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Symptom Burden and Integrative Medicine in Cancer Survivorship

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Symptom Burden and Integrative Medicine in Cancer Survivorship

Auteurs : Susanne M. Cutshall ; Stephen S. Cha ; Sheryl M. Ness ; Daniela L. Stan ; Sarah A. Christensen ; Anjali Bhagra ; Katharine A. Price ; Carrie A. Thompson ; Shahrukh K. Hashmi ; Tony Y. Chon ; Tracy J. Mccray ; Amit Sood ; Brent A. Bauer ; Kathryn J. Ruddy

Source :

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [ 0941-4355 ] ; 2015.

RBID : PMC:4552597

Abstract

Purpose

To learn the level of experience with, interest in, and desire for knowledge about integrative medicine (IM) among cancer survivors.

Methods

Cancer survivors attending the 2014 National Cancer Survivors Day in Rochester, Minnesota, were recruited to participate in a 1-page survey about their ongoing health concerns and symptoms, as well as their experience with, interest in, and desire for knowledge about IM. Two-sided t test was used for univariate analyses of impact of sex, time since diagnosis, and age.

Results

Among the 260 cancer survivors, 171 persons (female, 74%; male, 26%) completed the survey (mean age, 64.6 years). Symptoms most commonly somewhat or more bothersome were fear of recurrence (52%), stress (43%), fatigue (43%), difficulty sleeping (33%), and weight gain (31%). The most used IM resources were exercise (75%), improved nutrition and diet (66%), stress management (42%), dietary supplementation (33%), meditation (25%), and massage (22%). Older patients (age, ≥65 years) were less experienced with, interested in, and desiring of knowledge about IM techniques. Sex and time since diagnosis were not strongly predictive of most survey response categories.

Conclusions

Cancer survivors have adverse effects for years into survivorship. They use and express interest in various IM techniques to help manage symptoms. It is critical that oncology providers help survivors address ongoing health concerns. Education about and access to evidence-based IM techniques may have important roles in comprehensive cancer survivorship programs.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4552597

