Naturopathic Oncology Care for Pediatric Cancers: A Practice Survey.
Identifieur interne : 000418 ( Main/Exploration ); précédent : 000417; suivant : 000419Naturopathic Oncology Care for Pediatric Cancers: A Practice Survey.
Auteurs : Athanasios Psihogios [Canada] ; Jullie K. Ennis [Canada] ; Dugald Seely [Canada]Source :
- Integrative cancer therapies [ 1552-695X ]
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Attitude du personnel soignant (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Enquêtes et questionnaires (statistiques et données numériques), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Naturopathie (statistiques et données numériques), Nourrisson (MeSH), Oncologie médicale (statistiques et données numériques), Soins aux patients (statistiques et données numériques), Tumeurs (thérapie), Établissements de soins ambulatoires (statistiques et données numériques).
- MESH :
- statistiques et données numériques : Enquêtes et questionnaires, Naturopathie, Oncologie médicale, Soins aux patients, Établissements de soins ambulatoires.
- thérapie : Tumeurs.
- Adolescent, Adulte, Attitude du personnel soignant, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Jeune adulte, Mâle, Nourrisson.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Ambulatory Care Facilities (statistics & numerical data), Attitude of Health Personnel (MeSH), Child (MeSH), Child, Preschool (MeSH), Female (MeSH), Humans (MeSH), Infant (MeSH), Male (MeSH), Medical Oncology (statistics & numerical data), Naturopathy (statistics & numerical data), Neoplasms (therapy), Patient Care (statistics & numerical data), Surveys and Questionnaires (statistics & numerical data), Young Adult (MeSH).
- MESH :
- statistics & numerical data : Ambulatory Care Facilities, Medical Oncology, Naturopathy, Patient Care, Surveys and Questionnaires.
- therapy : Neoplasms.
- Adolescent, Adult, Attitude of Health Personnel, Child, Child, Preschool, Female, Humans, Infant, Male, Young Adult.
Abstract
Background: The majority of pediatric oncology patients report use of complementary and alternative medicine. Some naturopathic doctors (NDs) provide supportive pediatric oncology care; however, little information exists to formally describe this clinical practice. A survey was conducted with members of the Oncology Association of Naturopathic Physicians (OncANP.org) to describe recommendations across four therapeutic domains: natural health products (NHPs), nutrition, physical medicine, and mental/emotional support. Results: We had 99 respondents with a wide variance of clinical experience and aptitude to treat children with cancer. Of the majority (52.5%) of respondents who choose not to treat these children, the three primary reasons for this are lack of public demand (45.1%), institutional or clinic restrictions (21.6%), and personal reasons/comfort (19.6%). The 10 most frequently considered NHPs by all NDs are fish-derived omega-3 fatty acid (83.3%), vitamin D (83.3%), probiotics (82.1%), melatonin (73.8%), vitamin C (72.6%), homeopathic Arnica (69.0%), turmeric/curcumin (67.9%), glutamine (66.7%), Astragalus membranaceus (64.3%), and Coriolus versicolor/PSK (polysaccharide K) extracts (61.9%). The top 5 nutritional recommendations are anti-inflammatory diets (77.9%), dairy restriction (66.2%), Mediterranean diet (66.2%), gluten restriction (61.8%), and ketogenic diet (57.4%). The top 5 physical modality interventions are exercise (94.1%), acupuncture (77.9%), acupressure (72.1%), craniosacral therapy (69.1%), and yoga (69.1%). The top 5 mental/emotional interventions are meditation (79.4%), art therapy (77.9%), mindfulness-based stress reduction (70.6%), music therapy (70.6%), and visualization therapy (67.6%). Conclusion: The results of our clinical practice survey highlight naturopathic interventions across four domains with a strong rationale for further inquiry in the care of children with cancer.
