Utilization of and Attitudes towards Traditional Chinese Medicine Therapies in a Chinese Cancer Hospital: A Survey of Patients and Physicians
Identifieur interne : 003E10 ( Pmc/Curation ); précédent : 003E09; suivant : 003E11Utilization of and Attitudes towards Traditional Chinese Medicine Therapies in a Chinese Cancer Hospital: A Survey of Patients and Physicians
Auteurs : Jennifer L. Mcquade [États-Unis] ; Zhiqiang Meng [République populaire de Chine] ; Zhen Chen [République populaire de Chine] ; Qi Wei [États-Unis] ; Ying Zhang [République populaire de Chine] ; Wenying Bei [République populaire de Chine] ; J. Lynn Palmer [États-Unis] ; Lorenzo Cohen [États-Unis]Source :
- Evidence-based Complementary and Alternative Medicine : eCAM [ 1741-427X ] ; 2012.
Abstract
Url:
DOI: 10.1155/2012/504507
PubMed: 23093982
PubMed Central: 3475319
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Utilization of and Attitudes towards Traditional Chinese Medicine Therapies in a Chinese Cancer Hospital: A Survey of Patients and Physicians</title><author><name sortKey="Mcquade, Jennifer L" sort="Mcquade, Jennifer L" uniqKey="Mcquade J" first="Jennifer L." last="Mcquade">Jennifer L. Mcquade</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Internal Medicine, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Internal Medicine, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104</wicri:regionArea></affiliation></author><author><name sortKey="Meng, Zhiqiang" sort="Meng, Zhiqiang" uniqKey="Meng Z" first="Zhiqiang" last="Meng">Zhiqiang Meng</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Zhen" sort="Chen, Zhen" uniqKey="Chen Z" first="Zhen" last="Chen">Zhen Chen</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032</wicri:regionArea></affiliation></author><author><name sortKey="Wei, Qi" sort="Wei, Qi" uniqKey="Wei Q" first="Qi" last="Wei">Qi Wei</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030</wicri:regionArea></affiliation></author><author><name sortKey="Zhang, Ying" sort="Zhang, Ying" uniqKey="Zhang Y" first="Ying" last="Zhang">Ying Zhang</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032</wicri:regionArea></affiliation></author><author><name sortKey="Bei, Wenying" sort="Bei, Wenying" uniqKey="Bei W" first="Wenying" last="Bei">Wenying Bei</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032</wicri:regionArea></affiliation></author><author><name sortKey="Palmer, J Lynn" sort="Palmer, J Lynn" uniqKey="Palmer J" first="J. Lynn" last="Palmer">J. Lynn Palmer</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030</wicri:regionArea></affiliation></author><author><name sortKey="Cohen, Lorenzo" sort="Cohen, Lorenzo" uniqKey="Cohen L" first="Lorenzo" last="Cohen">Lorenzo Cohen</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23093982</idno><idno type="pmc">3475319</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475319</idno><idno type="RBID">PMC:3475319</idno><idno type="doi">10.1155/2012/504507</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">003E11</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003E11</idno><idno type="wicri:Area/Pmc/Curation">003E10</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003E10</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Utilization of and Attitudes towards Traditional Chinese Medicine Therapies in a Chinese Cancer Hospital: A Survey of Patients and Physicians</title><author><name sortKey="Mcquade, Jennifer L" sort="Mcquade, Jennifer L" uniqKey="Mcquade J" first="Jennifer L." last="Mcquade">Jennifer L. Mcquade</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Internal Medicine, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Internal Medicine, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104</wicri:regionArea></affiliation></author><author><name sortKey="Meng, Zhiqiang" sort="Meng, Zhiqiang" uniqKey="Meng Z" first="Zhiqiang" last="Meng">Zhiqiang Meng</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Zhen" sort="Chen, Zhen" uniqKey="Chen Z" first="Zhen" last="Chen">Zhen Chen</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032</wicri:regionArea></affiliation></author><author><name sortKey="Wei, Qi" sort="Wei, Qi" uniqKey="Wei Q" first="Qi" last="Wei">Qi Wei</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030</wicri:regionArea></affiliation></author><author><name sortKey="Zhang, Ying" sort="Zhang, Ying" uniqKey="Zhang Y" first="Ying" last="Zhang">Ying Zhang</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032</wicri:regionArea></affiliation></author><author><name sortKey="Bei, Wenying" sort="Bei, Wenying" uniqKey="Bei W" first="Wenying" last="Bei">Wenying Bei</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032</wicri:regionArea></affiliation></author><author><name sortKey="Palmer, J Lynn" sort="Palmer, J Lynn" uniqKey="Palmer J" first="J. Lynn" last="Palmer">J. Lynn Palmer</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030</wicri:regionArea></affiliation></author><author><name sortKey="Cohen, Lorenzo" sort="Cohen, Lorenzo" uniqKey="Cohen L" first="Lorenzo" last="Cohen">Lorenzo