Correlates of Complementary and Alternative Medicine (CAM) Use by Cancer Patients in Chandigarh

Authors

  • Dinesh Kumar GMCH, Chandigarh
  • Naveen K Goel GMCH, Chandigarh
  • Awadhesh K Pandey GMCH, Chandigarh
  • Ravleen K Bakshi GMCH, Chandigarh

Keywords:

Alternative Therapy Complementary and Alternative Medicine (CAM), Conventional Medicine, Holistic Approach, India

Abstract

Introduction: The recent increase in the interest of CAM can be at- tributed to technological, economic, cultural and social trends. The present study aimed at exploring the correlates of CAM usage by cancer patients in Chandigarh.

Methods: Present hospital based cross sectional study was con- ducted among cancer patients attending Radiotherapy Outpatient Department (OPD) of a Government Medical College and Hospital (GMCH). A total of 1,117 were included. Statistical methods like normal test of proportions, Chi square (χ2) test, and logistic regres- sion analysis for estimation of risk factors of CAM use were ap- plied using SPSS 16 software package.

Results: Among 214 new patients 120(56.1%) were using CAM as compared to 312(34.6%) among 903 patient who revisited the GMCH. Maximum CAM use was reported among aged 36-49 years (40.9%). Non-Hindu responders were found to be at significantly higher risk of CAM use (P< 0.03). Among 432 users, 162 (37.5%) were of the opinion that allopathy was better than CAM.

Conclusions: The high utilization of CAM among cancer patients urge need of conducting further in depth epidemiological studies   to evaluate the efficacy of various CAM therapies in use for cancer with active participation from CAM providers/healers to attain some logical conclusions.

References

Ernst E, Resch KL, Mills S, Hill R, Mitchell A, Willoughby M, et al. Complementary Medicine a definition. Br J Gen Pract 1995; 45: 506.

National Center for Complementary and Alternative Medi- cine. Expanding horizons of health care: Strategic plan 2005– 2009. Available from: http://nccam.nih.gov/about/plans/ 2005.

Broom A, Tovey P. Therapeutic pluralism: Exploring the ex- periences of cancer patients and professionals. London and New York: Routledge; 2008.

Alschuler L, Benjamin SA, Duke JA. Herbal medicine: what works, what is safe? Patient Care 1997; 31:40–103.

Pal SK. Complementary and alternative medicine: An over- view. Curr Sci 2002;82, 518-24.

Humber JM. The role of complementary and alternative medicine: accommodating pluralism. J Am Med Assoc 2002; 288:1655–6.

Lee AH, Ingraham SE, Kopp M, ForaidaMI, Jazieh AR. The incidence of potential interactions between dietary supple- ments and prescription medications in cancer patients at a Veterans Administration Hospital. American Journal of On- cology 2006; 29: 178-82.

Gupta D,LisCG,Birdsall TC ,Grutsch JF.The use of dietary supplements in a community hospital comprehensive cancer center: implications for conventional cancer care. Support Care Cancer 2005; 13: 912-9.

Davis GE,BrysonCL,Yueh B. Treatment delay associated with alternative medicine use among veterans with head and neck cancer. Head Neck 2006; 28: 926-31.

Ananthakrishnan N, Shanthi AK. ICMR’s ethical guidelines for biomedical research on human participants: Need for clarification. Indian J Med Ethics 2012;9:207‑9.

Tilden VP,Drach LL ,Tolle SW. Complementary and alterna- tive therapy use at end-of-life in community settings. Com- plement Med.2004; 10: 811-7.

Alferi SM, Antoni MH,Ironson G, Kilbourn KM,Carver CS. Factors predicting the use of complementary therapies in a multi-ethnic sample of early-stage breast cancer patients. J. Am. Med. Womens Assoc.2001; 56: 120-3.

ShaharudinSH,Sulaiman S, Emran NA. The use of comple- mentary and alternative medicine among Malay breast cancer survivors. Alternative Therapies in Health and Medicine 2011; 17: 50-6.

MoschenR, KemmlerG, Schweigkofler H. Use of alternative/ complementary therapy in breast cancer patients—a psycho- logical perspective Support Care Cancer2011; 9: 267-4.

Redhwan A. Al-Naggar, Bobryshev YV,Abdulghani M,Rammohan S, Osman MT et al. Complemen- tary/alternative Medicine Use among Cancer Patients in Ma- laysia. World Journal of Medical Sciences 8 (2): 157-164, 2013.

Eisenberg DM, Davis RB, EttnerSl, Appel S, Wilkey S, RompayMV,Kessler RC: Trends in alternative medicine use in the United States, 1990 – results of a follow-up national survey. JAMA1997, 280:1569-1575.

Wootton JC, Sparber A: Surveys of complementary and al- ternative medicine: part I. General trends and demographic groups. J Altern Complement Med2001, 7:195-208.

Richardson MA, Sanders T, Palmer JL. Complemen- tary/alternative medicine use in a comprehensive cancer center and the implications for oncology. Journal of Clinical Oncology. 2000; 18(13):2505–2514.

Chartterjee,A.K.SubirGanguly, Sanjoy Kumar Pal et al. Atti- tudes of Patients to Alternative Medicine for Cancer Treat- ment. Asian Pacific J Cancer Prev, 6, 125-129.

Boon H, Stewart M, Kennard MA, Gray R, Sawka C, Brown JB et al. Use of complementary/alternative medicine by breast cancer survivors in Ontario: Prevalence and Percep- tions. J Clin Oncol 2000; 18: 2515-21.

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Published

2019-03-31

How to Cite

1.
Kumar D, Goel NK, Pandey AK, Bakshi RK. Correlates of Complementary and Alternative Medicine (CAM) Use by Cancer Patients in Chandigarh. Natl J Community Med [Internet]. 2019 Mar. 31 [cited 2024 Mar. 29];10(03):165-71. Available from: https://njcmindia.com/index.php/file/article/view/478

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Original Research Articles