头颈癌退伍军人使用替代医学导致的治疗延迟。
Treatment delay associated with alternative medicine use among veterans with head and neck cancer.
作者信息
Davis Greg E, Bryson Chris L, Yueh Bevan, McDonell Mary B, Micek Mark A, Fihn Stephan D
机构信息
Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, Washington, USA.
出版信息
Head Neck. 2006 Oct;28(10):926-31. doi: 10.1002/hed.20420.
BACKGROUND
Use of complementary and alternative medicine (CAM) is increasing in the United States. This study investigates whether the use of alternative medicine is associated with a delay of treatment in head and neck cancer.
METHODS
This study used the records obtained from a large trial involving ambulatory care US veterans. Subjects completed a CAM utilization questionnaire. The primary outcome variable was the time duration from cancer diagnosis to the time of cancer treatment.
RESULTS
Of veterans with head and neck cancer, 51% reported using some form of CAM, whereas 23% reported using a therapy classified as alternative medicine. Patients who used alternative medicine significantly delayed cancer treatment by 22 days compared with those who did not use alternative medicine (p = .05, 95% confidence interval [CI] = 0-44 days).
CONCLUSIONS
CAM use is common in veterans with head and neck cancer. Use of alternative medicine was associated with a significant delay in cancer treatment.
背景
在美国，补充和替代医学（CAM）的使用正在增加。本研究调查了替代医学的使用是否与头颈癌治疗延迟有关。
方法
本研究使用了从一项涉及美国退伍军人门诊护理的大型试验中获得的记录。受试者完成了一份补充和替代医学使用情况调查问卷。主要结局变量是从癌症诊断到癌症治疗的时间间隔。
结果
在患有头颈癌的退伍军人中，51%报告使用了某种形式的补充和替代医学，而23%报告使用了被归类为替代医学的疗法。与未使用替代医学的患者相比，使用替代医学的患者癌症治疗显著延迟了22天（p = 0.05，95%置信区间[CI] = 0 - 44天）。
结论
补充和替代医学在患有头颈癌的退伍军人中使用很普遍。使用替代医学与癌症治疗的显著延迟有关。
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