Spiegel Wolfgang, Zidek Thomas, Vutuc Christian, Maier Manfred, Isak Karin, Micksche Michael
Department of General Practice, Institute of Medical Education, Medical University of Vienna, Austria.
Wien Klin Wochenschr. 2003 Oct 31;115(19-20):705-9. doi: 10.1007/BF03040886.
Data relating to the use of complementary/alternative medicine (CAM) in cancer patients have been published for a number of European countries. No recent data are available for Austria.
To ascertain the extent of CAM use by cancer patients, what patients' motives are, what methods are used and who the CAM providers are.
Self-administered questionnaire; cross-sectional study.
A sample of 231 cancer patients who had consulted the Viennese Cancer League. Chi-square and Mantel-Haenszel tests were used for the statistical evaluation.
27.3% of the cancer patients had received CAM therapy: 33.1% of the female and 20.5% of the male participants (p = 0.045). Those who were below the median of the age categories (53.8 years) had used CAM to a statistically higher degree (35.5% vs. 21.1%; p = 0.023). The most important motives were the enhancement of "nature" and the GPs' recommendation. CAM was administered in 44.4% of cases by the family doctor, in 39.7% by patients themselves, in 6.3% by a hospital doctor, in 6.3% by a lay-practitioner or "non-medical practitioner against payment" and in 4.8% of cases by a practising oncologist.
From the high percentage of patients who use CAM without consulting a physician or who follow the advice of others, it would seem highly probable that conventional and complementary methods are rarely effectively coordinated. To rectify this we conclude that oncologists and GPs should have a basic knowledge of CAM and address the issue when counselling their cancer patients.
关于欧洲一些国家癌症患者使用补充/替代医学（CAM）的数据已经公布。目前尚无奥地利的最新数据。
确定癌症患者使用CAM的程度、患者的动机、使用的方法以及CAM提供者是谁。
自填式问卷；横断面研究。
对231名咨询过维也纳癌症联盟的癌症患者进行抽样。采用卡方检验和曼特尔-海恩泽尔检验进行统计学评估。
27.3%的癌症患者接受过CAM治疗：女性参与者中有33.1%，男性参与者中有20.5%（p = 0.045）。年龄低于年龄中位数（53.8岁）的患者使用CAM的比例在统计学上更高（35.5%对21.1%；p = 0.023）。最重要的动机是增强“自然”效果和全科医生的推荐。在44.4%的病例中，CAM由家庭医生提供，39.7%由患者自己使用，6.3%由医院医生提供，6.3%由非专业从业者或“付费非医学从业者”提供，4.8%的病例由执业肿瘤学家提供。
从高比例的患者在未咨询医生或遵循他人建议的情况下使用CAM来看，传统方法和补充方法似乎极有可能很少得到有效协调。为纠正这一情况，我们得出结论，肿瘤学家和全科医生应具备CAM的基本知识，并在为癌症患者提供咨询时提及这一问题。
