Research: KRISTOFFERSEN and COLLEAGUES,

Listed in Issue 176

Abstract

KRISTOFFERSEN and COLLEAGUES, National Research Centre in Complementary and Alternative Medicine, Tromso Science Park, University of Tromso, N-9037 Tromso, Norway. Agnete.Kristoffersen@fagmed.uit.no explored whether there was association between complementary and alternative medicine (CAM) and survival prognosis in cancer survivors.

Background

One reason for patients with cancer to use complementary and alternative medicine (CAM) is that their cancer cannot be cured by conventional therapy. The aim of the present study is to explore whether use of CAM is associated with survival prognosis in long-term survivors of cancer.

Methodology

Cancer patients who were alive 5 years or more after diagnosis were chosen to participate in the study, one group with less than 20% and another group with 40%-60% expected five-year survival at the time of diagnosis. A total of 735 patients received a four-page postal questionnaire about CAM use; 397 questionnaires were returned (response rate = 54%).

Results

The results are reported at five levels of CAM use. The poor prognosis group reported CAM use more often than the better prognosis group; however, only significantly higher at CAM level 2 (use of a CAM provider) (p = 0.021) and in use of self-support/CAM techniques (p < 0.001). Use of over-the-counter (OTC) dietary supplements and use of diet as treatment were not significantly different between the groups.

Conclusion

This study supports the suggestion that use of a CAM therapist and use of self-support/CAM techniques might be associated with less hope of cure given by the physician.

References

Kristoffersen AE, Fonnebo V and Norheim AJ. Do cancer patients with a poor prognosis use complementary and alternative medicine more often than others? Journal of Alternative & Complementary Medicine. 15(1): 35-40. Jan 2009.

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