Establishing an integrative oncology service in the Australian healthcare setting—the Chris O’Brien Lifehouse Hospital experience

Grant, Suzanne; Marthick, Michael; Lacey, Judith

doi:10.1007/s00520-018-4460-2

Cited by 24 publications

(27 citation statements)

References 36 publications

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“…36 • • Chris O'Brien Lifehouse: This is a not-for-profit cancer hospital that offers subsidized and low-cost IO services, including oncology massage, acupuncture, exercise, yoga, tai chi, meditation, reflexology, and integrative medicine consultations. 37 Similar to the 10 IO centers evaluated in 2015, 35 the vast majority of IO services offered by the cancer services surveyed in 2016 were mind and body practices. 31,32 Massage, touch, or body alignment therapies were common (76%), with a little more than half of the massage services being provided by a certified oncology massage therapist.…”

Section: • • Olivia Newton-john Cancer Wellness and Researchmentioning

confidence: 88%

Integrative Oncology: International Perspectives

et al. 2019

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Interest in integrative oncology (IO) is growing globally. Patients with cancer are actively using traditional complementary and integrative medicine (TCIM) as part of their cancer and survivorship care. Published studies from around the world report increasing use of TCIM by people living with cancer. This article summarizes the presentations that took place during a symposium titled, "Integrative Oncology: International Perspectives" at the International Research Congress on Integrative Medicine and Health in Baltimore, 2018. The purpose of the presentations was to examine whether cancer services across a variety of geographical regions, including Australia, Canada, the United States, and the European Union, were actively responding to cancer survivors' demand for TCIM. The presenters highlighted utilization rates and both facilitators and barriers to the provision of IO services in their respective countries and regions. The audience discussion following the presentations drew out many noteworthy perspectives. Keywordsintegrative oncology, complementary therapy, integrative medicine, supportive cancer care, traditional complementary and integrative medicine, TCIM

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Section: • • Olivia Newton-john Cancer Wellness and Researchmentioning

confidence: 88%

Integrative Oncology: International Perspectives

et al. 2019

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“…The main barriers identified were lack of support from clinicians and patient issues, 89 , 90 which may be related to poor Qigong literacy, skepticism, unclear referral process and inadequate integration of complementary medicine therapies, such as Qigong, as part of integrative oncology. 71 , 91 The timing of our recruitment, which overlapped with the year-end holiday season, also played a part, as most people were in festive moods or preparing for the holidays and were unable or unwilling to commit to the study. Therefore, future clinical trial recruitment plans should avoid the year-end holiday season period.…”

Section: Discussionmentioning

confidence: 99%

The Feasibility and Effects of Qigong Intervention (Mind-Body Exercise) in Cancer Patients With Insomnia: A Pilot Qualitative Study

et al. 2020

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Background: Up to 80% of cancer patients experience insomnia that significantly affects their quality of life. This pilot qualitative study investigated the feasibility and effects of a 3-week Qigong (mind-body exercise) intervention with a 1-week follow-up in cancer patients experiencing insomnia. Methods: Cancer patients with insomnia who had completed radiotherapy or chemotherapy treatment and/or were at least 8 weeks post-cancer-related surgery were recruited. Primary outcomes were feasibility outcomes, which included recruitment, retention, attendance, completion of assessment, adverse events and participant feedback via a questionnaire and focus group/individual interview. Secondary outcomes on insomnia severity and sleep quality were measured using the Insomnia Severity Index (ISI) and the Pittsburgh Sleep Quality Index (PSQI) at baseline, mid, post-intervention and follow-up. Results: Seven participants were recruited and two withdrew from the study. The participant retention rate was 71.4% with an overall attendance rate of more than 84% and participants were able to complete all required assessments. An adverse event relating to the worsening of existing musculoskeletal condition was reported. Qualitative analysis of participant feedback identified 4 emerging themes: (1) experience from Qigong intervention; (2) class preferences; (3) barriers to participation; and (4) recommendation for improvement. Participants reported increased relaxation, improved sleep and energy level, better upper body flexibility and reduced stress. Both ISI and PSQI scores improved significantly ( P < .05). Conclusion: This study demonstrated that it is feasible to employ the current clinical trial design using Qigong intervention on insomnia in cancer patients. Preliminary data suggest that the intervention may improve sleep outcomes, however, these findings need to be confirmed by future robust randomized controlled trials. Trial registration: The trial was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12618001670268) http://www.ANZCTR.org.au/ACTRN12618001670268.aspxon10October2018 .

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“…However, this review did include a breast‐cancer specific guideline from the Society of Integrative Oncology. Integrative Oncology is defined as a discipline that integrates evidence‐based complementary medicine interventions with more conventional supportive care, lifestyle, and behavioral interventions 66 and, similar to palliative care, includes rehabilitation professionals on its service 158,159 . As the field of Integrative Oncology develops, CAM interventions may be used more prevalently across the scope of rehabilitation practice 160 …”

Section: Limitationsmentioning

confidence: 99%

A systematic review of rehabilitation and exercise recommendations in oncology guidelines

Stout

Mina

Lyons

et al. 2020

CA A Cancer J Clinicians

163

140

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Guidelines promote high quality cancer care. Rehabilitation recommendations in oncology guidelines have not been characterized and may provide insight to improve integration of rehabilitation into oncology care. This report was developed as a part of the World Health Organization (WHO) Rehabilitation 2030 initiative to identify rehabilitation-specific recommendations in guidelines for oncology care. A systematic review of guidelines was conducted. Only guidelines published in English, for adults with cancer, providing recommendations for rehabilitation referral and assessment or interventions between 2009 and 2019 were included. 13840 articles were identified. After duplicates and applied filters, 4897 articles were screened. 69 guidelines were identified with rehabilitation-specific recommendations. Thirtyseven of the 69 guidelines endorsed referral to rehabilitation services but provided no specific recommendations regarding assessment or interventions. Thirty-two of the 69 guidelines met the full inclusion criteria and were assessed using the AGREE II tool. Twenty-one of these guidelines achieved an AGREE II quality score of ≥ 45 and were fully extracted. Guidelines exclusive to pharmacologic interventions and complementary and alternative interventions were excluded. Findings identify guidelines that recommend rehabilitation services across many cancer types and for various consequences of cancer treatment signifying that rehabilitation is a recognized component of oncology care. However, these findings are at odds with clinical reports of low rehabilitation utilization rates suggesting that guideline recommendations may be overlooked. Considering that functional morbidity negatively affects a majority of cancer survivors, improving guideline concordant rehabilitative care could have substantial impact on function and quality of life among cancer survivors. CA Cancer

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Establishing an integrative oncology service in the Australian healthcare setting—the Chris O’Brien Lifehouse Hospital experience

Cited by 24 publications

References 36 publications

Integrative Oncology: International Perspectives

Integrative Oncology: International Perspectives

The Feasibility and Effects of Qigong Intervention (Mind-Body Exercise) in Cancer Patients With Insomnia: A Pilot Qualitative Study

A systematic review of rehabilitation and exercise recommendations in oncology guidelines

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