Cohen</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030</wicri:regionArea></affiliation></author></analytic><series><title level="j">Evidence-based Complementary and Alternative Medicine : eCAM</title><idno type="ISSN">1741-427X</idno><idno type="eISSN">1741-4288</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Background</italic>. In China, the use of traditional Chinese medicine (TCM) is very popular, but little is known about how it is integrated with conventional cancer care. We conducted parallel surveys of patients and physicians on TCM utilization. <italic>Methods</italic>. Two hundred forty-five patients and 72 allopathic physicians at the Fudan University Shanghai Cancer Center completed questions on their use of and attitude towards TCM. <italic>Results</italic>. Patient mean age was 51, with 60% female. Eighty-three percent of patients had used TCM. Use was greatest for Chinese herbal medicine (CHM; 55.8%). Only 1.3% of patients used acupuncture and 6.8% Qi Gong or Tai Qi. Sixty-three percent of patients notified their oncologist about TCM use. The most common reason for use was to improve immune function. CHM was often used with a goal of treating cancer (66.4%), a use that 57% of physicians agreed with. Physicians were most concerned with interference with treatment, lack of evidence, and safety. Ninety percent of physicians have prescribed herbs and 87.5% have used TCM themselves. <italic>Conclusion</italic>. The use of TCM by Chinese cancer patients is exceptionally high, and physicians are generally well informed and supportive of patients' use. Botanical agents are much more commonly used than acupuncture or movement-based therapies.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ernst, E" uniqKey="Ernst E">E Ernst</name></author><author><name sortKey="Cassileth, Br" uniqKey="Cassileth B">BR Cassileth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Horneber, M" uniqKey="Horneber M">M Horneber</name></author><author><name sortKey="Bueschel, G" uniqKey="Bueschel G">G Bueschel</name></author><author><name sortKey="Dennert, G" uniqKey="Dennert G">G Dennert</name></author><author><name sortKey="Less, D" uniqKey="Less D">D Less</name></author><author><name sortKey="Ritter, E" uniqKey="Ritter E">E Ritter</name></author><author><name sortKey="Zwahlen, M" uniqKey="Zwahlen M">M Zwahlen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, M" uniqKey="Chen M">M 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Evid Based Complement Alternat Med</journal-id><journal-id journal-id-type="iso-abbrev">Evid Based Complement Alternat Med</journal-id><journal-id journal-id-type="publisher-id">ECAM</journal-id><journal-title-group><journal-title>Evidence-based Complementary and Alternative Medicine : eCAM</journal-title></journal-title-group><issn pub-type="ppub">1741-427X</issn><issn pub-type="epub">1741-4288</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23093982</article-id><article-id pub-id-type="pmc">3475319</article-id><article-id pub-id-type="doi">10.1155/2012/504507</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Utilization of and Attitudes towards Traditional Chinese Medicine Therapies in a Chinese Cancer Hospital: A Survey of Patients and Physicians</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>McQuade</surname><given-names>Jennifer L.</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Meng</surname><given-names>ZhiQiang</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Chen</surname><given-names>Zhen</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Wei</surname><given-names>Qi</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Ying</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Bei</surname><given-names>WenYing</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Palmer</surname><given-names>J. Lynn</given-names></name><xref ref-type="aff" rid="I4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Cohen</surname><given-names>Lorenzo</given-names></name><xref ref-type="aff" rid="I4"><sup>4</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Internal Medicine, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA</aff><aff id="I2"><sup>2</sup>Department of Integrative Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032, China</aff><aff id="I3"><sup>3</sup>Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030, USA</aff><aff id="I4"><sup>4</sup>Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0462, Houston, TX 77030, USA</aff><author-notes><corresp id="cor1">*Jennifer L. McQuade: <email>jenmcquade@gmail.com</email></corresp><fn fn-type="other"><p>Academic Editor: Alfredo Vannacci</p></fn></author-notes><pub-date pub-type="ppub"><year>2012</year></pub-date><pub-date pub-type="epub"><day>11</day><month>10</month><year>2012</year></pub-date><volume>2012</volume><elocation-id>504507</elocation-id><history><date date-type="received"><day>2</day><month>5</month><year>2012</year></date><date date-type="accepted"><day>10</day><month>9</month><year>2012</year></date></history><permissions><copyright-statement>Copyright © 2012 Jennifer L. McQuade et al.