D'Arena Giovanni, Laurenti Luca, Coscia Marta, Cortelezzi Agostino, Chiarenza Annalisa, Pozzato Gabriele, Vigliotti Maria Luigia, Nunziata Giuseppe, Fragasso Alberto, Villa Maria Rosaria, Grossi Alberto, Selleri Carmine, Deaglio Silvia, La Sala Antonio, Del Poeta Giovanni, Simeon Vittorio, Aliberti Luig, De Martino Laura, Giudice Aldo, Musto Pellegrino, De Feo Vincenzo
Hematology Oncology Unit.
Leuk Lymphoma. 2014 Apr;55(4):841-7. doi: 10.3109/10428194.2013.803223. Epub 2013 Oct 17.
Complementary and alternative medicine (CAM) is common in patients with cancer and its use is steadily increasing over time. We performed a multicenter survey in which the use of CAM in 442 Italian patients with chronic lymphocytic leukemia (CLL), the commonest form of leukemia in Western countries, was assessed. Data were collected by means of a face-to-face standardized questionnaire with several items. Mean age was 69 years; 258 patients (58%) were male and 184 (42%) female. Seventy-three patients (16.5%) were found to be CAM users. The most common CAM therapies were green tea, aloe formulations and high dose vitamins. Predictors of CAM use were female gender, younger age, higher education level, internet availability and newspaper reading. The reasons for CAM popularity among these patients are complex. Given the number of patients combining therapy with CAM and its possible drug interactions, doctor interest as well as patient education about CAM should be improved.
补充和替代医学（CAM）在癌症患者中很常见，并且随着时间的推移其使用量在稳步增加。我们进行了一项多中心调查，评估了442名意大利慢性淋巴细胞白血病（CLL）患者（西方国家最常见的白血病形式）对补充和替代医学的使用情况。数据通过一份包含多个项目的面对面标准化问卷收集。平均年龄为69岁；258名患者（58%）为男性，184名（42%）为女性。发现73名患者（16.5%）使用补充和替代医学。最常见的补充和替代医学疗法是绿茶、芦荟制剂和高剂量维生素。使用补充和替代医学的预测因素是女性、年龄较小、教育水平较高、可上网和阅读报纸。这些患者中补充和替代医学受欢迎的原因很复杂。鉴于将补充和替代医学与治疗相结合的患者数量及其可能的药物相互作用，医生的关注度以及对患者关于补充和替代医学的教育都应得到提高。
