Cancer Patient Disclosure and Patient-Doctor Communication of Complementary and Alternative Medicine Use: A Systematic Review
Esther L Davis,Byeongsang Oh,Byeongsang Oh,Byeongsang Oh,Phyllis Butow,Barbara Mullan,Stephen Clarke +6 more
TLDR
Although the use of CAM by patients with cancer is high, patients frequently fail to disclose its use to their health professionals for reasons emanating from both sides of the dyadic patient-doctor relationship.Abstract:
Objective. To explore the nondisclosure of complementary and alternative medicine (CAM) use among cancer patients, including reasons for and outcomes from nondisclosure of CAM use, within the context of patient-doctor communication. Method. A systematic review was conducted exploring investigations surrounding the communication of CAM use for patients with cancer published until August 2011. Results.Atotalof21studieswerelocated,whichreporteda prevalence of CAM use among patients with cancer ranging between11%and95%;ofthesepatients,20%to77%didnot disclose their CAM use. The main reasons for nondisclosure werethedoctor’slackofinquiry;patient’santicipationofthe doctor’s disapproval, disinterest, or inability to help; and patient’s perception that disclosure of CAM use is irrelevant to their conventional care. There is some evidence to suggest that patient-doctor communication about the use of CAM was associated with an enhanced patient-doctor relationship and higher patient satisfaction. Conclusions. Although the use of CAM by patients withread more
Citations
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Scoping review of patient-centered care approaches in healthcare
TL;DR: The fact that all identified approaches to patient-centered care incorporated strategies to achieve effective communication, partnership, and health promotion indicates that clinicians can select a patient- centered approach from the literature that best suits their patient’s needs, and be confident that it will satisfy the three core elements of patient-center care provision.
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Complementary Medicine, Refusal of Conventional Cancer Therapy, and Survival Among Patients With Curable Cancers.
TL;DR: Patients who received complementary medicine were more likely to refuse additional CCT, and had a higher risk of death, compared with those who do not receive CM, and the results suggest that mortality risk associated with CM was mediated by the refusal of CCT.
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Traditional, complementary and alternative medicine use in Sub-Saharan Africa: a systematic review
TL;DR: TCAM use in SSA is significant, although most studies emerge from a few countries, but further research may be required to further elucidate challenges and opportunities related to TCAM use specific to SSA.
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Complementary and alternative medicine use in cancer: A systematic review.
TL;DR: Frequent reasons for use, grouped into themes were shown to be to influence their cancer and general health and to treat complications of the cancer or therapy.
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Use of Alternative Medicine for Cancer and Its Impact on Survival
TL;DR: Although rare, AM utilization for curable cancer without any CCT is associated with greater risk of death, and independent covariates on multivariable logistic regression associated with increased likelihood of AM use included breast or lung cancer, higher socioeconomic status, Intermountain West or Pacific location, stage II or III disease, and low comorbidity score.
References
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Journal ArticleDOI
Trends in Alternative Medicine Use in the United States, 1990-1997 Results of a Follow-up National Survey
David Eisenberg,Roger B. Davis,Susan L. Ettner,Scott Appel,Sonja Wilkey,Maria I. Van Rompay,Ronald C. Kessler +6 more
TL;DR: Alternative medicine use and expenditures increased substantially between 1990 and 1997, attributable primarily to an increase in the proportion of the population seeking alternative therapies, rather than increased visits per patient.
Journal Article
Doctor-patient communication: a review.
TL;DR: This work reviews the literature on doctor-patient communication and suggests that many doctors tend to overestimate their ability in communication.
Journal ArticleDOI
Use of complementary and alternative medicine in cancer patients: a European survey
Alex Molassiotis,Paz Fernadez-Ortega,Dorit Pud,Gulten Ozden,Julia A. Scott,Vassiliki Panteli,Anita Margulies,Maria Browall,Miriam Magri,Sarka Selvekerova,Elin Madsen,Ljiljana Milovics,Ingrid Bruyns,Gudbjorg Gudmundsdottir,Sandra Hummerston,A. M.-A. Ahmad,Nurgun Platin,Nora Kearney,Elisabeth Patiraki +18 more
TL;DR: It is imperative that health professionals explore the use of CAM with their cancer patients, educate them about potentially beneficial therapies in light of the limited available evidence of effectiveness, and work towards an integrated model of health-care provision.
Journal ArticleDOI
Complementary/Alternative Medicine Use in a Comprehensive Cancer Center and the Implications for Oncology
TL;DR: In most categories, CAM use was common among outpatients and given the number of patients combining vitamins and herbs with conventional treatments, the oncology community must improve patient-provider communication, offer reliable information to patients, and initiate research to determine possible drug-herb-vitamin interactions.
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