Discrepant Views of Oncologists and Cancer Patients on Complementary and Alternative Medicine in a Chinese General Hospital

Yang, Geliang; Zhang, Huiqing; Gan, Zheng; Fan, Yifu; Gu, Wanyi; Ling, Changquan

doi:10.1177/1534735417725579

Cited by 20 publications

(16 citation statements)

References 22 publications

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“…It has been observed that for oncologists adverse effects constitute a criterion for whether or not recommending their use. However, for patients this is not so relevant, while their possible therapeutic effectiveness is (10,11). This coincides with what our study reveals in relation to what the professional advises against and what the patient considers reason for use.…”

Section: Discussionsupporting

confidence: 87%

Perspectivas de pacientes y profesionales en torno al uso de medicinas alternativas y complementarias para el cuidado del cáncer: un estudio exploratorio

et al. 2021

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Introducción: El uso de medicinas alternativas y complementarias (MAC) por pacientes oncológicos es práctica extendida, generalmente por fuera del tratamiento principal. La falta de entendimiento entre percepciones de pacientes y profesionales puede derivar en problemas de comunicación con repercusión negativa en el cuidado Objetivo: indagar coincidencias y divergencias en la percepción de pacientes y profesionales frente al uso de MAC en el paciente oncológico. Métodos: se realizó un estudio exploratorio con análisis interpretativo fenomenológico mediante grupos focales, usando dominios prestablecidos. Se realizó codificación manual independiente y posteriormente se agruparon los códigos para su interpretación. El agrupamiento fue triangulado con el equipo de investigación para la generación de categorías definitivas. Resultados: Surgieron dos categorías: conceptualización y vivencia frente a las MAC. Cada categoría incluye subcategorías similares (ej. denominaciones, uso de MAC) y diferenciales (ej. valoración, fundamentación), entre los dos grupos. La conceptualización reconoce como los participantes caracterizan las MAC y la vivencia identifica la forma y vías como se relacionan con las MAC. Conclusiones: Pacientes y profesionales comparten inquietudes frente al uso de MAC, pero existen diferencias en lenguaje y expectativas frente a su uso. Para los pacientes el consejo médico es relevante pero no definitivo y la evidencia científica solo es relevante para los profesionales.

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Section: Discussionsupporting

confidence: 87%

Perspectivas de pacientes y profesionales en torno al uso de medicinas alternativas y complementarias para el cuidado del cáncer: un estudio exploratorio

et al. 2021

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“…However, we show in this study that there is a general tendency to discourage the communication about CAM use, especially among the doctors who practice WM. A similar result was found in a survey conducted among oncologists in Shanghai who discourage communication about CAM [13]. In these instances, WM practitioners required scienti c background to support the effectiveness of CAM before they could trust it.…”

Section: Discussionsupporting

confidence: 70%

“…Consequently, solving the communication gap regarding the use of CAM was getting more and more attention. In China, only a few surveys on doctors' attitudes and communication towards CAM have been performed [13]. However, the participants were only limited to the oncology department and western medicine physicians.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing the lack of communication on complementary and alternative medicine by clinicians in higher healthcare: A cross-sectional survey in China

