Prevalence of the use of traditional complementary and alternative medicine amongst cancer patients in a tertiary care center in Kerala, India

Sarada, Kolathu; Manohar, P Ram; Philip, Arun; Ravindran, G.; Pavithran, Keechilat

doi:10.1016/j.jaim.2021.04.011

Cited by 18 publications

(15 citation statements)

References 17 publications

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“…In the literature, it is stated that health professionals do not have enough information about the use of CAM and they reject the use of CAM [33, 34]. However, in studies in India (71%) [31] and Australia (68%) [6] the rate of disclosing the use of CAM to their doctor is higher than in our study. The reason for this is thought to be the attitudes, cultural beliefs, and values related to the use of CAM in these countries.…”

Section: Discussioncontrasting

confidence: 80%

“…In a study in Saudi Arabia, 69.9% of cancer patients use CAM and mostly supplication (95.5%) [5]. In a study in India, 34.4% of cancer patients use CAM, and 36% use home remedies [31]. In Mongolia, 47.9% of cancer patients use CAM, and the most used CAM types are the products of animals and herbs [32].…”

Section: Discussionmentioning

confidence: 99%

“…In this study, 85.5% of patients with gynecologic cancer thought CAM did not influence them. On the other hand, the thought that the use of CAM does not influence them is 45% in Ozturk et al [23]; 34.5% in Duman et al [29]; 54.2% in Kurt et al [21]; 19.3% in Yorganci et al [9]; 46% in Wode et al [30]; and 50% in Sarada et al [31]. Unlike this study, the thought of the use of CAM influences them more in other studies.…”

Section: Discussionmentioning

confidence: 99%

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The Use of Complementary and Alternative Medicine and Coping with Stress by Patients with Gynecological Cancer: A Cross-Sectional Study in Türkiye

Topaloğlu Ören,

Dorukoğlu,

Ertem

2023

Complement Med Res

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Introduction: Gynecological cancers are long-term, challenging, and stressful diseases. In Türkiye, the majority of patients with gynecological cancer use complementary and alternative medicine (CAM). Considering the stress that gynecological cancer patients are exposed to, patients need to know how to cope with stress. Objective: This study aimed to determine the use of CAM and coping with stress by patients with gynecological cancer and the relationships between them and the factors that predict the approaches to coping with stress in women with gynecological cancer in Türkiye. Methods: This is a descriptive and cross-sectional study. The study was conducted with 204 patients between April and August 2022. The data of the study were collected by face-to-face interview and filled out by the patients using the Descriptive Information Form and the Stress Coping Styles Scale (SCSS). Number, percentage, mean, χ2, one-way ANOVA, t test, and the Spearman correlation analysis were used in the data analysis. To analyze the multivariate independent associations between variables, a multivariate ordinal logistic regression model was used, with the SCSS domains as dependent variables. A 95% confidence interval was calculated, and all statistical tests had an alpha level of 0.05. Results: The mean age of the patients was 58.38 ± 12.64 years (32–80). The prevalence of CAM use by patients was 39.2%, and the most common types of CAM were herbal products (43.8%) and supplication (42.5%). The reasons for using CAM were relaxation (symptomatic)-feeling healthy (63.8%) and treating cancer (36.2%). No statistically significant difference was found between the use of CAM and their approaches to coping with stress (p > 0.05). As a result of multivariate ordinal logistic regression analysis, education level under high school, having ovary, cervix, and endometrium cancer, being in the first stage of cancer, receiving chemotherapy, receiving surgical treatment, having another cancer patient in the social environment and increased interest in a partner after the diagnosis of cancer was associated with an effective coping with stress (p < 0.05, adjusted R2 = 0.27, 0.79, and 0.32, respectively). Not working, experiencing an abortion, having another cancer patient in their social environment, being in the third stage of cancer, having an extended family, and living in a rural area of residence were associated with ineffective coping with stress (p < 0.05, adjusted R2 = 0.20 and 0.24, respectively). Conclusions: The prevalence of CAM use by patients was low. While determining the approaches of the patients to cope with stress, their education level, place of residence, family type, diagnosis of cancer, stage of cancer, treatment, partner support, and stressful life events should be considered. As nurses, we need to be more knowledgeable about the use of CAM to provide correct guidance to our patients for access to accurate and effective information. We need to determine our patients’ stressors and how our patients cope with stress.

