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Expected and perceived efficacy of complementary and alternative medicine: A comparison views of patients with cancer and oncologists.
Kim, Sang Hyuck; Shin, Dong Wook; Nam, You-Seon; Kim, So Young; Yang, Hyung-Kook; Cho, Be Long; Park, Keeho; Jo, Heui-Sug; Yim, Chang-Yeol; Kam, Sin; Park, Jong-Hyock.
Afiliación
  • Kim SH; Department of Family Medicine & Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Republic of Korea.
  • Shin DW; Department of Family Medicine & Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Republic of Korea; Laboratory of Health Promotion and Health Behavior, Biomedical Research Institute, Seoul National University Hospital, Republic of Korea. Electronic address: dwshin.snuh@gmai
  • Nam YS; Department of Family Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
  • Kim SY; National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea; Regional Cardiocerebrovascular Center, Chungbuk National University Hospital, Cheongju, Republic of Korea.
  • Yang HK; National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea.
  • Cho BL; Department of Family Medicine & Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Republic of Korea; Laboratory of Health Promotion and Health Behavior, Biomedical Research Institute, Seoul National University Hospital, Republic of Korea; Institute on Aging, Seoul National U
  • Park K; Cancer Policy Branch, National Cancer Center, Goyang, Republic of Korea.
  • Jo HS; Department of Health Management and Policy, Kangwon National University School of Medicine, Chuncheon, Republic of Korea.
  • Yim CY; Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Republic of Korea.
  • Kam S; Department of Preventative Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
  • Park JH; National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea; Department of Health Informatics and Management, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea; Graduate School of Health Science Business Convergence, Chungbuk National University,
Complement Ther Med ; 28: 29-36, 2016 Oct.
Article en En | MEDLINE | ID: mdl-27670867
BACKGROUND & AIMS: This study sought to identify discrepancies between the expectations of patients with cancer and oncologists regarding the efficacy of complementary and alternative medicines (CAMs), and to determine how patients evaluate CAM efficacy after its use. METHODS: Data from the Cancer Patient Experience Study, a nationwide survey, were used. Seven subdivided efficacy domains were included in the survey. An oncologist-patient matching analysis was done to assess the concordance of CAM efficacies between oncologists and patients with cancer. In addition, the patients' expectations of CAM efficacies were compared before and after use. RESULTS: Out of 719 participants, 201 patients with cancer (28.0%) reported using CAMs. The patients with cancer generally tended to be more positive about CAM efficacies than the oncologists. The largest discrepancy in efficacy perception was found in the efficacy domain of survival benefit, which included complete disease remission and prolonged survival. Many patients reported that they did not experience the positive efficacy they had anticipated before use. However, a substantial proportion of patients indicated that CAMs were as effective as they had expected, even though there is little evidence supporting the CAM efficacies. CONCLUSIONS: There was a marked discrepancy and a lack of concordance in expectations of CAM efficacy between patients with cancer and oncologists. Better communication between the patients and oncologists regarding CAM efficacy would be needed to make the patients to have shared expectations, and to reduce unnecessary CAM use.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapias Complementarias / Oncólogos / Neoplasias Tipo de estudio: Qualitative_research Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Complement Ther Med Asunto de la revista: TERAPIAS COMPLEMENTARES Año: 2016 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapias Complementarias / Oncólogos / Neoplasias Tipo de estudio: Qualitative_research Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Complement Ther Med Asunto de la revista: TERAPIAS COMPLEMENTARES Año: 2016 Tipo del documento: Article Pais de publicación: Reino Unido