</copyright-statement><copyright-year>2012</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p><italic>Background</italic>. In China, the use of traditional Chinese medicine (TCM) is very popular, but little is known about how it is integrated with conventional cancer care. We conducted parallel surveys of patients and physicians on TCM utilization. <italic>Methods</italic>. Two hundred forty-five patients and 72 allopathic physicians at the Fudan University Shanghai Cancer Center completed questions on their use of and attitude towards TCM. <italic>Results</italic>. Patient mean age was 51, with 60% female. Eighty-three percent of patients had used TCM. Use was greatest for Chinese herbal medicine (CHM; 55.8%). Only 1.3% of patients used acupuncture and 6.8% Qi Gong or Tai Qi. Sixty-three percent of patients notified their oncologist about TCM use. The most common reason for use was to improve immune function. CHM was often used with a goal of treating cancer (66.4%), a use that 57% of physicians agreed with. Physicians were most concerned with interference with treatment, lack of evidence, and safety. Ninety percent of physicians have prescribed herbs and 87.5% have used TCM themselves. <italic>Conclusion</italic>. The use of TCM by Chinese cancer patients is exceptionally high, and physicians are generally well informed and supportive of patients' use. Botanical agents are much more commonly used than acupuncture or movement-based therapies.</p></abstract></article-meta></front><floats-group><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Use of TCM by demographic, disease, and treatment-related variables.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Variable</th><th align="center" rowspan="1" colspan="1">All respondents (<italic>n</italic> = 248) (%)</th><th align="center" rowspan="1" colspan="1">TCM users (<italic>n</italic> = 207) (%)</th><th align="center" rowspan="1" colspan="1">Nonusers (<italic>n</italic> = 41) (%)</th><th align="center" rowspan="1" colspan="1"><italic>χ</italic><sup>2</sup></th><th align="center" rowspan="1" colspan="1"><italic>P</italic></th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Age</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> ≤51 years</td><td align="center" rowspan="1" colspan="1">47.8</td><td align="center" rowspan="1" colspan="1">41.6</td><td align="center" rowspan="1" colspan="1">36.6</td><td align="center" rowspan="2" colspan="1">2.46</td><td align="center" rowspan="2" colspan="1">0.117</td></tr><tr><td align="left" rowspan="1" colspan="1"> >51 years</td><td align="center" rowspan="1" colspan="1">52.4</td><td align="center" rowspan="1" colspan="1">41.6</td><td align="center" rowspan="1" colspan="1">63.4</td></tr><tr><td align="left" rowspan="1" colspan="1">Gender</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Male</td><td align="center" rowspan="1" colspan="1">40.3</td><td align="center" rowspan="1" colspan="1">38.0</td><td align="center" rowspan="1" colspan="1">53.7</td><td align="center" rowspan="2" colspan="1">3.49</td><td align="center" rowspan="2" colspan="1">0.062</td></tr><tr><td align="left" rowspan="1" colspan="1"> Female</td><td align="center" rowspan="1" colspan="1">59.7</td><td align="center" rowspan="1" colspan="1">62.0</td><td align="center" rowspan="1" colspan="1">46.3</td></tr><tr><td align="left" rowspan="1" colspan="1">Education</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> ≤Middle school </td><td align="center" rowspan="1" colspan="1">57.9</td><td align="center" rowspan="1" colspan="1">54.2</td><td align="center" rowspan="1" colspan="1">75.6</td><td align="center" rowspan="2" colspan="1">6.38</td><td align="center" rowspan="2" colspan="1">0.012</td></tr><tr><td align="left" rowspan="1" colspan="1"> >Middle school</td><td align="center" rowspan="1" colspan="1">42.1</td><td align="center" rowspan="1" colspan="1">45.8</td><td align="center" rowspan="1" colspan="1">24.4</td></tr><tr><td align="left" rowspan="1" colspan="1">Annual Income</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> ≤1250 USD</td><td align="center" rowspan="1" colspan="1">35.3</td><td align="center" rowspan="1" colspan="1">32.0</td><td align="center" rowspan="1" colspan="1">50.0</td><td align="center" rowspan="2" colspan="1">4.25</td><td align="center" rowspan="2" colspan="1">0.039</td></tr><tr><td align="left" rowspan="1" colspan="1"> >1250 USD</td><td align="center" rowspan="1" colspan="1">64.7</td><td align="center" rowspan="1" colspan="1">68.0</td><td align="center" rowspan="1" colspan="1">50.0</td></tr><tr><td align="left" rowspan="1" colspan="1">Metastasized</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Yes</td><td align="center" rowspan="1" colspan="1">34.3</td><td align="center" rowspan="1" colspan="1">36.5</td><td align="center" rowspan="1" colspan="1">24.4</td><td align="center" rowspan="2" colspan="1">2.24</td><td align="center" rowspan="2" colspan="1">0.135</td></tr><tr><td align="left" rowspan="1" colspan="1"> No</td><td align="center" rowspan="1" colspan="1">65.7</td><td