DOI: 10.1177/1534735419878504
PubMed: 31566009
PubMed Central: PMC6769230
Affiliations:
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Ennis</name><affiliation wicri:level="1"><nlm:affiliation>Ottawa Integrative Cancer Center, Ottawa, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Ottawa Integrative Cancer Center, Ottawa, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Seely, Dugald" sort="Seely, Dugald" uniqKey="Seely D" first="Dugald" last="Seely">Dugald Seely</name><affiliation wicri:level="1"><nlm:affiliation>Ottawa Integrative Cancer Center, Ottawa, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Ottawa Integrative Cancer Center, Ottawa, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Ottawa Hospital Research Institute, Ottawa, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019 Jan-Dec</date><idno type="RBID">pubmed:31566009</idno><idno type="pmid">31566009</idno><idno type="doi">10.1177/1534735419878504</idno><idno type="pmc">PMC6769230</idno><idno type="wicri:Area/Main/Corpus">000419</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000419</idno><idno type="wicri:Area/Main/Curation">000419</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000419</idno><idno type="wicri:Area/Main/Exploration">000419</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Naturopathic Oncology Care for Pediatric Cancers: A Practice Survey.</title><author><name sortKey="Psihogios, Athanasios" sort="Psihogios, Athanasios" uniqKey="Psihogios A" first="Athanasios" last="Psihogios">Athanasios Psihogios</name><affiliation wicri:level="1"><nlm:affiliation>Ottawa Integrative Cancer Center, Ottawa, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Ottawa Integrative Cancer Center, Ottawa, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Canadian College of Naturopathic Medicine, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian College of Naturopathic Medicine, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Ennis, Jullie K" sort="Ennis, Jullie K" uniqKey="Ennis J" first="Jullie K" last="Ennis">Jullie K. Ennis</name><affiliation wicri:level="1"><nlm:affiliation>Ottawa Integrative Cancer Center, Ottawa, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Ottawa Integrative Cancer Center, Ottawa, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Seely, Dugald" sort="Seely, Dugald" uniqKey="Seely D" first="Dugald" last="Seely">Dugald Seely</name><affiliation wicri:level="1"><nlm:affiliation>Ottawa Integrative Cancer Center, Ottawa, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Ottawa Integrative Cancer Center, Ottawa, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Ottawa Hospital Research Institute, Ottawa, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></analytic><series><title level="j">Integrative cancer therapies</title><idno type="eISSN">1552-695X</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Ambulatory Care Facilities (statistics & numerical data)</term><term>Attitude of Health Personnel (MeSH)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Male (MeSH)</term><term>Medical Oncology (statistics & numerical data)</term><term>Naturopathy (statistics & numerical data)</term><term>Neoplasms (therapy)</term><term>Patient Care (statistics & numerical data)</term><term>Surveys and Questionnaires (statistics & numerical data)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Attitude du personnel soignant (MeSH)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Enquêtes et questionnaires (statistiques et données numériques)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Naturopathie (statistiques et données numériques)</term><term>Nourrisson (MeSH)</term><term>Oncologie médicale (statistiques et données numériques)</term><term>Soins aux patients (statistiques et données numériques)</term><term>Tumeurs (thérapie)</term><term>Établissements de soins ambulatoires (statistiques et données numériques)</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Ambulatory Care Facilities</term><term>Medical Oncology</term><term>Naturopathy</term><term>Patient Care</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Enquêtes et questionnaires</term><term>Naturopathie</term><term>Oncologie médicale</term><term>Soins aux patients</term><term>Établissements de soins ambulatoires</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Neoplasms</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Tumeurs</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Attitude of Health Personnel</term><term>Child</term><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Infant</term><term>Male</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Attitude du personnel soignant</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Nourrisson</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><i>Background:</i> The majority of pediatric oncology patients report use of complementary and alternative medicine. Some naturopathic doctors (NDs) provide supportive pediatric oncology care; however, little information exists to formally describe this clinical practice. A survey was conducted with members of the Oncology Association of Naturopathic Physicians (OncANP.org) to describe recommendations across four therapeutic domains: natural health products (NHPs), nutrition, physical medicine, and mental/emotional support. <i>Results:</i> We had 99 respondents with a wide variance of clinical experience and aptitude to treat children with cancer. Of the majority (52.5%) of respondents who choose not to treat these children, the three primary reasons for this are lack of public demand (45.1%), institutional or clinic restrictions (21.6%), and personal reasons/comfort (19.6%). The 10 most frequently considered NHPs by all NDs are fish-derived omega-3 fatty acid (83.3%), vitamin D (83.3%), probiotics (82.1%), melatonin (73.8%), vitamin C (72.6%), homeopathic Arnica (69.0%), turmeric/curcumin (67.9%), glutamine (66.7%), <i>Astragalus membranaceus</i> (64.3%), and <i>Coriolus versicolor/PSK</i> (polysaccharide K) extracts (61.9%). The top 5 nutritional recommendations are anti-inflammatory diets (77.9%), dairy restriction (66.2%), Mediterranean diet (66.2%), gluten restriction (61.8%), and ketogenic diet (57.4%). The top 5 physical modality interventions are exercise (94.1%), acupuncture (77.9%), acupressure (72.1%), craniosacral therapy (69.1%), and yoga (69.1%). The top 5 mental/emotional interventions are meditation (79.4%), art therapy (77.9%), mindfulness-based stress reduction (70.6%), music therapy (70.6%), and visualization therapy (67.6%). <i>Conclusion:</i> The results of our clinical practice survey highlight naturopathic interventions across four domains with a strong rationale for further inquiry in the care of children with cancer.