Crocetti E, Crotti N, Montella M, Musso M
U.O. Epidemiologia, CSPO USL 10, Firenze, Italy.
Tumori. 1996 Nov-Dec;82(6):539-42. doi: 10.1177/030089169608200605.
There is growing interest in medical practices other than conventional medicine (complementary medicine, CM). CM is widely used by cancer patients. The purpose of the present study was to evaluate the knowledge of and the attitude towards CM in a sample of Italian allopathic oncologists.
Seventy-six oncologists of the Istituto Nazionale per la Ricerca sul Cancro of Genoa, 80 oncologists working at the Istituto Tumori Fondazione Pascale of Naples, and 100 hospital practitioners of the Province of Sondrio were asked to answer a self-administered structured questionnaire on CM. The level of their knowledge on CM, their opinion on CM and on CM therapists, the sources of information, the use of CM for themselves, the practice of CM and the attitude to refer patients to CM were investigated.
Replies were received from 190 oncologists. The response rate was significantly lower for the oncologists of Naples. One-fifth of the physicians replied that they had no knowledge of CM. The main sources of information were newspapers and TV. One-fourth of the physicians had personally used CM. About one-fourth of the physicians had practiced a kind of CM. The percentage of oncologists from Genoa who would refer their cancer patients to CM was significantly higher than the others. The physicians thought that about 84% of their patients used CM. The variables considered were tested in a multivariate model. The oncologists from Genoa showed a significantly increased risk of referring their patients to CM. Oncologists who had personally used CM referred patients to CM 3 times more frequently than the others.
A large percentage of cancer patients used CM according to their physicians. The level and the quality of the knowledge of CM of the oncologists interviewed were low. The oncologists could hardly be helpful for their patients in dealing with therapies different from conventional medicine.
除传统医学外，其他医学实践（补充医学，CM）正受到越来越多的关注。CM在癌症患者中被广泛使用。本研究的目的是评估意大利对抗疗法肿瘤学家样本中对CM的了解程度和态度。
邀请热那亚国家癌症研究所的76名肿瘤学家、那不勒斯肿瘤研究所帕斯卡尔基金会的80名肿瘤学家以及松德里奥省的100名医院从业者回答一份关于CM的自填式结构化问卷。调查了他们对CM的了解程度、对CM和CM治疗师的看法、信息来源、自身对CM的使用情况、CM的实践以及将患者转诊至CM的态度。
收到了190名肿瘤学家的回复。那不勒斯的肿瘤学家回复率显著较低。五分之一的医生表示他们对CM一无所知。主要信息来源是报纸和电视。四分之一的医生个人使用过CM。约四分之一的医生实践过某种CM。热那亚的肿瘤学家将癌症患者转诊至CM的比例显著高于其他地区。医生们认为他们约84%的患者使用过CM。在多变量模型中对所考虑的变量进行了测试。热那亚的肿瘤学家将患者转诊至CM的风险显著增加。个人使用过CM的肿瘤学家将患者转诊至CM的频率是其他人的3倍。
根据医生的说法，很大比例的癌症患者使用CM。受访肿瘤学家对CM的了解水平和质量较低。在帮助患者应对不同于传统医学的治疗方面，肿瘤学家几乎无法提供帮助。