align="center" rowspan="1" colspan="1">63.5</td><td align="center" rowspan="1" colspan="1">75.6</td></tr><tr><td align="left" rowspan="1" colspan="1">Recurred</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Yes</td><td align="center" rowspan="1" colspan="1">14.3</td><td align="center" rowspan="1" colspan="1">14.2</td><td align="center" rowspan="1" colspan="1">14.6</td><td align="center" rowspan="2" colspan="1">0.01</td><td align="center" rowspan="2" colspan="1">0.935</td></tr><tr><td align="left" rowspan="1" colspan="1"> No</td><td align="center" rowspan="1" colspan="1">85.7</td><td align="center" rowspan="1" colspan="1">85.9</td><td align="center" rowspan="1" colspan="1">85.4</td></tr><tr><td align="left" rowspan="1" colspan="1">On treatment</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Yes</td><td align="center" rowspan="1" colspan="1">49.4</td><td align="center" rowspan="1" colspan="1">50.5</td><td align="center" rowspan="1" colspan="1">43.6</td><td align="center" rowspan="2" colspan="1">.624</td><td align="center" rowspan="2" colspan="1">0.430</td></tr><tr><td align="left" rowspan="1" colspan="1"> No</td><td align="center" rowspan="1" colspan="1">50.6</td><td align="center" rowspan="1" colspan="1">49.5</td><td align="center" rowspan="1" colspan="1">56.4</td></tr><tr><td align="left" rowspan="1" colspan="1">Diagnosis</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Breast</td><td align="center" rowspan="1" colspan="1">31.4</td><td align="center" rowspan="1" colspan="1">35.3</td><td align="center" rowspan="1" colspan="1">12.8</td><td align="center" rowspan="6" colspan="1">10.4</td><td align="center" rowspan="6" colspan="1">0.065</td></tr><tr><td align="left" rowspan="1" colspan="1"> GI</td><td align="center" rowspan="1" colspan="1">22.9</td><td align="center" rowspan="1" colspan="1">20.1</td><td align="center" rowspan="1" colspan="1">35.6</td></tr><tr><td align="left" rowspan="1" colspan="1"> Head and neck</td><td align="center" rowspan="1" colspan="1">10.8</td><td align="center" rowspan="1" colspan="1">10.9</td><td align="center" rowspan="1" colspan="1">10.3</td></tr><tr><td align="left" rowspan="1" colspan="1"> Lung</td><td align="center" rowspan="1" colspan="1">9.9</td><td align="center" rowspan="1" colspan="1">8.7</td><td align="center" rowspan="1" colspan="1">15.4</td></tr><tr><td align="left" rowspan="1" colspan="1"> Lymphoma</td><td align="center" rowspan="1" colspan="1">11.7</td><td align="center" rowspan="1" colspan="1">12.0</td><td align="center" rowspan="1" colspan="1">10.3</td></tr><tr><td align="left" rowspan="1" colspan="1"> Other</td><td align="center" rowspan="1" colspan="1">13.5</td><td align="center" rowspan="1" colspan="1">13.0</td><td align="center" rowspan="1" colspan="1">15.4</td></tr></tbody></table></table-wrap><table-wrap id="tab2" orientation="portrait" position="float"><label>Table 2</label><caption><p>Proportion of patients who used TCM and discussed TCM with physicians, reason why use is not discussed, and physician response to disclosure.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1"> </th><th align="center" rowspan="1" colspan="1"> </th><th align="center" rowspan="1" colspan="1"> </th><th align="center" colspan="3" rowspan="1">Reason why use is not discussed</th><th align="center" colspan="3" rowspan="1">Physician response to use disclosure</th></tr><tr><th align="left" rowspan="1" colspan="1">Therapy</th><th align="center" rowspan="1" colspan="1">Used (%)</th><th align="center" rowspan="1" colspan="1">Discussed with physician (%)</th><th align="center" rowspan="1" colspan="1">Doctor never asked</th><th align="center" rowspan="1" colspan="1">Doctor would discourage</th><th align="center" rowspan="1" colspan="1">Not important for doctor to know</th><th align="center" rowspan="1" colspan="1">Encouraged me to continue</th><th align="center" rowspan="1" colspan="1">Asked me to stop</th><th align="center" rowspan="1" colspan="1">Neutral</th></tr><tr><th align="left" rowspan="1" colspan="1"> </th><th align="center" rowspan="1" colspan="1"> </th><th align="center" rowspan="1" colspan="1"> </th><th align="center" rowspan="1" colspan="1">% yes</th><th align="center" rowspan="1" colspan="1">% yes</th><th align="center" rowspan="1" colspan="1">% yes</th><th align="center" rowspan="1" colspan="1">% yes</th><th align="center" rowspan="1" colspan="1">% yes</th><th align="center" rowspan="1" colspan="1">% yes</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">TCM overall</td><td align="center" rowspan="1" colspan="1">83.5</td><td align="center" rowspan="1" colspan="1">63.5</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1">Chinese herbal medicine (CHM) </td><td align="center" rowspan="1" colspan="1">54.5</td><td align="center" rowspan="1" colspan="1">70.9</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Herbal decoctions</td><td align="center" rowspan="1" colspan="1">47.6</td><td align="center" rowspan="1" colspan="1">65.2</td><td align="center" rowspan="1" colspan="1">65.0</td><td align="center" rowspan="1" colspan="1">7.5</td><td align="center" rowspan="1" colspan="1">17.5</td><td