Document Detail


Complementary and alternative medicine use among patients with thyroid cancer.
MedLine Citation:
PMID:  23350883     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To report on the incidence and predictors of use of complementary and alternative medicine (CAM) among patients with thyroid cancer.
METHODS: Data were collected using a web-based online anonymous survey under Institutional Review Board approval from Boston University. This report is based on 1327 responses from subjects with thyroid cancer. Patient factors were compared by univariate and multivariate analyses.
RESULTS: After excluding multivitamin and prayer use, 74% (n=941) used CAM. Respondents were primarily over age 40, white, and female and held a college degree. The top five modalities were massage therapy, chiropraxy, special diets, herbal tea, and yoga. Few patients reported perceiving a particular modality had a negative effect on treatment. CAM was more often used for treatment of symptoms (73%) than as part of thyroid cancer treatment (27%). Multivariable logistic regression demonstrated that patients reporting a poor health status, higher education, cardiovascular disease, pulmonary symptoms, or persistent, recurrent, or metastatic disease were more likely to use CAM for treatment of thyroid cancer symptoms. Nearly one third of respondents reported their CAM use was not known, prescribed, or asked about by their physicians.
CONCLUSIONS: In comparison to national surveys of the general U.S. population, patients with thyroid cancer use CAM therapies twice as often and report their use far less often. Physicians who treat patients with thyroid cancer should be aware of these data to further assist in their assessment and care.
Authors:
Jennifer E Rosen; Paula Gardiner; Robert B Saper; Amanda C Filippelli; Laura F White; Elizabeth N Pearce; Rebecca L Gupta-Lawrence; Stephanie L Lee
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Publication Detail:
Type:  Journal Article; Observational Study     Date:  2013-07-25
Journal Detail:
Title:  Thyroid : official journal of the American Thyroid Association     Volume:  23     ISSN:  1557-9077     ISO Abbreviation:  Thyroid     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-09-25     Completed Date:  2014-04-30     Revised Date:  2014-10-12    
Medline Journal Info:
Nlm Unique ID:  9104317     Medline TA:  Thyroid     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1238-46     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Combined Modality Therapy
Complementary Therapies* / adverse effects
Female
Health Care Surveys
Humans
Internet
Male
Middle Aged
Patient Acceptance of Health Care*
Patient Education as Topic
Physician's Practice Patterns
Physician-Patient Relations
Referral and Consultation
Self Care
Self Report
Thyroid Neoplasms / physiopathology,  therapy*
United States
Young Adult
Grant Support
ID/Acronym/Agency:
K07 AT005463/AT/NCCAM NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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