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Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Use of Complementary and Alternative Medicine and Coping with Stress by Patients with Gynecological Cancer: A Cross-Sectional Study in Türkiye

Topaloğlu Ören,

Dorukoğlu,

Ertem

2023

Complement Med Res

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“…Previous studies have delved into the incidence of CAM use, healthcare professionals' attitudes toward CAM, and communication patterns that differ by nationality and cancer type [3][4][5][6][7][8]. In Korea, up to 85% of patients with cancer use one or more types of CAM [9].…”

Section: Introductionmentioning

confidence: 99%

Status of Using Complementary and Alternative Medicine among Patients with Cancer in Korea: an Online Survey of Online Cancer Support Groups (KCSG PC21-20)

Kim¹,

Kwon²,

Rha³

et al. 2023

Cancer Res Treat

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An increasing number of patients with cancers are interested in complementary and alternative medicine (CAM), which lacks scientific evidence. This study aimed to determine how CAM was used and how media affected patients in online cancer support groups (OCSG). Materials and MethodsBetween August 18 and September 12, 2021, an online survey was conducted among the members of OCSG. The survey consisted of five parts: baseline characteristics, attitudes toward and experience with CAM, source of information and reliabilities, experience with anthelmintics, and online health information literacy and usage. ResultsAmong the 644 responders, a total of 221 patients with cancer completed the survey, and 78.2% (173/221) used CAM. The users' median age was 52 years; 46.8% were males, and 43.9% had metastatic disease. Fifty-three CAM users (30.6%) discussed their physicians about CAM.

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“…The Indian policy documents consider all of them under one umbrella and refer to them as AYUSH, 11 but not much is known about the extent, pattern, and costs associated with their usage. A study of cancer patients in Kerala found the use of AYUSH treatment along with allopathic treatment by patients; 12 another study looked at the utilisation of services and client satisfaction by patients attending a public AYUSH hospital in Delhi. 13 Even during the recent COVID-19 pandemic, studies found the use of yoga and self-care by respondents an effective strategy for mental and physical well-being.…”

Section: Introductionmentioning

confidence: 99%

Utilisation and Out-of-Pocket Expenditure for AYUSH Outpatient Care among Older Adults in India

Kumar

2023

CHCMJ

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Background: Traditional, complementary, and alternative medicine are known to be used across the world for many types of diseases. In India, they are referred to as AYUSH and are known to be used for promotive, preventive, and curative purposes for healthy living and well-being. This study looks at the levels, patterns, and determinants of utilisation and out-of-pocket expenditure for AYUSH outpatient care among older adults in India. Method: Descriptive analysis, data visualisation, and bivariate and multivariate logistic regression analysis have been used. Results: The utilisation for AYUSH care is found to be quite low at 8.2% among 52% of respondents in the sample who sought outpatient care during the reference period. The study found the mean OOPE for AYUSH to be ₹ 687 per episode, in comparison with the overall mean OOPE of ₹ 1239 per episode for all types (allopathic and AYUSH combined) of outpatient care. Conclusions: Despite the policy support for the promotion of AYUSH by the Government of India for a long time, and the common knowledge about the affordability and low cost of AYUSH care, utilisation of AYUSH healthcare remains low. Evidence-based studies on the efficacy and safety of AYUSH treatment, promotion of cross-referral between different streams of medicine, and standardisation of AYUSH medicines can help to build trust and boost utilisation of AYUSH care.

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Prevalence of the use of traditional complementary and alternative medicine amongst cancer patients in a tertiary care center in Kerala, India

Cited by 18 publications

References 17 publications

The Use of Complementary and Alternative Medicine and Coping with Stress by Patients with Gynecological Cancer: A Cross-Sectional Study in Türkiye

The Use of Complementary and Alternative Medicine and Coping with Stress by Patients with Gynecological Cancer: A Cross-Sectional Study in Türkiye

Status of Using Complementary and Alternative Medicine among Patients with Cancer in Korea: an Online Survey of Online Cancer Support Groups (KCSG PC21-20)

Utilisation and Out-of-Pocket Expenditure for AYUSH Outpatient Care among Older Adults in India

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