Kato Ikuko, Neale Anne Victoria
Karmanos Cancer Institute, Wayne State University School of Medicine, 110 E Warren Avenue, Detroit, Michigan, USA.
Head Neck. 2008 Apr;30(4):446-54. doi: 10.1002/hed.20721.
The role of complementary and alternative medicine (CAM) in cancer treatment is controversial. The aim of the study was to assess whether CAM use was associated with a delay in the initiation of conventional cancer treatment for head and neck cancer.
CAM usage data were collected by mailed questionnaire for 149 incident head and neck cancer patients who were identified through the Metropolitan Detroit Cancer Surveillance System. Time from cancer diagnosis to the start of conventional cancer treatment was analyzed by the Kaplan-Meier method.
Overall 79% of the subjects reported use of at least 1 of the CAM items asked in the questionnaire. The time to conventional cancer treatment did not differ by prior CAM use intended to treat cancer (p =.209).
The results of the present registry-based study do not suggest that alternative therapy use in patients with head and neck cancer delays conventional cancer treatment.
补充和替代医学（CAM）在癌症治疗中的作用存在争议。本研究的目的是评估使用CAM是否与头颈癌患者延迟开始常规癌症治疗有关。
通过邮寄问卷收集了149例通过底特律大都会癌症监测系统确诊的头颈癌患者的CAM使用数据。采用Kaplan-Meier方法分析从癌症诊断到开始常规癌症治疗的时间。
总体而言，79%的受试者报告使用了问卷中询问的至少一种CAM项目。既往使用旨在治疗癌症的CAM与开始常规癌症治疗的时间并无差异（p = 0.209）。
本基于登记处的研究结果并不表明头颈癌患者使用替代疗法会延迟常规癌症治疗。
