Eng Joanna, Ramsum Darlene, Verhoef Marja, Guns Emma, Davison Joyce, Gallagher Richard
Tzu Chi Research Group, Vancouver, BC.
Integr Cancer Ther. 2003 Sep;2(3):212-6. doi: 10.1177/1534735403256207.
To determine prevalence and patterns of use of complementary and alternative medicine (CAM) among men recently diagnosed with prostate cancer.
Men, diagnosed with prostate cancer over a 10-month period in British Columbia, Canada, were randomly selected to obtain a population-based sample.
Surveys, addressing patient demographics, types of CAM therapies, and CAM information resources utilized, reasons for use, and disclosure to physician(s), were mailed to 1108 men newly diagnosed with prostate cancer. A 42% response rate was obtained.
Thirty-nine percent of patients used CAM therapies with the most common being herbal supplements (saw palmetto), vitamins (vitamin E), and minerals (selenium). The most common reasons given for choosing to use CAM therapies were to (1) boost the immune system and (2) prevent recurrence. The majority of men (58%) had told their physician(s) about their CAM use, but few utilized either their family physician (15%) or their oncologist (7%) as sources of CAM information. CAM users most commonly consulted friends or family (39%) or the Internet (19%) for information about CAM. CAM users were more likely than nonusers to delay (9%) or decline (4%) conventional treatment. Respondents who had never used CAM had typically never thought about it or did not have enough information about the treatments.
More than one third of recently diagnosed prostate cancer patients utilize some form of CAM therapy, and the majority disclose their use to their physician(s). However, they tend to rely on anecdotal information for their CAM decision making. Dissemination of reliable CAM information is one key to helping men navigate this difficult arena.
确定近期被诊断为前列腺癌的男性中补充和替代医学（CAM）的使用 prevalence 和模式。
在加拿大不列颠哥伦比亚省，从10个月内被诊断为前列腺癌的男性中随机选取，以获得基于人群的样本。
向1108名新诊断为前列腺癌的男性邮寄调查问卷，内容涉及患者人口统计学信息、CAM疗法类型、所使用的CAM信息资源、使用原因以及向医生的披露情况。获得了42%的回复率。
39%的患者使用CAM疗法，最常见的是草药补充剂（锯棕榈）、维生素（维生素E）和矿物质（硒）。选择使用CAM疗法的最常见原因是：（1）增强免疫系统；（2）预防复发。大多数男性（58%）已告知医生他们使用CAM的情况，但很少有人将家庭医生（15%）或肿瘤学家（7%）作为CAM信息来源。CAM使用者最常向朋友或家人（39%）或互联网（19%）咨询CAM信息。CAM使用者比非使用者更有可能延迟（9%）或拒绝（4%）传统治疗。从未使用过CAM的受访者通常从未考虑过或没有足够的关于这些治疗的信息。
超过三分之一的近期诊断为前列腺癌的患者使用某种形式的CAM疗法，且大多数人向医生披露了他们的使用情况。然而，他们在做CAM决策时往往依赖传闻信息。传播可靠的CAM信息是帮助男性在这个困难领域做出选择的关键之一。