DOI: 10.1007/s00520-015-2666-0
PubMed: 25724408
PubMed Central: 4552597

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PMC:4552597

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<author><name sortKey="Cutshall, Susanne M" sort="Cutshall, Susanne M" uniqKey="Cutshall S" first="Susanne M." last="Cutshall">Susanne M. Cutshall</name>
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<author><name sortKey="Cha, Stephen S" sort="Cha, Stephen S" uniqKey="Cha S" first="Stephen S." last="Cha">Stephen S. Cha</name>
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<author><name sortKey="Ness, Sheryl M" sort="Ness, Sheryl M" uniqKey="Ness S" first="Sheryl M." last="Ness">Sheryl M. Ness</name>
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<author><name sortKey="Stan, Daniela L" sort="Stan, Daniela L" uniqKey="Stan D" first="Daniela L." last="Stan">Daniela L. Stan</name>
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<author><name sortKey="Christensen, Sarah A" sort="Christensen, Sarah A" uniqKey="Christensen S" first="Sarah A." last="Christensen">Sarah A. Christensen</name>
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<author><name sortKey="Stan, Daniela L" sort="Stan, Daniela L" uniqKey="Stan D" first="Daniela L." last="Stan">Daniela L. Stan</name>
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<author><name sortKey="Christensen, Sarah A" sort="Christensen, Sarah A" uniqKey="Christensen S" first="Sarah A." last="Christensen">Sarah A. Christensen</name>
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<author><name sortKey="Thompson, Carrie A" sort="Thompson, Carrie A" uniqKey="Thompson C" first="Carrie A." last="Thompson">Carrie A. Thompson</name>
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<author><name sortKey="Hashmi, Shahrukh K" sort="Hashmi, Shahrukh K" uniqKey="Hashmi S" first="Shahrukh K." last="Hashmi">Shahrukh K. Hashmi</name>
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<series><title level="j">Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</title>
<idno type="ISSN">0941-4355</idno>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title>
<p id="P1">To learn the level of experience with, interest in, and desire for knowledge about integrative medicine (IM) among cancer survivors.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Cancer survivors attending the 2014 National Cancer Survivors Day in Rochester, Minnesota, were recruited to participate in a 1-page survey about their ongoing health concerns and symptoms, as well as their experience with, interest in, and desire for knowledge about IM. Two-sided <italic>t</italic>
 test was used for univariate analyses of impact of sex, time since diagnosis, and age.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Among the 260 cancer survivors, 171 persons (female, 74%; male, 26%) completed the survey (mean age, 64.6 years). Symptoms most commonly somewhat or more bothersome were fear of recurrence (52%), stress (43%), fatigue (43%), difficulty sleeping (33%), and weight gain (31%). The most used IM resources were exercise (75%), improved nutrition and diet (66%), stress management (42%), dietary supplementation (33%), meditation (25%), and massage (22%). Older patients (age, ≥65 years) were less experienced with, interested in, and desiring of knowledge about IM techniques. Sex and time since diagnosis were not strongly predictive of most survey response categories.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Cancer survivors have adverse effects for years into survivorship. They use and express interest in various IM techniques to help manage symptoms. It is critical that oncology providers help survivors address ongoing health concerns. Education about and access to evidence-based IM techniques may have important roles in comprehensive cancer survivorship programs.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">9302957</journal-id>
<journal-id journal-id-type="pubmed-jr-id">8479</journal-id>
<journal-id journal-id-type="nlm-ta">Support Care Cancer</journal-id>
<journal-id journal-id-type="iso-abbrev">Support Care Cancer</journal-id>
<journal-title-group><journal-title>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</journal-title>
</journal-title-group>
<issn pub-type="ppub">0941-4355</issn>
<issn pub-type="epub">1433-7339</issn>
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<article-meta><article-id pub-id-type="pmid">25724408</article-id>
<article-id pub-id-type="pmc">4552597</article-id>
<article-id pub-id-type="doi">10.1007/s00520-015-2666-0</article-id>
<article-id pub-id-type="manuscript">NIHMS668344</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Symptom Burden and Integrative Medicine in Cancer Survivorship</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Cutshall</surname>
<given-names>Susanne M.</given-names>
<prefix>Ms</prefix>
</name>
<degrees>APRN, CNS</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Cha</surname>
<given-names>Stephen S.</given-names>
<prefix>Mr</prefix>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Ness</surname>
<given-names>Sheryl M.</given-names>
<prefix>Ms</prefix>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Stan</surname>
<given-names>Daniela L.</given-names>
<prefix>Dr.</prefix>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Christensen</surname>
<given-names>Sarah A.</given-names>
<prefix>Ms</prefix>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Bhagra</surname>
<given-names>Anjali</given-names>
<prefix>Dr.</prefix>
</name>
<degrees>MBBS</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Price</surname>
<given-names>Katharine A.</given-names>
<prefix>Dr.</prefix>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Thompson</surname>
<given-names>Carrie A.</given-names>
<prefix>Dr.</prefix>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Hashmi</surname>
<given-names>Shahrukh K.</given-names>
<prefix>Dr.</prefix>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Chon</surname>
<given-names>Tony Y.</given-names>
<prefix>Dr.</prefix>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>McCray</surname>
<given-names>Tracy J.</given-names>
<prefix>Ms</prefix>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Sood</surname>
<given-names>Amit</given-names>
<prefix>Dr.</prefix>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Bauer</surname>
<given-names>Brent A.</given-names>
<prefix>Dr.</prefix>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Ruddy</surname>
<given-names>Kathryn J.</given-names>
<prefix>Dr.</prefix>
</name>
<degrees>MD, MPH</degrees>
</contrib>
<aff id="A1">Department of General Internal Medicine (Ms Cutshall), Division of Biomedical Statistics and Informatics (Mr Cha), Cancer Center (Mss Christensen and Ness), Division of General Internal Medicine (Drs Stan, Bhagra, Chon, Sood, and Bauer), Division of Medical Oncology (Drs Price and Ruddy), Division of Hematology (Drs Thompson and Hashmi), and Public Affairs (Ms McCray), Mayo Clinic, Rochester, Minnesota</aff>
</contrib-group>
<author-notes><corresp id="FN1">Reprints: Kathryn J. Ruddy, MD, MPH, Division of Medical Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, (<email>ruddy.kathryn@mayo.edu</email>
)</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>8</day>
<month>4</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>28</day>
<month>2</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub"><month>10</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>23</volume>
<issue>10</issue>
<fpage>2989</fpage>
<lpage>2994</lpage>
<pmc-comment>elocation-id from pubmed: 10.1007/s00520-015-2666-0</pmc-comment>
      <abstract><sec id="S1"><title>Purpose</title>
<p id="P1">To learn the level of experience with, interest in, and desire for knowledge about integrative medicine (IM) among cancer survivors.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Cancer survivors attending the 2014 National Cancer Survivors Day in Rochester, Minnesota, were recruited to participate in a 1-page survey about their ongoing health concerns and symptoms, as well as their experience with, interest in, and desire for knowledge about IM. Two-sided <italic>t</italic>
 test was used for univariate analyses of impact of sex, time since diagnosis, and age.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Among the 260 cancer survivors, 171 persons (female, 74%; male, 26%) completed the survey (mean age, 64.6 years). Symptoms most commonly somewhat or more bothersome were fear of recurrence (52%), stress (43%), fatigue (43%), difficulty sleeping (33%), and weight gain (31%). The most used IM resources were exercise (75%), improved nutrition and diet (66%), stress management (42%), dietary supplementation (33%), meditation (25%), and massage (22%). Older patients (age, ≥65 years) were less experienced with, interested in, and desiring of knowledge about IM techniques. Sex and time since diagnosis were not strongly predictive of most survey response categories.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Cancer survivors have adverse effects for years into survivorship. They use and express interest in various IM techniques to help manage symptoms. It is critical that oncology providers help survivors address ongoing health concerns. Education about and access to evidence-based IM techniques may have important roles in comprehensive cancer survivorship programs.</p>
</sec>
</abstract>
<kwd-group><kwd>alternative medicine</kwd>
<kwd>cancer</kwd>
<kwd>cancer symptoms</kwd>
<kwd>complementary medicine</kwd>
<kwd>integrative medicine</kwd>
<kwd>survivorship</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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Symptom Burden and Integrative Medicine in Cancer Survivorship

Symptom Burden and Integrative Medicine in Cancer Survivorship

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Abstract

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