? use of complementary and alternative medicine following cancer diagnoses,? Mao noted. ?We also found that these beliefs and attitudes varied by key socio-demographic factors such as sex, race, and education, which highlights the need for a more individualized approach when clinically integrating complementary and alternative medicine into conventional cancer care.?
The researchers noted that as therapies such as acupuncture and yoga continue to demonstrate clinical benefits for reducing pain, fatigue, and psychological distress, the field of integrative oncology is emerging to bring complementary and alternative medicine together with conventional care to improve patient outcomes.
Integrative oncology programs
?Our findings emphasize the importance of patients? attitudes and beliefs about complementary and alternative medicine as we seek to develop integrative oncology programs in academic medical centers and community hospitals,? Bauml said. ?By aligning with patients? expectations, removing unnecessary structural barriers, and engaging patients? social and support networks, we can develop patient-centered clinical programs that better serve diverse groups of cancer patients regardless of sex, race, and education levels.?
References
[1] Complementary and Alternative Medicine. National Cancer institute (website). http://www.cancer.gov/about-cancer/treatment/cam. Last accessed May 26, 2015
[2]Bauml J, Chokshi S, Schapira MM, Im EO, Li SQ, Langer C, Ibrahim S, Mao JJ. Do attitudes and beliefs about complementary and alternative medicine impact utilization among patients with cancer? A cross-sectional survey. CANCER; Published Online: May 26, 2015 (DOI: 10.1002/cncr.29173) [Article]
Last Editorial Review: May 26, 2015
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