align="center" rowspan="1" colspan="1">54.1</td><td align="center" rowspan="1" colspan="1">5.4</td><td align="center" rowspan="1" colspan="1">36.5</td></tr><tr><td align="left" rowspan="1" colspan="1"> Patent medicines</td><td align="center" rowspan="1" colspan="1">31.8</td><td align="center" rowspan="1" colspan="1">68.8</td><td align="center" rowspan="1" colspan="1">52.2</td><td align="center" rowspan="1" colspan="1">8.7</td><td align="center" rowspan="1" colspan="1">30.4</td><td align="center" rowspan="1" colspan="1">71.7</td><td align="center" rowspan="1" colspan="1">5.7</td><td align="center" rowspan="1" colspan="1">20.8</td></tr><tr><td align="left" rowspan="1" colspan="1"> Herbal injections</td><td align="center" rowspan="1" colspan="1">2.5</td><td align="center" rowspan="1" colspan="1">100.0</td><td align="center" rowspan="1" colspan="1">N/A</td><td align="center" rowspan="1" colspan="1">N/A</td><td align="center" rowspan="1" colspan="1">N/A</td><td align="center" rowspan="1" colspan="1">83.3</td><td align="center" rowspan="1" colspan="1">0.0</td><td align="center" rowspan="1" colspan="1">0.0</td></tr><tr><td align="left" rowspan="1" colspan="1">Tonics and food therapy</td><td align="center" rowspan="1" colspan="1">69.2</td><td align="center" rowspan="1" colspan="1">40.5</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Tonics/supplements</td><td align="center" rowspan="1" colspan="1">50.4</td><td align="center" rowspan="1" colspan="1">41.5</td><td align="center" rowspan="1" colspan="1">63.8</td><td align="center" rowspan="1" colspan="1">10.1</td><td align="center" rowspan="1" colspan="1">11.6</td><td align="center" rowspan="1" colspan="1">33.3</td><td align="center" rowspan="1" colspan="1">15.7</td><td align="center" rowspan="1" colspan="1">49.0</td></tr><tr><td align="left" rowspan="1" colspan="1"> Food therapy</td><td align="center" rowspan="1" colspan="1">41.5</td><td align="center" rowspan="1" colspan="1">27.9</td><td align="center" rowspan="1" colspan="1">44.1</td><td align="center" rowspan="1" colspan="1">0.0</td><td align="center" rowspan="1" colspan="1">51.5</td><td align="center" rowspan="1" colspan="1">70.4</td><td align="center" rowspan="1" colspan="1">7.4</td><td align="center" rowspan="1" colspan="1">14.8</td></tr><tr><td align="left" rowspan="1" colspan="1">Movement/physical therapies </td><td align="center" rowspan="1" colspan="1">6.8</td><td align="center" rowspan="1" colspan="1">23.1</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Qi Gong</td><td align="center" rowspan="1" colspan="1">3.4</td><td align="center" rowspan="1" colspan="1">12.5</td><td align="center" rowspan="1" colspan="1">42.9</td><td align="center" rowspan="1" colspan="1">0.0</td><td align="center" rowspan="1" colspan="1">57.1</td><td align="center" rowspan="1" colspan="1">100.0</td><td align="center" rowspan="1" colspan="1">0.0</td><td align="center" rowspan="1" colspan="1">0.0</td></tr><tr><td align="left" rowspan="1" colspan="1"> Tai Qi</td><td align="center" rowspan="1" colspan="1">4.0</td><td align="center" rowspan="1" colspan="1">22.2</td><td align="center" rowspan="1" colspan="1">71.4</td><td align="center" rowspan="1" colspan="1">0.0</td><td align="center" rowspan="1" colspan="1">28.6</td><td align="center" rowspan="1" colspan="1">100.0</td><td align="center" rowspan="1" colspan="1">0.0</td><td align="center" rowspan="1" colspan="1">0.0</td></tr><tr><td align="left" rowspan="1" colspan="1">Acupuncture</td><td align="center" rowspan="1" colspan="1">1.3</td><td align="center" rowspan="1" colspan="1">100.0</td><td align="center" rowspan="1" colspan="1">N/A</td><td align="center" rowspan="1" colspan="1">N/A</td><td align="center" rowspan="1" colspan="1">N/A</td><td align="center" rowspan="1" colspan="1">100.0</td><td align="center" rowspan="1" colspan="1">0.0</td><td align="center" rowspan="1" colspan="1">0.0</td></tr></tbody></table></table-wrap><table-wrap id="tab3" orientation="portrait" position="float"><label>Table 3</label><caption><p>Reasons for TCM use: patients' response versus physicians' perceptions and physician beliefs about TCM utility.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Reason </th><th align="center" rowspan="1" colspan="1">Patient reason for use* <break></break>% yes</th><th align="center" rowspan="1" colspan="1">Physician perception of patient reason for use<break></break>% yes</th><th align="center" rowspan="1" colspan="1"><italic>χ</italic><sup>2</sup></th><th align="center" rowspan="1" colspan="1"><italic>P</italic></th><th align="center" rowspan="1" colspan="1">Physician belief about utility<break></break>% yes</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1"><italic>Chinese herbal medicine </italic>(<italic>CHM</italic>)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Cure or treat cancer or prolong life </td><td align="center" rowspan="1" colspan="1">66.4</td><td align="center" rowspan="1" colspan="1">57.0</td><td align="center" rowspan="1" colspan="1">1.82</td><td align="center" rowspan="1" colspan="1">0.177</td><td