Evidence map›Paper›PMID 18769576›Full record

ArticleCurrent oncology (Toronto, Ont.)2008

Patient decision-making about complementary and alternative medicine in cancer management: context and process.

L G Balneaves, L Weeks, D Seely

Abstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. How parents choose to use CAM: a systematic review of theoretical models.BMC complementary and alternative medicine · 2009
    Pooled it
  2. Article
  3. Article
  4. Integrative and Complementary Health Practices for Chronic Pain: summary of clinical guideline recommendations.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Complementary and alternative medicine (CAM) information and support needs of Chinese-speaking cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  10. Article
  11. Article
  12. The Use of a Brochure to Enable CAM-with-Chemotherapy Patient Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2017
    Article
  13. Review
  14. Article
  15. Evaluation of a Patient CAM-with-Chemotherapy Educational Brochure.Evidence-based complementary and alternative medicine : eCAM · 2015
    Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

L G BalneavesSchool of Nursing, University of British Columbia, Vancouver, BC. lynda.balneaves@nursing.ubc.ca
L Weeks
D Seely

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn this paper, we set out to describe the personal and social contexts of treatment decisions made by cancer patients concerning complementary and alternative medicine (CAM) and also the process through which cancer patients reach cam decisions throughout the cancer trajectory.

methodsWe selected and reviewed a variety of CAM decision-making models published in the past 10 years within the Canadian health literature.

resultsThe cam decision-making process is influenced by a variety of sociodemographic, disease-related, psychological, and social factors. We reviewed four main phases of the cam decision-making process: Taking stock of treatment options. Gathering and evaluating CAM information. Making CAM decisions. Revisiting the cam decision. Immediately following diagnosis, cancer patients become interested in taking stock of the full spectrum of conventional and CAM treatment options that may enhance the effectiveness of their treatment and mediate potential side effects. Information about CAM is then gathered from numerous information sources that vary in terms of credibility and scientific legitimacy, and is evaluated. When making a decision regarding CAM options, patients attempt to make sense of the diverse information obtained, while acknowledging their beliefs and values. The CAM decision is often revisited at key milestones, such as the end of conventional treatment and when additional information about disease, prognosis, and treatment is obtained.

conclusionsThe CAM decision-making process is a dynamic and iterative process that is influenced by a complex array of personal and social factors. Oncology health professionals need to be prepared to offer decision support related to CAM throughout the cancer trajectory.

Indexed as

communicationComplementary therapiesdecision-making processhealth professionalsoncology

Identifiers

PMID18769576
PMCPMC2528558

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.