Institute for General Practice, Johann-Wolfgang Goethe-University, Frankfurt/Main, Germany.
Ann Oncol. 2010 May;21(5):1094-9. doi: 10.1093/annonc/mdp421. Epub 2009 Oct 25.
There are only few studies on cancer patients who are treated in complementary and alternative medicine clinics and comparing them with patients in conventional care. We will present the comparison of characteristics of two patient cohorts: one was treated in a homeopathic cancer care clinic and one was treated in a conventional oncology care (CC) outpatient clinic.
Six-hundred and forty-seven patients were included in this cross-sectional cohort study and had to fill in questionnaires [health-related quality of life (QoL) (Functional Assessment of Cancer Therapy-General Scale), depression and anxiety (Hospital Anxiety and Depression Scale), fatigue (Multidimensional Fatigue Inventory) and expectancies toward treatment]. Clinical data were extracted from medical records. This study presents the comparison of both cohorts.
Patients in the homeopathy cohort are younger, better educated and more often employed than patients in the CC cohort. The most pronounced differences indicate longer disease histories and different diagnostic and clinical pretreatment variables. Despite the clinical differences, QoL as well as anxiety, depression and fatigue was similar in both the groups.
Homeopathic treatment is sought by cancer patients at a different phase during the course of the disease, which has particular implications for research. However, expectancies toward the benefit of the treatment as well as QoL data are similar.
仅有少数研究关注在补充和替代医学诊所接受治疗的癌症患者,并将他们与接受常规治疗的患者进行比较。我们将介绍两个患者队列特征的比较:一个在顺势疗法制癌诊所接受治疗,另一个在常规肿瘤学门诊接受治疗。
本横断面队列研究纳入了 647 名患者,他们必须填写问卷[癌症治疗相关生活质量(功能评估癌症治疗一般量表)、抑郁和焦虑(医院焦虑和抑郁量表)、疲劳(多维疲劳量表)以及对治疗的期望]。临床数据从病历中提取。本研究展示了两个队列的比较。
与 CC 队列的患者相比,顺势疗法队列的患者更年轻、受教育程度更高,且更常就业。最显著的差异表明疾病史更长,以及不同的诊断和临床预处理变量。尽管存在临床差异,但两组患者的生活质量以及焦虑、抑郁和疲劳情况相似。
癌症患者在疾病进程的不同阶段寻求顺势疗法治疗,这对研究有特殊意义。然而,对治疗获益的期望以及生活质量数据相似。