align="center" rowspan="1" colspan="1">54.2</td></tr><tr><td align="left" rowspan="1" colspan="1"> Symptom relief or improve QOL</td><td align="center" rowspan="1" colspan="1">51.8</td><td align="center" rowspan="1" colspan="1">83.3</td><td align="center" rowspan="1" colspan="1">20.0</td><td align="center" rowspan="1" colspan="1"><0.001</td><td align="center" rowspan="1" colspan="1">87.5</td></tr><tr><td align="left" rowspan="1" colspan="1"> Improve immune function</td><td align="center" rowspan="1" colspan="1">53.3</td><td align="center" rowspan="1" colspan="1">86.1</td><td align="center" rowspan="1" colspan="1">22.2</td><td align="center" rowspan="1" colspan="1"><0.001</td><td align="center" rowspan="1" colspan="1">83.3</td></tr><tr><td align="left" rowspan="1" colspan="1"> Health problems other than cancer</td><td align="center" rowspan="1" colspan="1">4.4</td><td align="center" rowspan="1" colspan="1">40.3</td><td align="center" rowspan="1" colspan="1">43.6</td><td align="center" rowspan="1" colspan="1"><0.001</td><td align="center" rowspan="1" colspan="1">37.5</td></tr><tr><td align="left" rowspan="1" colspan="1"><italic>Tonics and food therapy </italic></td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Cure or treat cancer or prolong life </td><td align="center" rowspan="1" colspan="1">43.0</td><td align="center" rowspan="1" colspan="1">36.1</td><td align="center" rowspan="1" colspan="1">1.00</td><td align="center" rowspan="1" colspan="1">0.317</td><td align="center" rowspan="1" colspan="1">26.4</td></tr><tr><td align="left" rowspan="1" colspan="1"> Symptom relief or improve QOL</td><td align="center" rowspan="1" colspan="1">50.6</td><td align="center" rowspan="1" colspan="1">75.0</td><td align="center" rowspan="1" colspan="1">12.4</td><td align="center" rowspan="1" colspan="1"><0.001</td><td align="center" rowspan="1" colspan="1">76.4</td></tr><tr><td align="left" rowspan="1" colspan="1"> Improve immune function</td><td align="center" rowspan="1" colspan="1">72.7</td><td align="center" rowspan="1" colspan="1">75.0</td><td align="center" rowspan="1" colspan="1">0.14</td><td align="center" rowspan="1" colspan="1">0.708</td><td align="center" rowspan="1" colspan="1">72.2</td></tr><tr><td align="left" rowspan="1" colspan="1"> Health problems other than cancer</td><td align="center" rowspan="1" colspan="1">4.7</td><td align="center" rowspan="1" colspan="1">75.0</td><td align="center" rowspan="1" colspan="1">132</td><td align="center" rowspan="1" colspan="1"><0.001</td><td align="center" rowspan="1" colspan="1">20.8</td></tr><tr><td align="left" rowspan="1" colspan="1"><italic>Qi Gong</italic>*</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Cure or treat cancer or prolong life </td><td align="center" rowspan="1" colspan="1">50.0</td><td align="center" rowspan="1" colspan="1">22.2</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">13.9</td></tr><tr><td align="left" rowspan="1" colspan="1"> Symptom relief or improve QOL</td><td align="center" rowspan="1" colspan="1">12.5</td><td align="center" rowspan="1" colspan="1">51.4</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">52.8</td></tr><tr><td align="left" rowspan="1" colspan="1"> Improve immune function</td><td align="center" rowspan="1" colspan="1">62.5</td><td align="center" rowspan="1" colspan="1">43.1</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">38.9</td></tr><tr><td align="left" rowspan="1" colspan="1"> Health problems other than cancer</td><td align="center" rowspan="1" colspan="1">12.5</td><td align="center" rowspan="1" colspan="1">12.5</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">9.7</td></tr><tr><td align="left" rowspan="1" colspan="1"><italic>Acupuncture</italic>*</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Cure or treat cancer or prolong life </td><td align="center" rowspan="1" colspan="1">33.3</td><td align="center" rowspan="1" colspan="1">20.8</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">18.1</td></tr><tr><td align="left" rowspan="1" colspan="1"> Symptom relief or improve QOL</td><td align="center" rowspan="1" colspan="1">0.0</td><td align="center" rowspan="1" colspan="1">66.7</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">68.1</td></tr><tr><td align="left" rowspan="1" colspan="1"> Improve immune function</td><td align="center" rowspan="1" colspan="1">33.3</td><td align="center" rowspan="1" colspan="1">29.2</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">27.8</td></tr><tr><td align="left" rowspan="1" colspan="1"> Health problems other than cancer</td><td align="center" rowspan="1" colspan="1">66.7</td><td align="center" rowspan="1" colspan="1">26.4</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">27.8</td></tr></tbody></table><table-wrap-foot><fn><p>*The total number of patients using Qi Gong was only 8 and using acupuncture was only 3, thus comparative statistics were not conducted.</p></fn></table-wrap-foot></table-wrap><table-wrap id="tab4" orientation="portrait" position="float"><label>Table 4</label><caption><p>Percent of patient use, physician estimate of patient use, and patients asking about therapy, patients to whom physicians recommended therapy.