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Prevalence of complementary/alternative medicines (CAMs) in a cancer population in northern Italy receiving antineoplastic treatments and relationship with quality of life and psychometric features

Authors: Saini Andrea, Berruti Alfredo, Capogna Serena, Negro Manuela, Sguazzotti Erica, Picci Rocco Luigi, Campagna Sara, Dongiovanni Vincenzo, Dogliotti Luigi, Furlan Pier Maria, Ostacoli LucaJournal: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitationPublished: June 1, 2011DOI: 10.1007/s11136-010-9795-1
Moderate EvidenceCross Sectionaln=288 participants

In Plain Language: cancer pain, explained

To explore the use of CAM (Complementary/Alternative Medicine) in a population of cancer patients undergoing antineoplastic therapy, and to compare differences in sociodemographics, quality of life, and psychological features between CAM users and non-users. The study population was consecutive cancer patients undergoing antineoplastic treatment in three Piedmont cancer centers. Data were collected from anonymous questionnaires investigating CAM use or not, and what type if used, and sociodemographics, and through validated psychometric instruments to assess psychological features: Functional Assessment of Cancer Therapy-General, the Hospital Anxiety and Depression Scale, and the Mini Mental Adjustment to Cancer Scale. Of the 288 evaluable patients, 52 (18.1%) reported using one or more types of CAM; the most often cited were herbs, special diets and body-based practices, such as plantar reflexology, chiropractic application, and massage. On quality of life assessment, CAM users scored lower than CAM non-users for physical wellbeing (P = 0.006); no significant differences emerged for anxiety and depression and coping styles. CAM use is less prevalent in northern Italy than in most other European countries. CAM users were found to have a lower quality of life than CAM non-users.

Key Findings: what this cross-sectional study found about cancer pain

  • ✓Among 288 cancer patients undergoing antineoplastic treatment, 18.1% reported using one or more types of complementary/alternative medicine.
  • ✓The most commonly used CAM therapies were herbs, special diets, and body-based practices including plantar reflexology, chiropractic application, and massage.
  • ✓CAM users showed differences in quality of life scores compared to non-users when assessed using the Functional Assessment of Cancer Therapy-General scale.

What This Means for You

If you're considering reflexology alongside cancer treatment, be aware that this study found complementary therapy users reported lower physical quality of life, so discuss any complementary approaches with your oncology team to ensure they support rather than interfere with your primary treatment.

What This Means for Practitioners

This study suggests reflexology clients undergoing cancer treatment may have lower baseline quality of life, so careful assessment, realistic expectations, and coordination with their medical team are essential components of care.

Study Design: how this cross-sectional study was run

Sample Size
288 participants
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Cancer pain: common questions

What does this study say about cancer pain?

If you're considering reflexology alongside cancer treatment, be aware that this study found complementary therapy users reported lower physical quality of life, so discuss any complementary approaches with your oncology team to ensure they support rather than interfere with your primary treatment.

What did this study find?

Among 288 cancer patients undergoing antineoplastic treatment, 18.1% reported using one or more types of complementary/alternative medicine. The most commonly used CAM therapies were herbs, special diets, and body-based practices including plantar reflexology, chiropractic application, and massage. CAM users showed differences in quality of life scores compared to non-users when assessed using the Functional Assessment of Cancer Therapy-General scale.

How strong is this evidence?

This is a cross-sectional study and we rate its evidence moderate. It covers 288 participants. It was published in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. This study is indexed here for context; it did not test reflexology itself.

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