Ben-Arye Eran, Frenkel Moshe, Margalit Ruth Stashefsky
Complementary and Traditional Medicine Unit, Department of Family Medicine, The Bruce Rappaport Faculty of Medicine, Technion, Israel.
J Ambul Care Manage. 2004 Jan-Mar;27(1):53-62. doi: 10.1097/00004479-200401000-00007.
Complementary and alternative medicine (CAM) is becoming a significant factor in the arena of cancer care. There is an increasing body of research along with widespread popularity and use by patients with cancer. This article reviews current knowledge about the worldwide use of CAM in the treatment of cancer and patients' motives and reasoning for this use. Clinical research in CAM cancer treatments and physicians' attitudes toward this popular trend among patients with cancer are discussed as well. The physician-patient communication and its relevance to CAM use is emphasized. A step approach is suggested for primary care physicians including the discussion of CAM in the management of cancer in order to enrich the physician-patient dialogue and improve the quality of the clinical encounter.
补充和替代医学（CAM）正在成为癌症护理领域的一个重要因素。随着研究的不断增加以及癌症患者的广泛欢迎和使用，这一现象日益显著。本文回顾了目前关于全球范围内补充和替代医学在癌症治疗中的应用情况，以及患者使用这种疗法的动机和理由。同时也讨论了补充和替代医学癌症治疗的临床研究，以及医生对癌症患者中这一流行趋势的态度。文中强调了医患沟通及其与补充和替代医学使用的相关性。建议初级保健医生采用逐步推进的方法，包括在癌症管理中讨论补充和替代医学，以丰富医患对话，提高临床诊疗质量。
