Newell S, Sanson-Fisher R W
NSW Cancer Council Cancer Education Research Program (CERP), Wallsend, NSW.
Med J Aust. 2000 Feb 7;172(3):110-3.
To assess Australian radiation and medical oncologists' self-reported knowledge about and attitudes towards a range of non-traditional therapies used by people with cancer.
Postal survey during May and June 1997 of all 265 radiation and medical oncologists practising in Australia.
161 oncologists returned surveys (61% response rate).
Oncologists' own level of knowledge, and, for each known therapy, their perceptions of its likely harm or benefit in patients being treated curatively and palliatively, and of the prevalence of use among their patients.
Oncologists reported knowing most about acupuncture, antioxidant therapy and meditation and least about cellular therapy, magnetotherapy and psychic surgery. The therapies most likely to be considered helpful were meditation, acupuncture and hypnotherapy. Those most likely to be considered harmful were coffee enemas, psychic surgery, Iscador therapy and diet therapies. Perceptions of patients' use of most therapies varied widely, with herbal therapies, antioxidant therapy and meditation considered the most commonly used.
These results indicate self-identified gaps in oncologists' knowledge about non-traditional therapies their patients may use; they suggest a need to consider including education about these therapies in oncologists' training.
评估澳大利亚放射肿瘤学家和医学肿瘤学家自我报告的关于癌症患者所使用的一系列非传统疗法的知识及态度。
1997年5月和6月对在澳大利亚执业的所有265名放射肿瘤学家和医学肿瘤学家进行邮政调查。
161名肿瘤学家回复了调查问卷(回复率61%)。
肿瘤学家自身的知识水平,以及对于每种已知疗法,他们对其在接受根治性和姑息性治疗的患者中可能的危害或益处的看法,以及对其在自己患者中的使用 prevalence 的看法。
肿瘤学家报告对针灸、抗氧化疗法和冥想了解最多,对细胞疗法、磁疗和心灵手术了解最少。最有可能被认为有帮助的疗法是冥想、针灸和催眠疗法。最有可能被认为有害的是咖啡灌肠、心灵手术、艾斯卡多疗法和饮食疗法。对患者使用大多数疗法的看法差异很大,草药疗法、抗氧化疗法和冥想被认为是最常用的。
这些结果表明肿瘤学家在其患者可能使用的非传统疗法的知识方面存在自我认定的差距;它们表明需要考虑在肿瘤学家的培训中纳入关于这些疗法的教育。