Use of Complementary and Alternative Medicine among Cancer Patients in Korea

우리나라 소화기암 환자들의 대체의료이용에 관한 연구

  • Jung, Eun-Young (Institute of Health Service Management, Hanyang University) ;
  • Han, Dong-Woon (Institute of Health Service Management, Hanyang University, National Traditional Korean Medicine Research & Development Center, Ministry of Health and Welfare) ;
  • Choi, Byung-Hee (Institute of Health Service Management, Hanyang University, National Traditional Korean Medicine Research & Development Center, Ministry of Health and Welfare) ;
  • Kim, You-Kyum (Ministry of Health and Welfare) ;
  • Park, Yeon-Hee (Institute of Health Service Management, Hanyang University)
  • 정은영 (한양대학교 보건의료연구소) ;
  • 한동운 (한양대학교 보건의료연구소, 보건복지부 한방공공보건평가단) ;
  • 최병희 (한양대학교 보건의료연구소, 보건복지부 한방공공보건평가단) ;
  • 김유겸 (보건복지부 한방정책팀) ;
  • 박연희 (한양대학교 보건의료연구소)
  • Published : 2007.12.25

Abstract

Complementary and alternative medicine (CAM) has gained in popularity among cancer patients in recent years. The use of CAM in cancer patients is common with about one third of patients using some form of CAM in Western countries. The purpose of this study was to analyze the use of CAM and determine what factors affect to use CAM among cancer patients to provide CAM therapy information and assist therapy selection among various CAM therapies to cancer patients. The design of the study was descriptive cross-sectional, and data were collected using a 16-item questionnaire. This study was conducted in subjects with confirmed diagnosis of stomach, colon, liver, or pancreas cancer, in both out-patients clinics and inpatients setting in a tertiary hospital in Seoul Korea. As a result, among the participants, past or current CAM use was reported by 75%, which shows a statistically significant difference in income groups(P<0.05), but no difference in age and religion groups. The most common therapies use by cancer patients included traditional Korean medicine (32.1%), folk remedies (26.6%), exercise (14%), dietary supplements (11.6%), physical therapy (9.9%), diet therapy (5%), and meditation (4%). 77.8% of patients show satisfaction and 64.4% shows perceived effectiveness of CAM. Male patients with higher income, and previous treatment were more likely to use CAM. The main benefits from CAM reported by cancer patients were psychological improvement and symptom improvement. Of the cancer patients used CAM, 30.9% were dissatisfied, 25.8% did not have benefits from the use, and 7.6% experience side effects. Cancer patients who prefer CAM (more than 3 kinds) used it to cure cancer, on the contrary, the one who do not prefer CAM used to improve symptoms and psychological stability. The main sources of information about CAM were family and friends(54.4%), and media(24.5%), doctor and nurse(18.3%), and religion group(2.6%). Findings suggest that due to the relatively high use of CAM among cancer patients in Korea, this topic should be taken into account in the development of a holistic approach to cancer patients and efficient cancer patients management system and proactive and consistent management of CAM is necessary in the health care system in Korea.