Xie

Zhou

et al. 2020

Preprint

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PurposeComplementary and alternative medicine (CAM) is well documented and widely applied in healthcare, however, there is a paucity of knowledge on the attitudes of high healthcare clinicians regarding CAM, as well aspects related to the communications by clinicians on the use of CAM. Such communication can be important in assuring agreement about therapeutic plans and the use of CAM as complimentary higher healthcare. The study investigated the communication about CAM between patients and clinicians, as well as factors that influence the communication of clinicians about CAM.MethodsThe study made use of the CAM Health Belief Questionnaire (CHBQ), a 10-item Likert-scale questionnaire that assesses the attitudes and beliefs of healthcare professionals towards CAM. The cross-sectional survey was distributed to 360 doctors in traditional Chinese Mmedicine (TCM) and western medicine (WM) from the departments of Internal Medicine (physicians) and Surgery (surgeons). The survey was distributed in 5 different hospitals in China over the period from May to August 2019.ResultsWe found that there is generally a positive attitude toward CAM by clinicians, with a large difference between physicians and surgeons. We found that there was a lack of communication about CAM between clinicians and patients, largely associated with the uncertainty about the scientific evidence for the efficacy of CAM, and the possible interactions with conventional medicine and other safety-related components. This made clinicians fearful and worried, and reluctant to share about CAM. Among those who could share or discuss CAM with patients, many were trained in TCM and had previously used CAM, and so they were more likely to communicate CAM to patients. Western medicine doctors were more resultant and did not have a positive attitude towards CAM, and would not recommend it to patients. Moreover, the physicians who typically would communicate about CAM with patients indicated that they were not encouraged to use it due, largely, to lack of access to CAM training, which is evident in the fact that on 10.6% of the clinicians had certificates in TCM. Therefore, there is a need to train clinicians in CAM and to equip them with skills that will enable them to engage patients and offer complementary modalities of treatment, given the historical use of CAM in China.ConclusionsOur results show that there is a generally positive attitude towards CAM in higher health in China. Clinicians have a positive attitude towards CAM but do not generally communicate with patients. The willingness that clinicians, especially the western clinicians, want to communicate with patients was weak. To reduce the reluctance and uncertainty, clinicians should be trained in evidence for those CAM methods in which patients are interested. This will also improve doctor-patient communication and allow for better integration of patient needs in their healthcare plans.

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“…Hence, the observational results must be interpreted with prudence and validated by a randomized controlled trial to confirm the causal correlation between long-term CHM therapy and better survival outcomes. 31,32…”

Section: Discussionmentioning

confidence: 99%

Effect of Chinese Herbal Medicine on the Survival of Colorectal Cancer Patients With Liver-Limited Metastases: A Retrospective Cohort Study, 2008 to 2017

et al. 2019

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Background: Colorectal cancer (CRC) remains one of the leading contributors to cancer-related mortality and morbidity worldwide. Traditional Chinese medicines have been widely employed to treat various types of cancer in China. This investigation aims to determine the association between Chinese herbal medicine (CHM) therapy and survival outcomes in CRC patients with liver-limited metastases. Methods: A retrospective cohort study was performed among patients with colorectal liver metastases at the First Affiliated Hospital of Guangzhou University of Chinese Medicine in Guangzhou, China. Data from a series of consecutive patients were collected via an electronic medical record system or telephone follow-up. We defined high exposure as a period of CHM therapy lasting more than 6 months. The primary outcome was overall survival. Results: The study included the data of 191 patients from January 2008 to December 2017; 126 patients (65.97%) met the inclusion criteria of high exposure to CHM. Multivariate analyses revealed that high exposure to CHM was associated with better overall survival (hazard ratio = 0.444, 95% confidence interval = [0.213, 0.926], P = .030). The association was further confirmed by a subgroup exploratory analysis. Conclusion: Long-term CHM therapy is correlated with improved survival outcomes in CRC patients with liver-limited metastases.

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Discrepant Views of Oncologists and Cancer Patients on Complementary and Alternative Medicine in a Chinese General Hospital

Cited by 20 publications

References 22 publications

Perspectivas de pacientes y profesionales en torno al uso de medicinas alternativas y complementarias para el cuidado del cáncer: un estudio exploratorio

Perspectivas de pacientes y profesionales en torno al uso de medicinas alternativas y complementarias para el cuidado del cáncer: un estudio exploratorio

Factors influencing the lack of communication on complementary and alternative medicine by clinicians in higher healthcare: A cross-sectional survey in China

Effect of Chinese Herbal Medicine on the Survival of Colorectal Cancer Patients With Liver-Limited Metastases: A Retrospective Cohort Study, 2008 to 2017

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