Braun Lesley, Harris Jessica, Katris Paul, Cain Michael, Dhillon Haryana, Koczwara Bogda, Olver Ian, Robotin Monica
National Institute of Complementary Medicine, University of Western Sydney, Sydney, New South Wales, Australia; Alfred Hospital, Melbourne, Victoria, Australia.
Asia Pac J Clin Oncol. 2014 Dec;10(4):289-96. doi: 10.1111/ajco.12227. Epub 2014 Sep 22.
Health professionals involved in the clinical management of cancer are becoming increasingly aware that their patients use complementary and alternative medicine (CAM). As cancer incidence and survival rates increase, use of CAM is also likely to increase. This paper outlines the position of the Clinical Oncology Society of Australia (COSA) on the use of CAM by cancer patients and provides guidance for health professionals involved with the treatment of cancer patients who are using or wish to use CAM. Key definitions and common communication scenarios are presented along with evidence-based recommended steps for health professionals when discussing CAM use. COSA encourages health professionals to focus on open discussion with their patients regarding CAM, to become familiar with reputable resources for CAM information, to discuss with patients the concept of evidence-based medicine, to recognize limitations to their knowledge of CAM and seek further advice when necessary, and to be respectful of the patients' right to autonomy.
参与癌症临床管理的医疗专业人员越来越意识到他们的患者在使用补充和替代医学（CAM）。随着癌症发病率和生存率的提高，CAM的使用也可能增加。本文概述了澳大利亚临床肿瘤学会（COSA）对癌症患者使用CAM的立场，并为参与治疗使用或希望使用CAM的癌症患者的医疗专业人员提供指导。文中呈现了关键定义和常见沟通场景，以及医疗专业人员在讨论CAM使用时基于证据的推荐步骤。COSA鼓励医疗专业人员专注于与患者就CAM进行开放讨论，熟悉可靠的CAM信息资源，与患者讨论循证医学的概念，认识到自己对CAM知识的局限性并在必要时寻求进一步建议，以及尊重患者的自主权利。