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31566009</PMID><DateCompleted><Year>2020</Year><Month>03</Month><Day>04</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>04</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1552-695X</ISSN><JournalIssue CitedMedium="Internet"><Volume>18</Volume><PubDate><MedlineDate>2019 Jan-Dec</MedlineDate></PubDate></JournalIssue><Title>Integrative cancer therapies</Title><ISOAbbreviation>Integr Cancer Ther</ISOAbbreviation></Journal><ArticleTitle>Naturopathic Oncology Care for Pediatric Cancers: A Practice Survey.</ArticleTitle><Pagination><MedlinePgn>1534735419878504</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/1534735419878504</ELocationID><Abstract><AbstractText><i>Background:</i> The majority of pediatric oncology patients report use of complementary and alternative medicine. Some naturopathic doctors (NDs) provide supportive pediatric oncology care; however, little information exists to formally describe this clinical practice. A survey was conducted with members of the Oncology Association of Naturopathic Physicians (OncANP.org) to describe recommendations across four therapeutic domains: natural health products (NHPs), nutrition, physical medicine, and mental/emotional support. <i>Results:</i> We had 99 respondents with a wide variance of clinical experience and aptitude to treat children with cancer. Of the majority (52.5%) of respondents who choose not to treat these children, the three primary reasons for this are lack of public demand (45.1%), institutional or clinic restrictions (21.6%), and personal reasons/comfort (19.6%). The 10 most frequently considered NHPs by all NDs are fish-derived omega-3 fatty acid (83.3%), vitamin D (83.3%), probiotics (82.1%), melatonin (73.8%), vitamin C (72.6%), homeopathic Arnica (69.0%), turmeric/curcumin (67.9%), glutamine (66.7%), <i>Astragalus membranaceus</i> (64.3%), and <i>Coriolus versicolor/PSK</i> (polysaccharide K) extracts (61.9%). The top 5 nutritional recommendations are anti-inflammatory diets (77.9%), dairy restriction (66.2%), Mediterranean diet (66.2%), gluten restriction (61.8%), and ketogenic diet (57.4%). The top 5 physical modality interventions are exercise (94.1%), acupuncture (77.9%), acupressure (72.1%), craniosacral therapy (69.1%), and yoga (69.1%). The top 5 mental/emotional interventions are meditation (79.4%), art therapy (77.9%), mindfulness-based stress reduction (70.6%), music therapy (70.6%), and visualization therapy (67.6%). <i>Conclusion:</i> The results of our clinical practice survey highlight naturopathic interventions across four domains with a strong rationale for further inquiry in the care of children with cancer.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Psihogios</LastName><ForeName>Athanasios</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Ottawa Integrative Cancer Center, Ottawa, Ontario, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Canadian College of Naturopathic Medicine, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ennis</LastName><ForeName>Jullie K</ForeName><Initials>JK</Initials><AffiliationInfo><Affiliation>Ottawa Integrative Cancer Center, Ottawa, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Seely</LastName><ForeName>Dugald</ForeName><Initials>D</Initials><Identifier Source="ORCID">0000-0003-4893-5254</Identifier><AffiliationInfo><Affiliation>Ottawa Integrative Cancer Center, Ottawa, Ontario, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Integr Cancer Ther</MedlineTA><NlmUniqueID>101128834</NlmUniqueID><ISSNLinking>1534-7354</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000554" MajorTopicYN="N">Ambulatory Care Facilities</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008495" MajorTopicYN="N">Medical Oncology</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009324" MajorTopicYN="N">Naturopathy</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005791" MajorTopicYN="N">Patient Care</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">CAM</Keyword><Keyword MajorTopicYN="Y">complementary and alternative medicine</Keyword><Keyword MajorTopicYN="Y">integrative oncology</Keyword><Keyword MajorTopicYN="Y">naturopathic medicine</Keyword><Keyword MajorTopicYN="Y">pediatric cancer</Keyword><Keyword MajorTopicYN="Y">pediatric oncology</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>10</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>10</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>3</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31566009</ArticleId><ArticleId IdType="doi">10.1177/1534735419878504</ArticleId><ArticleId IdType="pmc">PMC6769230</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Can Pharm J (Ott). 2018 Jun 04;151(4):254-262</Citation><ArticleIdList><ArticleId IdType="pubmed">30237840</ArticleId></ArticleIdList></Reference><Reference><Citation>Pediatr Blood Cancer. 2006 Dec;47(7):955-8</Citation><ArticleIdList><ArticleId IdType="pubmed">16411194</ArticleId></ArticleIdList></Reference><Reference><Citation>J Pediatr Oncol Nurs. 2006 Sep-Oct;23(5):265-8</Citation><ArticleIdList><ArticleId IdType="pubmed">16902081</ArticleId></ArticleIdList></Reference><Reference><Citation>Evid Based Complement Alternat Med. 2013;2013:527163</Citation><ArticleIdList><ArticleId 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name="Canada"><noRegion><name sortKey="Psihogios, Athanasios" sort="Psihogios, Athanasios" uniqKey="Psihogios A" first="Athanasios" last="Psihogios">Athanasios Psihogios</name></noRegion><name sortKey="Ennis, Jullie K" sort="Ennis, Jullie K" uniqKey="Ennis J" first="Jullie K" last="Ennis">Jullie K. Ennis</name><name sortKey="Psihogios, Athanasios" sort="Psihogios, Athanasios" uniqKey="Psihogios A" first="Athanasios" last="Psihogios">Athanasios Psihogios</name><name sortKey="Seely, Dugald" sort="Seely, Dugald" uniqKey="Seely D" first="Dugald" last="Seely">Dugald Seely</name><name sortKey="Seely, Dugald" sort="Seely, Dugald" uniqKey="Seely D" first="Dugald" last="Seely">Dugald Seely</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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