Hack, Carolin C., Fasching, Peter A., Fehm, Tanja, de Waal, Johann, Rezai, Mahdi, Baier, Bernd, Baake, Gerold, Kolberg, Hans-Christian, Guggenberger, Martin, Warm, Mathias, Harbeck, Nadia, Wuerstlein, Rachel, Deuker, Joerg-Uwe, Dall, Peter, Richter, Barbara, Wachsmann, Grischa, Brucker, Cosima, Siebers, Jan W., Fersis, Nikos, Kuhn, Thomas, Wolf, Christopher, Vollert, Hans-Walter, Breitbach, Georg-Peter, Janni, Wolfgang, Landthaler, Robert, Kohls, Andreas, Rezek, Daniela, Noesslet, Thomas, Fischer, Gunnar, Henschen, Stefan, Praetz, Thomas, Heyl, Volker, Kuehn, Thorsten, Krauss, Thomas, Thomssen, Christoph, Hohn, Andre, Tesch, Hans, Mundhenke, Christoph, Hein, Alexander ORCID: 0000-0003-2601-3398, Rauh, Claudia, Bayer, Christian M., Jacob, Adib, Schmidt, Katja, Belleville, Erik, Hadji, Peyman, Brucker, Sara Y., Wallwiener, Diethelm, Kuemmel, Sherko, Beckmann, Matthias W. and Paepke, Daniela (2017). Interest in Integrative Medicine Among Postmenopausal Hormone Receptor-Positive Breast Cancer Patients in the EvAluate-TM Study. Integr. Cancer Ther., 16 (2). S. 165 - 176. THOUSAND OAKS: SAGE PUBLICATIONS INC. ISSN 1552-695X

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Abstract

Background. Breast cancer patients often use complementary and alternative medicine, but few prospectively collected data on the topic are available specifically for postmenopausal breast cancer patients. A large prospective study was therefore conducted within a noninterventional study in order to identify the characteristics of patients interested in integrative medicine. Methods. The EvAluate-TM study is a prospective, multicenter noninterventional study in which treatment with the aromatase inhibitor letrozole was evaluated in postmenopausal women with hormone receptor-positive primary breast cancer. Between 2008 and 2009, 5045 postmenopausal patients were enrolled at 339 certified breast centers in Germany. As part of the data collection process, patients were asked at the baseline about their interest in and information needs relating to integrative medicine. Results. Of the 5045 patients recruited, 3411 responded to the questionnaire on integrative medicine and took part in the analysis, 1583 patients expressed an interest in integrative medicine, and 1828 patients declared no interest. Relevant predictors of interest in integrative medicine were age, body mass index, tumor size, previous chemotherapy, and use of concomitant medications for other medical conditions. Interest in integrative medicine declined highly significantly (P < .001) with age (< 50 years, 74.1%; 50-60 years, 54.1%; > 65 years, 38.0%). Patients in favor of integrative medicine were significantly less satisfied with the information received about individual treatments and antihormonal therapy. Patients with interest in integrative medicine were more often interested in rehabilitation and fitness, nutritional counseling, and additional support from self-help organizations. These women were mostly interested in receiving information about their disease and integrative medicine from a physician, rather than from other sources. Conclusions. This study shows that a considerable proportion of postmenopausal breast cancer patients are interested in integrative medicine. Information about integrative medicine should therefore be provided as part of patient care for this group. It was found that receiving concomitant medication for other medical conditions is one of the main predictors for women not being interested in integrative medicine. This group of patients may need special attention and individualized information about integrative medicine. Additionally, most patients were interested in obtaining the relevant information from their doctor.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Hack, Carolin C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fasching, Peter A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fehm, TanjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Waal, JohannUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rezai, MahdiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baier, BerndUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baake, GeroldUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kolberg, Hans-ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Guggenberger, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Warm, MathiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Harbeck, NadiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wuerstlein, RachelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Deuker, Joerg-UweUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dall, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Richter, BarbaraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wachsmann, GrischaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brucker, CosimaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Siebers, Jan W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fersis, NikosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kuhn, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wolf, ChristopherUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vollert, Hans-WalterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Breitbach, Georg-PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Janni, WolfgangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Landthaler, RobertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kohls, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rezek, DanielaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Noesslet, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fischer, GunnarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Henschen, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Praetz, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heyl, VolkerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kuehn, ThorstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Krauss, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thomssen, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hohn, AndreUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tesch, HansUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mundhenke, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hein, AlexanderUNSPECIFIEDorcid.org/0000-0003-2601-3398UNSPECIFIED
Rauh, ClaudiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bayer, Christian M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jacob, AdibUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmidt, KatjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Belleville, ErikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hadji, PeymanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brucker, Sara Y.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wallwiener, DiethelmUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kuemmel, SherkoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Beckmann, Matthias W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Paepke, DanielaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-229450
DOI: 10.1177/1534735416668575
Journal or Publication Title: Integr. Cancer Ther.
Volume: 16
Number: 2
Page Range: S. 165 - 176
Date: 2017
Publisher: SAGE PUBLICATIONS INC
Place of Publication: THOUSAND OAKS
ISSN: 1552-695X
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
QUALITY-OF-LIFE; ALTERNATIVE MEDICINE; COMPLEMENTARY THERAPIES; GYNECOLOGIC ONCOLOGY; SYMPTOM MANAGEMENT; METABOLIC SYNDROME; WOMEN; SURVIVORS; CARE; CHEMOTHERAPYMultiple languages
Oncology; Integrative & Complementary MedicineMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/22945

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