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Predictors of Complementary and Alternative Medicine Use by Breast Cancer Patients in Bandung, Indonesia

  • Azhar, Yohana (Department of Surgery, Hasan Sadikin Hospital, Universitas Padjadjaran Bandung) ;
  • Achmad, Dimyati (Department of Surgery, Hasan Sadikin Hospital, Universitas Padjadjaran Bandung) ;
  • Lukman, Kiki (Department of Surgery, Hasan Sadikin Hospital, Universitas Padjadjaran Bandung) ;
  • Hilmanto, Dany (Department of Pediatrics, Hasan Sadikin Hospital, Universitas Padjadjaran Bandung) ;
  • Aryandono, Teguh (Department of Surgery, dr Sardjito Hospital, Universitas Gadjah Mada)
  • Published : 2016.06.01

Abstract

Background: The study aimed to assess complementary and alternative medicine (CAM) use and their associated factors with breast cancer patients in Bandung, Indonesia. Materials and Methods: In total, 330 breast cancer patients were administered questionnaires on their CAM use and CAM predictive factors including socio-demographic parameters, clinical data and quality of life, trust in physicians, trust in hospitals, satisfaction and informational needs. Data were analyzed using univariate analysis and multivariate log regreesion analysis. Results: Overall 33.3% of patients reported use of CAM. Lower income, lower education, presence of metastasis, prolonged diagnosis, less trust in physician were found to be highly associated with CAM use. Conclusions: CAM use by breast cancer patients can be interpreted as an attempt to explore all possible options, an expression of an active coping style, or expression of unmet needs in the cancer care continuum. Physicians need to openly discuss the use of CAM with their patients and identify whether they have other unmet supportive needs.

Keywords

References

  1. Ashikaga T, Basompra K, O’Brien P, et al (2002). Use of complementary and alternative medicine by breast cancer patients: Prevalence, pattern and communication with physicians. Supportive Care Cancer, 10, 542-8. https://doi.org/10.1007/s00520-002-0356-1
  2. Baum M, Ernst E, Lejeune S, et al (2006) Role of complementary and alternative medicine in the care of patients with breast cancer. Report of the European Society of Mastology (EUSOMA). European J Cancer, 42, 1702-10. https://doi.org/10.1016/j.ejca.2006.02.020
  3. De martel C, Ferlay J, Franceschi S, et al (2012). Global burden of cancers attributable to infections in 2008 : a review and synthetic analysis. Lancet Oncol, 13, 607-15. https://doi.org/10.1016/S1470-2045(12)70137-7
  4. Kim MH, Cho YS, Uhm WS, et al (2005). Cross-cultural adaptation and validation of the Korean version of the EQ- 5D in patients with rheumatic disease. Quality Life Res, 14, 1401-6. https://doi.org/10.1007/s11136-004-5681-z
  5. McLay JS, Stewart D, George J Rore, et al (2012). Complementary and Alternative medicine use by Scottosh women with breast cancer. What, why and the potential for drug interaction. Eur J Clin Pharmacol, 68, 811-9. https://doi.org/10.1007/s00228-011-1181-6
  6. National Center for Complementary and Alternative Medicine (NCCAM), 'What is Complementary and alternative medicine?" Agust 2014, http://nccam.nih.gov/health/whatiscam/.
  7. Navo MA, Phan J, Vaughan C, et al (2004). An assessment of the utilization of complementary alternative medication in women with gynaecologic or breast malignancies. J Clin Oncol, 22, 671-7. https://doi.org/10.1200/JCO.2004.04.162
  8. N.Klafke, JA Eliot, GA Wittert., et al (2012) Prevalence and predictors of complementary and alternative medicine (CAM) use by men in Australian cancer outpatient services. Ann Oncol, 23, 1571-8. https://doi.org/10.1093/annonc/mdr521
  9. Owens B, Jackson M, Bernd A (2009). Complementary therapy used by Hispanic women during treatment for breast cancer. J Holistic Nurs, 27, 167-76. https://doi.org/10.1177/0898010108330801
  10. Paltiel O., Avitzour T, Peretz T, et al (2001). Determinants of the use of complementary therapies by patients with cancer. J Clin Oncol, 19, 873-80.
  11. Shim EJ, Lee KS, Park JH (2011). Comprehensive needs assessment tool in cancer (CNAT): the development and validation. Supportive Care Cancer, 19, 1957-68. https://doi.org/10.1007/s00520-010-1037-0
  12. Solner W, Maslinger A, DeVries A, et al (2000). Use of complementary and alternative medicine by cancer patients is not associated with perceived distress or poor compliance with standard treatment but with active coping behavior: a survey. Cancer, 8, 873-80
  13. Weiger WA, Smith M, Broon H, et al (2002). Advising patients who seek complementary and alternative medical therapies for cancer. Ann Internal Med, 137, 889-903. https://doi.org/10.7326/0003-4819-137-11-200212030-00010
  14. Wong LC, Chan E. Lee KM, et al (2010). Complementary and alternative medicine practice among Asian Radiotherapy patients. Asia Pac J Clin Oncol, 59, 58-66.