scispace - formally typeset
Journal ArticleDOI: 10.1055/S-0040-1721065

Use of Homeopathy in Integrative Oncology in Strasbourg, France: Multi-center Cross-Sectional Descriptive Study of Patients Undergoing Cancer Treatment.

04 Mar 2021-Homeopathy (Georg Thieme Verlag KG)-Vol. 110, Iss: 03, pp 168-173
Abstract: Context The use of homeopathy in oncological supportive care seems to be progressing. The first French prevalence study, performed in 2005 in Strasbourg, showed that only 17% of the subjects were using it. What is the situation 12 years later? Materials and Methods This is a descriptive study, using a questionnaire identical to that used in 2005, on 633 patients undergoing treatment in three anti-cancer centers in Strasbourg. The results of the “homeopathy” sub-group were extracted and studied. Results Of the 535 patients included, 164 used homeopathy: that is 30.7%. The main purpose of its use was to reduce the side effects of cancer treatments (75%). Among the users, 82.6% were “somewhat” or “very” satisfied, against “quite” satisfied for 15.5%, and “not at all” satisfied for 1.9%. The homeopathic treatment was prescribed by a doctor in 75.6% of the cases; the general practitioner was kept informed in 87% of the cases and the oncologist in 82%. Fatigue, pain, nausea, anxiety, sadness and diarrhea were improved in 80% of the cases. However, alopecia, weight disorders and loss of libido were the least improved symptoms. The use of homeopathy was significantly associated with the female sex. Conclusion With a prevalence of 30.7%, homeopathy is the most used complementary medicine in integrative oncology in Strasbourg. Over 12 years, we have witnessed an increase of 83% in its use in the same city. Almost all respondents declare themselves satisfied and tell their doctors more readily than in 2005.

... read more

Topics: Homeopathy (57%)
Citations
  More

7 results found


Journal ArticleDOI: 10.1016/J.REVHOM.2021.10.007
Abstract: Summary Introduction Integrative health is the combined use of conventional medicine, complementary medicine and lifestyle medicine. It is the result of the coordination of patient-centred, science and evidence-based health practices, delivered by a multidisciplinary team. Its objective is to enable the return or the maintenance of health in an optimal well-being. Its originality lies in the inclusion of the patients and their own representations of care in the overall management of their health. Outlook As a result of a strong demand from patients but also from caregivers, this North American concept is gradually being established in France. Since December 2019, the Strasbourg Saint Vincent de Paul Hospital Group has opened an Outpatients unit for Integrative care. Initially created in Aix-en-Provence in 2010, there are now 7 Resource centres which offer Well Being care and a Personalised Therapeutic Accompaniment Program. In Dunkirk, the Flanders House of Supportive Care (Maison des Soins de Support des Flandres) has been in operation since 2017. In Paris, since 2018, the Rafael Institute offers 9000 integrated treatments per year. All these treatments are free of charge for the patient. Conclusion In treating the whole person, understanding the needs and values of each patient, by looking after the quality of life as much as seeking to cure, integrative health care makes it possible for caregivers to link the treatment goals with good and new practices for and with the patient.

... read more

Topics: Health care (64%), Lifestyle medicine (53%)

Open accessJournal ArticleDOI: 10.1007/S11912-021-01135-6
Adi David1, David Hausner1, Moshe Frenkel2Institutions (2)
Abstract: Purpose of review This review aims to assess recent data on possible effective and safe complementary and integrative medicine (CIM) modalities that can be of help to patients affected by cancer that suffer from cancer-related fatigue (CRF). Recent findings Cancer-related fatigue (CRF) is one of the most common, persistent, and challenging symptoms among cancer patients and survivors. Many world-leading cancer centers incorporate CIM into routine cancer care including integrating multiple approaches to address CRF. Approaches that are supported by clinical evidence on the use of CIM during and following conventional oncology treatments are being discussed in this review. The review suggests that some CIM modalities might have a potential role in alleviating cancer-related fatigue. These modalities include acupuncture, touch therapies, nutrition, nutritional supplements, stress reduction, homeopathy, and circadian rhythm management. Additional research is still needed to better support the process of integrating CIM into a routine approach to cancer-related fatigue.