Keywords

References

  1. E. Ernst, B.R. Cassileth. The Prevalence of Complementary/ Alternative Medicine in Cancer A Systematic Review. CANCER 83(4):777-782, 1998 https://doi.org/10.1002/(SICI)1097-0142(19980815)83:4<777::AID-CNCR22>3.0.CO;2-O
  2. R.E. Patterson, M.L. Neuhouser, M.M. Hedderson, S.M. Schwartz, L.J. Standish, D.J. Bowen et al. Types of alternative medicine used by patients with breast, colon, or prostate cancer: predictors, motives, and costs. J Altern Compl Med 8: 477-485, 2002 https://doi.org/10.1089/107555302760253676
  3. B.R. Cassileth, S. Schraub, E. Robinson, A. Vickers. Alternative medicine use worldwide. Cancer 91: 1390-1393, 2001 https://doi.org/10.1002/1097-0142(20010401)91:7<1390::AID-CNCR1143>3.0.CO;2-C
  4. P. Molassiotis, Fernadez-Ortega, D. Pud et al. Use of complementary and alternative medicine in cancer patients: a European survey. Annals of Oncology 16(4):655-663, 2005 https://doi.org/10.1093/annonc/mdi110
  5. K. Eguchi, I. Hyodo, and H. Saeki. Current status of cancer patients' perception of alternative medicine in Japan. A preliminary cross-sectional survey. Support Care Cancer 8(1):28-32, 2000
  6. I. Hyodo, N. Amano, K. Eguchi, M. Narabayashi, J. Imanishi, M Hirai, T. Nakano, S. Takashima. Nationwide survey on complementary and alternative medicine in cancer patients in Japan. J Clin Oncol. 23(12):2590-2592, 2005 https://doi.org/10.1200/JCO.2005.11.922
  7. N. Geddes, J.K. Henry. Nursing and Alternative medicine: Legal and practice issue. Journal of Holistic Nursing. 15: 271-281, 1997 https://doi.org/10.1177/089801019701500307
  8. D. Peters. Complete Family Health Guide New Medicine. A Penguin Company. 2005
  9. A. Molassiotis. Complementary and Alternative medicine use in patients with head and neck cancers in Europe. 2005
  10. 박진미, 정복례. 유방암 환자의 민간요법. 대한간호학회지 25(3):419-430, 1995
  11. 최윤정. 일부병원 암 환자들의 대체요법 사용실태에 관한연구. 서울대 보건대학원 석사학위논문, 1998
  12. 설경란. 입원환자의 대체요법 사용현황과 인식 및 만족정도 연구. 경희대 행정대학원 석사논문, 2001
  13. 문혜원. 여성 암환자의 보완대체요법 사용에 관한 연구. 여성건강 15(2):19-44, 2004
  14. 김병욱. 암 환자의 보완대체요법 이용수준에 관한연구. 연세대 대학원, 석사학위논문, 2005
  15. P.M. Barnes, E. Powell-Griner, K. McFann, R.L. Nahin. Complementery and alternative medicine use among adults: United States 2002. Adv Data 343: 1-9, 2004
  16. A. Sparber, L. Bauer, G. Curt, D. Eisenberg, T. Levin, S. Parks, S.M. Steinberg, J. Wootton. Use of complementary medicine by adult patients participating in cancer clinical trials. Oncology Nursing Forum 27(4):623-630, 2000
  17. B.J. Bernstein, T. Grasso. Prevalence of complementary and alternative medicine use in cancer patients. Oncology 15(10):1267-1272, 2001
  18. T. Ashikaga, K. Bosompra, P. O' Brien, L. Nelson. Use of complementary and alternative medicine by breast cancer patients: prevalence, patterns and communication with physicians. Support Care Cancer 10(7):542-548, 2002 https://doi.org/10.1007/s00520-002-0356-1
  19. 김순희. 입원 암 환자의 보완대체요법 이용경험과 태도. 고신 대학교 대학원 석사 학위논문, 2004
  20. 서동훈, 강석범, 김재원, 박노현, 송용상, 강순범, 이효표, 서 동훈. 부인암 환자에서 보완대체의학의 사용. Korean Journal Gynecologic Oncology and Colposcopy 15(3):204-212, 2004
  21. S.M. Downer, M.M. Cody, P. McCluskey, P.D. Wilson, S.J. Arnott, T.A. Lister, M.L. Slevin. Pursuit and practice of complementary therapies by cancer patients receiving conventional treatment. British Medical Journal 309(6947):86-89, 1994 https://doi.org/10.1136/bmj.309.6947.86
  22. M.G. Sawyer, A,F. Gannoni, I.R. Toogood, G. Antoniou, M. Rice. The use of alternative therapies by children with cancer. Med J Aust. 160: 320-322, 1994
  23. M. Smith, H.S. Boon. Counseling cancer patients about herbal medicine. Patient Educ Couns 38: 109-120, 1999 https://doi.org/10.1016/S0738-3991(99)00058-0
