Complementary and alternative therapy use before and after breast cancer diagnosis: the Pathways Study

Greenlee, Heather; Kwan, Marilyn L.; Ergas, Isaac J.; Sherman, Karen J.; Krathwohl, Sarah; Bonnell, Christine; Lee, Marion M.; Kushi, Lawrence H.

doi:10.1007/s10549-009-0315-3

Cited by 112 publications

(106 citation statements)

References 12 publications

(13 reference statements)

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“…This figure is higher than the 40-43% of British adult supplement users according to two previous national UK surveys [31,32], but similar to recent findings by the Pathways study [18] reporting frequent use of botanical and other natural products by 41-58% of a cohort of 1,000 women within 5 years of their breast cancer diagnosis. In comparison to these findings earlier reports found lower pre-diagnostic supplement use by breast cancer patients which ranged from 24-33% [21,33].…”

Section: Supplement Use Before and After Diagnosissupporting

confidence: 88%

“…There have been few reports to date regarding behaviour changes in terms of supplement use. Holmes et al [20] found supplement users increased by 7% post-diagnosis while reports of new dietary supplement use since diagnosis range from 34-64% [2,18]. Overall, both pre-and post-diagnostic supplement use in the DietCompLyf cohort was substantial and higher than previous reports from the UK of between 33.2 and 53% for women with breast cancer [34][35][36].…”

Section: Supplement Use Before and After Diagnosismentioning

confidence: 76%

“…A systematic review of studies reported that use of vitamin, mineral and multivitamins by breast cancer patients ranged from 57-87% [14] and is considered to be higher than supplement use by the general population [15][16][17]. Only a few studies have investigated supplement use before and after breast cancer diagnosis [2,[18][19][20][21], and oestrogenic botanical supplements sometimes marketed as ''natural'' remedies for the relief of menopausal symptoms have usually not been enumerated. Investigating their use by breast cancer patients would, however, be of particular interest because of the potential effects of oestrogenic constituents on the progression of breast cancer.…”

Section: Introductionmentioning

confidence: 99%

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Significant changes in dietary intake and supplement use after breast cancer diagnosis in a UK multicentre study

Velentzis

Keshtgar

Woodside

et al. 2011

Breast Cancer Res Treat

114

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The diagnosis of cancer can motivate survivors to alter their lifestyle habits. Healthcare providers need to be aware of what changes patients are likely to make in order to derive more pertinent recommendations; however, few studies have reported pre-and post-diagnostic lifestyle behaviours. Semi-quantitative food frequency questionnaires (FFQs) completed approximately 1 year after diagnosis were used to evaluate dietary intake and supplement use before and after diagnosis in a cohort of 1,560 breast cancer patients participating in the UK, prospective DietCompLyf study. Intake of fruit and vegetables, wholegrains and lean sources of protein increased significantly postdiagnosis (P \ 0.05, each). Conversely, after diagnosis consumption of high-fat, high-sugar products, red meat, coffee, some alcoholic drinks and refined grains significantly decreased (P \ 0.05, each). Post-diagnostic changes in diet were accompanied by changes in the intake of macronutrients and a number of vitamins and minerals. Supplement use was highly prevalent (56.1%) pre-diagnosis, increasing to 62.8% after diagnosis (P = 0.001). Fish oils, multivitamin and minerals, and evening primrose oil were most often used and the proportion of users significantly increased (P \ 0.05, each) after diagnosis. The percentage of women using oestrogenic botanical supplements (OBSs) was small but more than doubled to 8.4% after diagnosis (P \ 0.05). British women participating in the DietCompLyf study reported significant changes in dietary intake and supplement use after their breast cancer diagnosis. These findings contribute to our understanding of female cancer survivors' dietary behaviours which is crucial for developing and implementing recommendations.

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Section: Supplement Use Before and After Diagnosissupporting

confidence: 88%

Section: Supplement Use Before and After Diagnosismentioning

confidence: 76%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Significant changes in dietary intake and supplement use after breast cancer diagnosis in a UK multicentre study

Velentzis

Keshtgar

Woodside

et al. 2011

Breast Cancer Res Treat

114

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“…However, our finding is comparable with studies conducted in Malaysia, Canada, and Korea (62.5%, 71.2%, and 74.8%, resp.) [24][25][26]. The high prevalence of CAM use in our study could be partially explained by the fact that the culture in Ethiopia encourages the use of CAM especially herbal based traditional medicine and spiritual healing.…”

Section: Discussionmentioning

confidence: 76%

Complementary and Alternative Medicine use and Its Association with Quality of Life Among Cancer Patients Receiving Chemotherapy in Ethiopia: A Cross Sectional Study

2016

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Background. Today, complementary and alternative medicine (CAM) use is being routinely practiced by cancer patients worldwide. This study aimed at examining the prevalence of CAM use in patients with cancer and comparing the quality of life (QoL) in CAM users and nonusers. Methods. A cross-sectional study was employed on 195 cancer patients receiving chemotherapy at Gondar University Referral Hospital (GURH) chemotherapy center. Interviewer-administered questionnaires were used and the collected data were analyzed by the Statistical Package for the Social Sciences (SPSS) software version 21.0 for Windows. Results. 154 (79%) patients were found to be users of CAM. Educational status, average monthly income, disease stage, and comorbidity were strong predictors of use of CAM. The most commonly utilized types of CAM were traditional herbal based medicine (72.1%) and only 20.8% of patients discuss with their doctors CAM use. No significant difference was found in QoL between CAM users and nonusers except in financial difficulties ( = 0.020). Conclusions. This study revealed a high rate of CAM use with very low disclosure rate to their health care providers. Health care providers should be open to discuss the use of CAM with their patients as it will lead to better health outcome.

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“…In this study, about 20.6% of cancer patients received CAM therapies. The use of CAM therapies among patients with cancer ranged from 7-64% (1998; Richardson et al, 2000;Greenlee et al, 2009 ;Muhamad et al 2012 ;Marriam and Muhamad 2013). The large variability in CAM use between studies (from 7% to 64%) was likely to be due to the various (Bismark et al 2014).…”

Section: Discussionmentioning

confidence: 99%

Perception of Patients with Cancer towards Support Management Services and Use of Complementary Alternative Medicine - a Single Institution Hospital-Based Study in Saudi Arabia

Sait¹,

Anfinan²,

El-Deek³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Complementary and alternative therapy use before and after breast cancer diagnosis: the Pathways Study

Abstract: Background-Many women use complementary and alternative medicine (CAM) to maintain or improve their health. We describe CAM use among the first 1,000 participants enrolled in the Pathways Study, an ongoing prospective cohort study of women diagnosed with breast cancer (BC).

Cited by 112 publications

References 12 publications

Significant changes in dietary intake and supplement use after breast cancer diagnosis in a UK multicentre study

Significant changes in dietary intake and supplement use after breast cancer diagnosis in a UK multicentre study

Complementary and Alternative Medicine use and Its Association with Quality of Life Among Cancer Patients Receiving Chemotherapy in Ethiopia: A Cross Sectional Study

Perception of Patients with Cancer towards Support Management Services and Use of Complementary Alternative Medicine - a Single Institution Hospital-Based Study in Saudi Arabia

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