... read more


Journal ArticleDOI: 10.1016/J.REVHOM.2021.10.015
Abstract: Resume Introduction La sante integrative est l’utilisation conjointe des medecines conventionnelles, des medecines complementaires et de la medecine du mode de vie. Elle est le fruit de la coordination de pratiques de sante validees, centrees sur le patient, fondees sur la science et dispensees en equipe multidisciplinaire. Son objectif est de permettre le retour ou le maintien de la sante dans un bien-etre optimal. Son originalite reside dans l’inclusion du patient et de ses propres representations de soin dans la prise en charge globale de sa sante. Perspectives Face a une forte demande des patients mais aussi des soignants, ce concept nord-americain s’implante progressivement en France. Depuis decembre 2019, le Groupe Hospitalier Saint-Vincent de Strasbourg a ouvert une unite d’hospitalisation de jour de soins integratifs. Initialement crees a Aix en Provence en 2010, ce sont aujourd’hui 7 Centres Ressources qui offrent des soins de Mieux-Etre et un Programme Personnalise d’Accompagnement Therapeutique. A Dunkerque, la Maison des Soins de Support des Flandres fonctionne depuis 2017. A Paris, depuis 2018, l’Institut Rafael offre 9000 soins integratifs par an. Tous ces soins sont sans reste a charge pour le patient. Conclusion En traitant de maniere globale, en comprenant les besoins et les valeurs de chaque patient, en se preoccupant de la qualite de vie autant que de la guerison, la sante integrative permet aux soignants de faire correspondre les objectifs therapeutiques avec de bonnes et nouvelles pratiques pour et avec le patient.

... read more


Open accessJournal ArticleDOI: 10.1016/J.REVHOM.2021.10.005
Abstract: Resume Contexte les soins integratifs sont l’association aux traitements conventionnels, de therapies complementaires de qualite et validees, utilisees en soins de support. Plus de la moitie des patients y font appel pendant les traitements du cancer. Pour faciliter l’acces a ce type de soins aux patients de perfomance status OMS 2 ou 3, nous avons cree un hopital de jour de soins integratifs, il y a pres de deux ans. Comment fonctionne cette unite de soin originale ? Quels sont ses premiers resultats ? Methode un questionnaire pour chaque pratique a ete adresse a l’equipe soignante (deux medecins, quatre infirmieres, une psychologue, une dieteticienne, une estheticienne) et analyse. Resultats quatorze questionnaires ont ete etudies (certains soignants pratiquants plusieurs techniques) : entretien infirmier d’evaluation, consultation medicale de coordination, homeopathie, acupuncture, auriculotherapie, micronutrition, dietetique, aromatherapie, reflexologie, psycho-oncologie, soins sociaux-esthetiques, meditation de pleine conscience, hypnose, realite virtuelle et repas therapeutique. Tous les soignants ont une experience en cancerologie et sont diplomes dans leurs specialites specifiques. Les retours therapeutiques des soignants comme des patients sont tres positifs. Les benefices obtenus sur les symptomes et la qualite de vie sont en concordance avec les resultats des differentes etudes existantes. Les indications principales sont la fatigue, les douleurs (notamment neuropathiques), les troubles digestifs et anxiodepressifs. Conclusion Les questionnaires d’evaluation des patients sont tres positifs et encouragent la poursuite et le developpement de ce type de prise en charge. Une charte de soin encadre l’activite du soignant integratif et nous premunit de toute derive. Une etude qualitative devrait etre realisee pour evaluer notre pratique.

... read more



References
  More

14 results found


Journal ArticleDOI: 10.1054/HOMP.1999.0378
01 Jul 2000-Homeopathy
Abstract: Objective: To evaluate the safety of homeopathic medicines by critically appraising reports of adverse effects published in English from 1970 to 1995. Method: Systematic review on information regarding adverse effects of homeopathic medicines identified using electronic databases, hand searching, searching reference lists, reviewing the bibliography of trials, and other relevant articles, contacting homeopathic pharmaceutical companies and drug regulatory agencies in UK and USA, and by communicating with experts in homeopathy. Results: The mean incidence of adverse effects of homeopathic medicines was greater than placebo in controlled clinical trials (9.4/6.1) but effects were minor, transient and comparable. There was a large incidence of pathogenetic effects in healthy volunteers taking homeopathic medicines but the methodological quality of these studies was generally low. Anecdotal reports of adverse effects in homeopathic publications were not well documented and mainly reported aggravation of current symptoms. Case reports in conventional medical journals pointed more to adverse effects of mislabelled ‘homeopathic products’ than to true homeopathic medicines. Conclusions: Homeopathic medicines in high dilutions, prescribed by trained professionals, are probably safe and unlikely to provoke severe adverse reactions. It is difficult to draw definite conclusions due to the low methodological quality of reports claiming possible adverse effects of homeopathic medicines.