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Therapy (% range of physicians) </th><th align="center" rowspan="1" colspan="1">Patient use (%)</th><th align="center" rowspan="1" colspan="1">Physician estimate of patients using this therapy (%)</th><th align="center" rowspan="1" colspan="1">Patients asking about this therapy (%)</th><th align="center" rowspan="1" colspan="1">Patients to whom physician has recommended use of this therapy (%)</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">TCM overall</td><td align="center" rowspan="1" colspan="1">83.5</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1">Herbal decoctions</td><td align="center" rowspan="1" colspan="1">47.6</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> 0%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">9.9</td><td align="center" rowspan="1" colspan="1">4.2</td><td align="center" rowspan="1" colspan="1">12.7</td></tr><tr><td align="left" rowspan="1" colspan="1"> 1–25%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"><bold>39.4</bold>*</td><td align="center" rowspan="1" colspan="1">33.8</td><td align="center" rowspan="1" colspan="1"><bold>45.1</bold></td></tr><tr><td align="left" rowspan="1" colspan="1"> 26–50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">33.8</td><td align="center" rowspan="1" colspan="1">18.3</td><td align="center" rowspan="1" colspan="1">26.8</td></tr><tr><td align="left" rowspan="1" colspan="1"> >50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">16.9</td><td align="center" rowspan="1" colspan="1"><bold>43.7</bold></td><td align="center" rowspan="1" colspan="1">15.5</td></tr><tr><td align="left" rowspan="1" colspan="1">Patent medicine</td><td align="center" rowspan="1" colspan="1">31.8</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> 0%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">6.9</td><td align="center" rowspan="1" colspan="1">1.4</td><td align="center" rowspan="1" colspan="1">4.3</td></tr><tr><td align="left" rowspan="1" colspan="1"> 1–25%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">23.6</td><td align="center" rowspan="1" colspan="1">33.8</td><td align="center" rowspan="1" colspan="1"><bold>44.3</bold></td></tr><tr><td align="left" rowspan="1" colspan="1"> 26–50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">16.7</td><td align="center" rowspan="1" colspan="1">26.8</td><td align="center" rowspan="1" colspan="1">30.0</td></tr><tr><td align="left" rowspan="1" colspan="1"> >50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"><bold>51.9</bold></td><td align="center" rowspan="1" colspan="1"><bold>38.0</bold></td><td align="center" rowspan="1" colspan="1">21.4</td></tr><tr><td align="left" rowspan="1" colspan="1">Injections</td><td align="center" rowspan="1" colspan="1">2.5</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> 0%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">15.3</td><td align="center" rowspan="1" colspan="1">18.1</td><td align="center" rowspan="1" colspan="1">37.5</td></tr><tr><td align="left" rowspan="1" colspan="1"> 1–25%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"><bold>73.6</bold></td><td align="center" rowspan="1" colspan="1"><bold>66.7</bold></td><td align="center" rowspan="1" colspan="1"><bold>50.0</bold></td></tr><tr><td align="left" rowspan="1" colspan="1"> 26–50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">5.6</td><td align="center" rowspan="1" colspan="1">9.7</td><td align="center" rowspan="1" colspan="1">6.9</td></tr><tr><td align="left" rowspan="1" colspan="1"> >50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">5.6</td><td align="center" rowspan="1" colspan="1">5.6</td><td align="center" rowspan="1" colspan="1">5.6</td></tr><tr><td align="left" rowspan="1" colspan="1">Tonics/supplements</td><td align="center" rowspan="1" colspan="1">50.4</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> 0%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">14.5</td><td align="center" rowspan="1" colspan="1">5.7</td><td align="center" rowspan="1" colspan="1"><bold>44.3</bold></td></tr><tr><td align="left" rowspan="1" colspan="1"> 1–25%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"><bold>44.1</bold></td><td align="center" rowspan="1" colspan="1">28.6</td><td align="center" rowspan="1" colspan="1"><bold>44.3</bold></td></tr><tr><td align="left" rowspan="1" colspan="1"> 26–50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">18.8</td><td align="center" rowspan="1" colspan="1">25.7</td><td align="center" rowspan="1" colspan="1">5.7</td></tr><tr><td align="left" rowspan="1" colspan="1"> >50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">23.2</td><td align="center" rowspan="1" colspan="1"><bold>40.0</bold></td><td align="center" rowspan="1" colspan="1">5.7</td></tr><tr><td align="left" rowspan="1" colspan="1">Food therapy</td><td align="center" rowspan="1" colspan="1">41.5</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> 0%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">20.6</td><td