Hill Jacob, Hodsdon Wendy, Schor Jacob, McKinney Neil, Rubin Daniel, Seely Dugald, Parmar Gurdev, Birdsall Tim, Alschuler Lise, Lamson Davis, Birdsall Shauna, Zwickey Heather
Helfgott Research Institute, National College of Natural Medicine, Portland, OR, USA
Helfgott Research Institute, National College of Natural Medicine, Portland, OR, USA.
Integr Cancer Ther. 2016 Mar;15(1):69-79. doi: 10.1177/1534735415589983. Epub 2015 Jul 24.
Naturopathic oncology is a relatively new and emerging field capable of providing professional integrative or alternative services to cancer patients. Foundational research is critical to identify topics in the clinical and research development of naturopathic oncology for future growth of the field.
This study implements a modified Delphi protocol to develop expert consensus regarding ethics, philosophy, and research development in naturopathic oncology.
The modified protocol implements a nomination process to select a panel of 8 physicians and to assist in question formulation. The protocol includes an in-person discussion of 6 questions with multiple iterations to maintain the concept of the Delphi methodology as well as a postdiscussion consensus survey.
The protocol identified, ranked, and established consensus for numerous themes per question. Underlying key topics include integration with conventional medicine, evidence-based medicine, patient education, patient safety, and additional training requirements for naturopathic oncologists.
The systematic nomination and questioning of a panel of experts provides a foundational and educational resource to assist in clarification of clinical ethics, philosophy, and research development in the emerging field of naturopathic oncology.
自然疗法肿瘤学是一个相对较新且正在兴起的领域,能够为癌症患者提供专业的综合或替代服务。基础研究对于确定自然疗法肿瘤学临床和研究发展中的主题以促进该领域未来发展至关重要。
本研究采用改良的德尔菲协议,就自然疗法肿瘤学的伦理、理念和研究发展达成专家共识。
改良协议采用提名程序来挑选一个由8名医生组成的小组,并协助制定问题。该协议包括就6个问题进行面对面讨论,经过多次迭代以保持德尔菲方法的概念,以及讨论后的共识调查。
该协议确定、排列并就每个问题的众多主题达成了共识。潜在的关键主题包括与传统医学的整合、循证医学、患者教育、患者安全以及自然疗法肿瘤学家的额外培训要求。
对专家小组进行系统提名和提问提供了一个基础和教育资源,有助于阐明自然疗法肿瘤学这一新兴领域的临床伦理、理念和研究发展。