Yun Hyeongjun, Sun Lingyun, Mao Jun J
Memorial Sloan Kettering Cancer Center, New York, NY; Harvard T. H. Chan School of Public Health, Boston, MA; Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
J Natl Cancer Inst Monogr. 2017 Nov 1;2017(52). doi: 10.1093/jncimonographs/lgx004.
Cancer centers have increasingly offered integrative medicine therapies in response to their patients' unmet needs. We evaluated the growth of integrative medicine in leading academic cancer centers in the United States as reflected by their public-facing websites.
We performed a systematic review of 45 National Cancer Institute (NCI)-designated comprehensive cancer center websites. Two researchers independently evaluated whether the websites provided information regarding integrative medicine modalities and, if so, whether the services were provided in the same health system. They compared the proportion of cancer centers providing the information on each modality in 2016 with the data from the prior study in 2009.
The most common integrative medicine therapies mentioned on the 45 NCI-designated comprehensive cancer center websites were exercise (97.8%) and acupuncture and meditation (88.9% each), followed by yoga (86.7%), massage (84.4%), and music therapy (82.2%). The majority of the websites also provided information on nutrition (95.6%), dietary supplements (93.3%), and herbs (88.9%). The most common therapies offered in the health systems were acupuncture/massage (73.3% each), meditation/yoga (68.9% each), and consultations about nutrition (91.1%), dietary supplements (84.4%), and herbs (66.7%). Compared with 2009, there was a statistically significant increase in the number of websites mentioning acupuncture, dance therapy, healing touch, hypnosis, massage, meditation, Qigong, and yoga (all P < .05).
Leading US cancer centers increasingly present integrative medicine content on their websites, and the majority of them provide these services to patients in the same health systems.
癌症中心越来越多地提供整合医学疗法，以满足患者未被满足的需求。我们通过美国顶尖学术癌症中心面向公众的网站，评估了整合医学在美国顶尖学术癌症中心的发展情况。
我们对45个美国国立癌症研究所（NCI）指定的综合癌症中心网站进行了系统评价。两名研究人员独立评估这些网站是否提供了有关整合医学模式的信息，如果提供了，这些服务是否在同一卫生系统中提供。他们将2016年提供每种模式信息的癌症中心比例与2009年的先前研究数据进行了比较。
在45个NCI指定的综合癌症中心网站上提到的最常见的整合医学疗法是运动（97.8%）、针灸和冥想（各88.9%），其次是瑜伽（86.7%）、按摩（84.4%）和音乐疗法（82.2%）。大多数网站还提供了有关营养（95.6%）、膳食补充剂（93.3%）和草药（88.9%）的信息。卫生系统中提供的最常见疗法是针灸/按摩（各73.3%）、冥想/瑜伽（各68.9%）以及关于营养（91.1%）、膳食补充剂（84.4%）和草药（66.7%）的咨询。与2009年相比，提及针灸、舞蹈疗法、治疗性触摸、催眠、按摩、冥想、气功和瑜伽的网站数量有统计学显著增加（所有P<0.05）。
美国顶尖癌症中心在其网站上越来越多地展示整合医学内容，并且大多数中心在同一卫生系统中为患者提供这些服务。
