The use of dietary supplements in a community hospital comprehensive cancer center: implications for conventional cancer care

Gupta, Digant; Lis, Christopher G.; Birdsall, Timothy C.; Grutsch, James F.

doi:10.1007/s00520-005-0820-9

Cited by 68 publications

(57 citation statements)

References 18 publications

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“…Colorectal and breast cancer patients, in particular, seem to be likely to use dietary supplements, compared with lung cancer patients [51,52]. An increased perception of the risk of cancer recurrence and cancer-related death are associated with CAM use by breast cancer patients, as concluded in a study by Rakovitch et al [52].…”

Section: Reasons For Cam Usementioning

confidence: 97%

Complementary and Alternative Medicine During Cancer Treatment: Beyond Innocence

et al. 2006

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Nowadays, complementary and alternative medicine (CAM) is popular all over the world. Billions of dollars are spent in this booming business. For several reasons, young, female, educated, and higher socioeconomic class cancer patients, in particular, have shown interest in these agents. Unfortunately, besides direct (and sometimes serious) side effects, several CAM ingredients are capable of interfering with the metabolism of concurrently used drugs, which may render the therapeutic outcome of the subscribed drug unpredictable. In the case of anticancer drugs, with their usually narrow therapeutic window, this may have dramatic consequences and can lead to unacceptable toxicities in some cases or decreased therapeutic activity in others. Therefore, cancer patients should be warned for these possible interactions and be advised to discuss CAM use openly with their treating physician. The general concept that natural products are harmless should thus be changed into a more realistic and responsible attitude. A tightened legislation and regulation (including Internet advertising and sales) could play a crucial role in this awareness process. This should finally enable safe exploration of the potential advantageous aspects of CAM, while living with cancer. The Oncologist 2006;11:732-741

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Section: Reasons For Cam Usementioning

confidence: 97%

Complementary and Alternative Medicine During Cancer Treatment: Beyond Innocence

et al. 2006

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“…The results obtained do not coincide with similar research conducted in the USA and Turkey, which is probably due to the different geographical location and regional traditions in the use of herbal preparations. 5,6 Herbalism is perceived by patients as a natural and safe method of treatment, as shown in the research in which more than half of the respondents recognized that the herbal preparations are safer (34.8%) or rather safer (27.2%) compared to synthetic drugs. A study conducted among doctors from 16 countries of the Middle East, showed that herbal dietary supplements and herbal OTC medicines are the most commonly used addition to pharmacotherapy.…”

Section: Discussionmentioning

confidence: 99%

“…Plant raw materials most commonly used by cancer patients are: garlic, nettle, thyme, ginger, milk thistle, echinacea, ginko, ginseng and valerian. 5,6 Literature data indicates a potential antitumor activity of substances of vegetable origin, of which the most frequently cited are curcumin, resveratrol, artemisinin, berberine, piperine, mistletoe, green tea, broccoli. 7 Conventional drug therapy combined with complementary medicine are increasingly used in cancer patients treatment.…”

Section: Introductionmentioning

confidence: 99%

“…11 Patients take natural preparations to strengthen the immune system, to slow the progression of cancer, and alleviate side effects associated with chemotherapy. 6 The aim of this study is to evaluate the herbal OTC drug and dietary supplement usage among patients treated on the chemotherapy ward in the Lower Silesian Oncology Center in Wroclaw, Poland.…”

Section: Introductionmentioning

confidence: 99%

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Use of the Herbal OTC Products and Dietary Supplements by Patients Receiving Chemotherapy: Survey-Based Study

Kowalczyk¹,

Bodalska²,

Boszkiewicz³

et al. 2017

IJPER

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Context: Among cancer patients receiving chemotherapy, there is a growing trend to use self-medication. Many of them take preparations sold over the counter (OTC) and dietary supplements containing plant raw materials. Aims: The aim of this study is to evaluate the herbal OTC drug and dietary supplement usage among patients treated on the chemotherapy ward. Settings and Design: An anonymous survey was conducted among 92 patients of the chemotherapy ward of the Lower Silesian Oncology Center in Wroclaw (Poland) with the approval of the Bioethical Commission of the Medical University in Wroclaw (no KB-562/2014) and The Declaration of Helsinki. Methods and Material: An anonymous survey was conducted among 92 patients of the chemotherapy ward of the Lower Silesian Oncology Center in Wroclaw (Poland) in 2015. The questions concerned the use of herbal preparations by patients during chemotherapy. Statistical analysis used: The statistical analysis was developed using programs: Microsoft Office Excel 2007 and STATISTICA 10 (StarSoft Inc.). Analysis was performed by χ2 test. Results: The study has confirmed that the use of herbal OTC products and dietary supplements among cancer patients is a common occurrence. The main source of information about herbal preparations is the Internet and the most common place of purchase is a pharmacy. Conclusions: It is necessary to educate cancer patients to increase their awareness of the importance of a doctor's knowledge about all preparations that they take. Pharmacists play a very important role in self-medication of the patients. Thus, pharmacy students' education is needed in this field as well.

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“…The majority (53%) of patients using dietary supplements during recent chemotherapy did not seek advice or guidance from a medical provider [7]. Disclosure, even if done, may be incomplete.…”

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confidence: 99%

Dietary Supplement Use in Cancer Care: Help or Harm

Hardy

2008

Hematology/Oncology Clinics of North America

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The use of dietary supplements in a community hospital comprehensive cancer center: implications for conventional cancer care

Cited by 68 publications

References 18 publications

Complementary and Alternative Medicine During Cancer Treatment: Beyond Innocence

Complementary and Alternative Medicine During Cancer Treatment: Beyond Innocence

Use of the Herbal OTC Products and Dietary Supplements by Patients Receiving Chemotherapy: Survey-Based Study

Dietary Supplement Use in Cancer Care: Help or Harm

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