Swarup Anu B, Barrett William, Jazieh Abdul Rahman
Division of General Internal Medicine, University of Cincinnati Medical Center, Cincinnati, Ohio, USA.
Am J Clin Oncol. 2006 Oct;29(5):468-73. doi: 10.1097/01.coc.0000221326.64636.b2.
Use of complementary alternative medicine (CAM) is widespread among patients with chronic diseases including cancer. The purpose of our study was to examine the pattern of alternative medicine use in patients undergoing radiation treatment of cancer.
A cross-sectional study was conducted among cancer patients treated with radiation therapy from July 2003 through July 2005 at the University of Cincinnati. We defined CAM as the use of dietary supplements, massage therapy, prayer, acupuncture, chiropractic, and other novel therapies undertaken after their diagnosis with cancer.
There were 152 patients that participated in the study. Their median age was 59 (range, 21-85), 82 (54%) were males, 108 (69%) were Caucasian. Out of 152 patients, 104 (68%) patients were users of CAM. The most common CAM modality reported was prayer 85 (82%) and use of dietary supplements 84 (80%). The majority of users were female and well-educated. Among CAM users 60 (58%) had discussed its use with their physician. Level of education, employment status and income showed a significant correlation with the use of CAM.
This study demonstrates that the use of complementary alternative medicine among cancer patients receiving radiation therapy is frequent. Given the potential risks with some CAM therapies, physicians should actively ask patients whether they use CAM and provide appropriate counseling.
补充替代医学(CAM)在包括癌症在内的慢性病患者中广泛使用。我们研究的目的是调查接受癌症放射治疗患者使用替代医学的模式。
2003年7月至2005年7月在辛辛那提大学对接受放射治疗的癌症患者进行了一项横断面研究。我们将补充替代医学定义为在被诊断患有癌症后使用膳食补充剂、按摩疗法、祈祷、针灸、脊椎按摩疗法及其他新疗法。
有152名患者参与了该研究。他们的年龄中位数为59岁(范围21 - 85岁),82名(54%)为男性,108名(69%)为白种人。在152名患者中,104名(68%)患者使用补充替代医学。报告最多的补充替代医学方式是祈祷85名(82%)和使用膳食补充剂84名(80%)。大多数使用者为女性且受教育程度高。在使用补充替代医学的患者中,60名(58%)曾与他们的医生讨论过其使用情况。教育程度、就业状况和收入与补充替代医学的使用呈显著相关。
本研究表明,接受放射治疗的癌症患者频繁使用补充替代医学。鉴于一些补充替代医学疗法存在潜在风险,医生应积极询问患者是否使用补充替代医学并提供适当的咨询。