Dupin C, Arsène-Henry A, Charleux T, Haaser T, Trouette R, Vendrely V
Service d'oncologie-radiothérapie, hôpital Haut-Lévêque, CHU de Bordeaux, avenue Magellan, 33600 Pessac, France.
Service d'oncologie-radiothérapie, institut Curie, 26, rue d'Ulm, 75005 Paris, France.
Cancer Radiother. 2018 Oct;22(6-7):682-687. doi: 10.1016/j.canrad.2018.06.016. Epub 2018 Sep 6.
Alternative and complementary medicine is defined as any substance or technique of non-allopathic medicine used to improve health and quality of life. The purpose of this prospective observational study was to evaluate the use of alternative and complementary medicine during radiotherapy.
A questionnaire was given the last week of treatment to all patients treated for breast cancer, prostate cancer or head and neck cancer in our centre in 2016.
In 2016, 132 patients were included. Fifty-seven patients (43%) used alternative and complementary medicine during radiotherapy, more women (61%) than men (35%) (P=0.005). The use of alternative and complementary medicine varied according to locations: 44% of head and neck cancers, 57% of breast cancers and 24% of prostate cancers, but sex was the confounding factor. If alternative and complementary medicine was used before radiotherapy, 82% of patients used it during treatment, compared to 30% if they were naive (P<10). Healing touch (68%), homeopathy (26%) and magnetisers (21%) were the most used alternative and complementary medicines. Sixty-one percent of patients used alternative and complementary medicine to reduce skin and mucosal side effects of treatments, 28% to improve well-being, and 9% to treat cancer. Seventy-two percent of all patients would advise their loved one to use an alternative and complementary medicine and 87% would like information about them in the hospital.
Alternative and complementary medicines are used more by women, and by patients who used them before radiotherapy. The desired effects are mainly to reduce the side effects of the treatments. More than 80% of patients, whether or not they use alternative and complementary medicine, demand medical information.
替代医学和补充医学被定义为用于改善健康和生活质量的任何非对抗疗法医学的物质或技术。这项前瞻性观察性研究的目的是评估放射治疗期间替代医学和补充医学的使用情况。
2016年，在治疗的最后一周，向我们中心所有接受乳腺癌、前列腺癌或头颈癌治疗的患者发放了一份问卷。
2016年，共纳入132例患者。57例患者（43%）在放疗期间使用了替代医学和补充医学，女性（61%）多于男性（35%）（P=0.005）。替代医学和补充医学的使用因部位而异：头颈癌患者中使用的比例为44%，乳腺癌患者中为57%，前列腺癌患者中为24%，但性别是混杂因素。如果在放疗前使用过替代医学和补充医学，82%的患者在治疗期间会继续使用，而如果之前未使用过，这一比例为30%（P<0.001）。最常用的替代医学和补充医学包括治疗性触摸（68%）、顺势疗法（26%）和磁疗（21%）。61%的患者使用替代医学和补充医学来减轻治疗的皮肤和黏膜副作用，28%用于改善健康状况，9%用于治疗癌症。所有患者中有72%会建议其亲人使用替代医学和补充医学，87%希望在医院获得有关这些医学的信息。
女性以及放疗前使用过替代医学和补充医学的患者使用这类医学的比例更高。其主要预期效果是减轻治疗的副作用。超过80%的患者，无论是否使用替代医学和补充医学，都需要医疗信息。