... read more

Topics: Adverse effect (52%), Homeopathy (50%)

162 Citations


Open accessJournal ArticleDOI: 10.1684/BDC.2007.0234
01 May 2007-Bulletin Du Cancer
Abstract: Deux cent quarante-quatre malades cancereux en cours de chimiotherapie dans deux centres publics (adulte et pediatrie) et une consultation privee ont ete interroges sur la prise de traitements complementaires et alternatif (CAM). Lorsqu’on regroupait les consultants du centre participant au service public et du cabinet liberal, pres de 28 % utilisent au moins une forme de CAM, essentiellement l’homeopathie (60 %), des regimes dietetiques particuliers et supplements alimentaires (44 %), la phytotherapie (37,5 %), des injections d’extraits de gui (40 %) et, moins frequemment, l’acupuncture ou d’autres traitements, notamment biologiques. Ces CAM etaient pris en moyenne 4 a 5 mois apres le debut du traitement anticancereux dans le but essentiellement, selon les malades, de renforcer les defenses de l’organisme (78,5 %) pour mieux supporter le traitement anticancereux (85 %) et, pour un pourcentage non negligeable (27,5 %), pour traiter la maladie cancereuse elle-meme. Tous les malades suivaient des traitements anticancereux classiques et aucun n’avait envisage de les interrompre. Le traitement etait instaure dans la grande majorite des cas par des medecins, notamment homeopathes, et 30 % des malades n’en informaient pas leur oncologue. L’echantillon d’oncopediatrie ne concernait que les parents de 10 enfants et, dans cet echantillon, les memes constatations que pour les adultes ont ete notees. La plupart des patients n’avaient pas recours a ce type de traitement avant le diagnostic de cancer et c’est essentiellement l’existence d’une maladie grave et des effets secondaires des therapeutiques qui les orientaient vers ces therapeutiques. Il n’a pas ete note d’effets secondaires notables lors de la prise de ces differentes medecines. En analyse multivariee, le sexe feminin et un âge compris entre 20 et 50 ans apparaissent significativement associes au recours aux medecines complementaires. L’ensemble des patients consommateurs de ces medecines en fait complementaires se dit satisfait de l’amelioration de leur etat general et des symptomes comme la fatigue, les nausees et vomissements, et rares sont ceux qui n’ont constate aucune amelioration subjective. Cette etude, la premiere sur un effectif aussi important en France, confirme les donnees des autres pays europeens.

... read more

69 Citations


Journal ArticleDOI: 10.1007/S00520-014-2517-4
Abstract: The Region of Tuscany Health Department was included as an associated member in WP7 “Healthcare” of the European Partnership for Action Against Cancer (EPAAC), initiated by the EU Commission in 2009. The principal aim was to map centres across Europe prioritizing those that provide public health services and operating within the national health system in integrative oncology (IO). A cross-sectional descriptive survey design was used to collect data. A questionnaire was elaborated concerning integrative oncology therapies to be administered to all the national health system oncology centres or hospitals in each European country. These institutes were identified by convenience sampling, searching on oncology websites and forums. The official websites of these structures were analysed to obtain more information about their activities and contacts. Information was received from 123 (52.1 %) out of the 236 centres contacted until 31 December 2013. Forty-seven out of 99 responding centres meeting inclusion criteria (47.5 %) provided integrative oncology treatments, 24 from Italy and 23 from other European countries. The number of patients seen per year was on average 301.2 ± 337. Among the centres providing these kinds of therapies, 33 (70.2 %) use fixed protocols and 35 (74.5 %) use systems for the evaluation of results. Thirty-two centres (68.1 %) had research in progress or carried out until the deadline of the survey. The complementary and alternative medicines (CAMs) more frequently provided to cancer patients were acupuncture 26 (55.3 %), homeopathy 19 (40.4 %), herbal medicine 18 (38.3 %) and traditional Chinese medicine 17 (36.2 %); anthroposophic medicine 10 (21.3 %); homotoxicology 6 (12.8 %); and other therapies 30 (63.8 %). Treatments are mainly directed to reduce adverse reactions to chemo-radiotherapy (23.9 %), in particular nausea and vomiting (13.4 %) and leucopenia (5 %). The CAMs were also used to reduce pain and fatigue (10.9 %), to reduce side effects of iatrogenic menopause (8.8 %) and to improve anxiety and depression (5.9 %), gastrointestinal disorders (5 %), sleep disturbances and neuropathy (3.8 %). Mapping of the centres across Europe is an essential step in the process of creating a European network of centres, experts and professionals constantly engaged in the field of integrative oncology, in order to increase, share and disseminate the knowledge in this field and provide evidence-based practice.