align="center" rowspan="1" colspan="1">17.1</td><td align="center" rowspan="1" colspan="1">31.3</td></tr><tr><td align="left" rowspan="1" colspan="1"> 1–25%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"><bold>42.7</bold></td><td align="center" rowspan="1" colspan="1"><bold>34.3</bold></td><td align="center" rowspan="1" colspan="1"><bold>38.8</bold></td></tr><tr><td align="left" rowspan="1" colspan="1"> 26–50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">16.2</td><td align="center" rowspan="1" colspan="1">27.1</td><td align="center" rowspan="1" colspan="1">13.4</td></tr><tr><td align="left" rowspan="1" colspan="1"> >50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">20.6</td><td align="center" rowspan="1" colspan="1">21.4</td><td align="center" rowspan="1" colspan="1">16.4</td></tr><tr><td align="left" rowspan="1" colspan="1">Acupuncture</td><td align="center" rowspan="1" colspan="1">1.3</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> 0%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">39.4</td><td align="center" rowspan="1" colspan="1">43.3</td><td align="center" rowspan="1" colspan="1"><bold>47.8</bold></td></tr><tr><td align="left" rowspan="1" colspan="1"> 1–25%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"><bold>56.1</bold></td><td align="center" rowspan="1" colspan="1"><bold>52.2</bold></td><td align="center" rowspan="1" colspan="1">43.3</td></tr><tr><td align="left" rowspan="1" colspan="1"> 26–50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">4.6</td><td align="center" rowspan="1" colspan="1">4.5</td><td align="center" rowspan="1" colspan="1">7.5</td></tr><tr><td align="left" rowspan="1" colspan="1"> >50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">0.0</td><td align="center" rowspan="1" colspan="1">0.0</td><td align="center" rowspan="1" colspan="1">1.5</td></tr><tr><td align="left" rowspan="1" colspan="1">Qi Gong</td><td align="center" rowspan="1" colspan="1">3.4</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> 0%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"><bold>48.5</bold></td><td align="center" rowspan="1" colspan="1"><bold>55.1</bold></td><td align="center" rowspan="1" colspan="1"><bold>75.4</bold></td></tr><tr><td align="left" rowspan="1" colspan="1"> 1–25%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">43.9</td><td align="center" rowspan="1" colspan="1">34.8</td><td align="center" rowspan="1" colspan="1">18.8</td></tr><tr><td align="left" rowspan="1" colspan="1"> 26–50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">4.6</td><td align="center" rowspan="1" colspan="1">7.3</td><td align="center" rowspan="1" colspan="1">2.9</td></tr><tr><td align="left" rowspan="1" colspan="1"> >50%</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">3.0</td><td align="center" rowspan="1" colspan="1">2.9</td><td align="center" rowspan="1" colspan="1">2.9</td></tr></tbody></table></table-wrap><table-wrap id="tab5" orientation="portrait" position="float"><label>Table 5</label><caption><p>Physician concerns.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Therapy</th><th align="center" rowspan="1" colspan="1">Safety<break></break>% yes</th><th align="center" rowspan="1" colspan="1">Unrealistic expectations<break></break>% yes</th><th align="center" rowspan="1" colspan="1">Cost<break></break>% yes</th><th align="center" rowspan="1" colspan="1">Interference<break></break>% yes</th><th align="center" rowspan="1" colspan="1">Lack of evidence<break></break>% yes</th><th align="center" rowspan="1" colspan="1">Acceptable to use while on treatment<break></break>% yes</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Chinese herbal medicine (CHM)</td><td align="center" rowspan="1" colspan="1">37.5</td><td align="center" rowspan="1" colspan="1">33.3</td><td align="center" rowspan="1" colspan="1">27.8</td><td align="center" rowspan="1" colspan="1">40.3</td><td align="center" rowspan="1" colspan="1">48.6</td><td align="center" rowspan="1" colspan="1">62.5</td></tr><tr><td align="left" rowspan="1" colspan="1">Tonics and food therapy</td><td align="center" rowspan="1" colspan="1">33.3</td><td align="center" rowspan="1" colspan="1">19.4</td><td align="center" rowspan="1" colspan="1">36.1</td><td align="center" rowspan="1" colspan="1">48.6</td><td align="center" rowspan="1" colspan="1">38.9</td><td align="center" rowspan="1" colspan="1">58.3</td></tr><tr><td align="left" rowspan="1" colspan="1">Qi Gong</td><td align="center" rowspan="1" colspan="1">13.9</td><td align="center" rowspan="1" colspan="1">5.6</td><td align="center" rowspan="1" colspan="1">2.8</td><td align="center" rowspan="1" colspan="1">34.7</td><td align="center" rowspan="1" colspan="1">26.4</td><td align="center" rowspan="1" colspan="1">33.3</td></tr><tr><td align="left" rowspan="1" colspan="1">Acupuncture</td><td align="center" rowspan="1" colspan="1">30.6</td><td align="center" rowspan="1" colspan="1">9.7</td><td align="center" rowspan="1" colspan="1">2.8</td><td align="center" rowspan="1" colspan="1">19.4</td><td align="center" 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