  24. 이종찬. 건강과 의학의 새로운 흐름 - 담론과 실천 방식에 관 한 사회문화적 비평 Emerging Currents in Health and Medicine - A Socio-Cultural Critique of Their Discourses and Practices -. Korean Journal of Health Policy and Administration 10(4):1-19, 2000
  25. A. Molassiotis, V. Panteli, E. Patiraki, G. Ozden, N. Platin, E. Madsen, M. Browall, P. Fernandez-Ortega, D. Pud, A. Margulies. Complementary and alternative medicine use in lung cancer patients in eight European countries. Complement Ther Clin Pract. 12(1):34-39, 2006 https://doi.org/10.1016/j.ctcp.2005.09.007
  26. M.S.E. Goldstein, R. Brown, R. Ballard-Barbash, H. Morgenstern, J. Lee, N. Gatto, A. Ambs. The Use of complementary and Alternative Medicine Among California Adults with and without Cancer. Evid Based Complement Alternat Med. 2(4):557-565, 2005 https://doi.org/10.1093/ecam/neh138
  27. 이은일, 신유철, 이주현, 김순덕, 김해준, 조무성. 서울 소재 7 종합병원 암환자들의 보완대체요법 이용양상. 대한보건협회학술지 28권 3호, 2002
  28. Y. Yildirim, S. Tinar, S. Yorgun, E. Toz, B. Kaya, S. Sonmez, D. Balsak. The use of complementary and alternative medicine (CAM) therapies by Turkish women with gynecological cancer. Eur J Gynaecol Oncol. 27(1):81-85, 2006
  29. D. Pud, E. Kaner, A. Morag, S. Ben-Ami, A. Yaffe. Use of complementary and alternative medicine among cancer patients in Israel. Eur J Oncol Nurs. 9(2):124-130, 2005 https://doi.org/10.1016/j.ejon.2005.03.011
  30. M.A. Richardson, T. Sanders, J.L. Palmer, A. Gresinger. Complementary Alternative Medicine Use in a Comprehensive Cancer Center and the Implications for Oncology. Journal of Clinical Oncology 18(13):2505-2514, 2000 https://doi.org/10.1200/JCO.2000.18.13.2505
  31. M. Siahpush. A critical review of the sociology of alternative medicine: research on users, practitioners and the orthodoxy. Health 4: 159-178, 1999
  32. M. Walji, S. Sagaram, D. Sagaram, F. Meric-Bernstam, C. Johnson, N.Q. Mirza, E.V. Bernstam. Efficacy of quality criteria to identify potentially harmful information: a cross-sectional survey of complementary and alternative medicine web sites. J Med Internet Res. vol 29 no. 6(2):e21, 2004
  33. W.B. Johns. Alternative medicine - Learning from the past, examining the present, advancing to the future. Journal of the American Medical Association 280(18):1616-1618, 1998 https://doi.org/10.1001/jama.280.18.1616
  34. R.E. Patterson, M.L. Neuhouser, M.M. Hedderson, S.M. Schwartz, L.J. Standish, D.J. Bowen, L.M. Marshall. Types of alternative medicine used by patients with breast, colon, or prostate cancer: Predictors, motives, and costs. Journal of Alternative and Complementary Medicine 8(4):477-485, 2002 https://doi.org/10.1089/107555302760253676
  35. M.A. Richardson, T. Sanders, J.L. Palmer, A. Gresinger. Complementary/Alternative Medicine Use in a Comprehensive Cancer Center and the Implications for Oncology. Journal of Clinical Oncology 18(13):2505-2514, 2000 https://doi.org/10.1200/JCO.2000.18.13.2505
  36. S. Ceylan, O. Hamzaoglu, S. Komurcu, C. Beyan, and A. Yalcin. Survey of the use of complementary and alternative medicine among Turkish cancer patients. Complement Ther Med. 10(2):94-99, 2002 https://doi.org/10.1054/ctim.2002.0527
  37. . Eisenberg, D.C. Cherkin, L.J. Sherman, W. Barlow, T.J. Kaptchuk, J. Street, R.A. Deyo. Randomized trial comparing traditional Chinese medical acupuncture, therapeutic massage, and self-care education for chronic low back pain. Archives of Internal Medicine 161: 1081-1088, 2001 https://doi.org/10.1001/archinte.161.8.1081
  38. J.W. Spencer. J.J. Jacobs. Complementary and Alternative Medicine. Missouri Mosby, 2003
  39. B. Barrett, L. Marchand, J. Scheder, D. Appelbaum, M.B. Plane, J. Blustein, R. Maberry, C. Capperino. What complementary and alternative medicine practitioners say about health and health care. Ann Fam Med. 2(3):253-259, 2004 https://doi.org/10.1370/afm.81