... read more

Topics: Integrative Oncology (61%), Health care (50%)

65 Citations


Journal ArticleDOI: 10.1016/J.CTIM.2015.03.004
Abstract: Summary Objectives The use of complementary and alternative medicine has increased over the past decade. The aim of this study was to evaluate whether homeopathy influenced global health status and subjective wellbeing when used as an adjunct to conventional cancer therapy. Design In this pragmatic randomized controlled trial, 410 patients, who were treated by standard anti-neoplastic therapy, were randomized to receive or not receive classical homeopathic adjunctive therapy in addition to standard therapy. The study took place at the Medical University Vienna, Department of Medicine I, Clinical Division of Oncology. Main outcome measures The main outcome measures were global health status and subjective wellbeing as assessed by the patients. At each of three visits (one baseline, two follow-up visits), patients filled in two different questionnaires. Results 373 patients yielded at least one of three measurements. The improvement of global health status between visits 1 and 3 was significantly stronger in the homeopathy group by 7.7 (95% CI 2.3–13.0, p =0.005) when compared with the control group. A significant group difference was also observed with respect to subjective wellbeing by 14.7 (95% CI 8.5–21.0, p Conclusion Results suggest that the global health status and subjective wellbeing of cancer patients improve significantly when adjunct classical homeopathic treatment is administered in addition to conventional therapy.

... read more

Topics: Homeopathy (56%), Randomized controlled trial (55%)

65 Citations


Open accessJournal ArticleDOI: 10.1684/BDC.2007.0495
01 Nov 2007-Bulletin Du Cancer
Abstract: L’objectif de l’etude etait d’estimer, de decrire et d’evaluer la frequence et les raisons de l’utilisation de medecine complementaire chez des patients atteints de cancer suivis dans un service de cancerologie francais. Un questionnaire anonyme a ete mis a la disposition de patients volontaires en surveillance ou en cours de traitement dans un service de cancerologie. L’etude descriptive porte sur 207 questionnaires au total. Sur les 195 exploitables, 34 % des patients ont recours a la medecine complementaire. L’homeopathie (42 %), les plantes (27 %) et les vitamines (18 %) sont les substances les plus utilisees. L’acupuncture (22 %) et les massages (15 %) sont les techniques les plus representees. Aucun profil type de l’utilisateur de medecine complementaire n’a ete mis en evidence. La principale raison de cette utilisation n’etait pas de guerir le cancer mais de soulager les effets secondaires du traitement conventionnel (66 %). Plus de la moitie des utilisateurs (57 %) ne revelaient pas cette utilisation au cancerologue parce que cette question n’avait jamais ete abordee en consultation. Un patient sur trois atteints de cancer utilise la medecine complementaire pendant et apres le traitement de sa maladie. La medecine complementaire doit beneficier au meme titre que la medecine conventionnelle d’etudes scientifiques evaluant ses eventuels benefices, toxicites et interactions avec le traitement conventionnel afin que l’oncologue puisse en avertir l’utilisateur. Cette information au patient ne peut qu’ameliorer la relation de confiance instauree entre le cancerologue et son patient.

... read more

52 Citations