Evidence map›Paper›PMID 27230757›Full record

Observational studyIntegrative cancer therapies2017

Breast Cancer Integrative Oncology Care and Its Costs.

Leanna J Standish, Fred Dowd, Erin Sweet, Linda Dale, Morgan Weaver, Barbara Osborne, M Robyn Andersen

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Integrative cancer therapies, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% of its field
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  8. Observational
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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

7 authors at 2 institutions in 1 country.

Leanna J Standish1 Bastyr University Research Institute, Kenmore, WA, USA.
Fred Dowd1 Bastyr University Research Institute, Kenmore, WA, USA.
Erin Sweet1 Bastyr University Research Institute, Kenmore, WA, USA.
Linda Dale1 Bastyr University Research Institute, Kenmore, WA, USA.
Morgan Weaver1 Bastyr University Research Institute, Kenmore, WA, USA.
Barbara Osborne1 Bastyr University Research Institute, Kenmore, WA, USA.
M Robyn Andersen2 Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Bastyr University · USFred Hutch Cancer Center · US

Funding

Breast Cancer Integrative Oncology: Prospective Matched Controlled Outcomes StudyR01AT005873 · NCCIH · BASTYR UNIVERSITY · PI ANDERSEN, MARIN R, STANDISH, LEANNA J · 2010 to 2014
$2.9M
NCCIH NIH HHS R01 AT005873
6 · The paper itself

Abstract

backgroundNaturopathic oncology in conjunction with conventional treatment is commonly referred to as integrative oncology (IO). Clinics directed by oncology board certified NDs (Fellows of the American Board of Naturopathic Oncology or FABNOs) provide high-quality data for describing IO therapies, their costs and measuring clinical outcomes. PURPOSE: To describe the types of IO therapies prescribed to breast cancer patients by ND FABNO physicians. Study participants (n = 324). Women who sought care at 1 of 6 naturopathic oncology clinics in Washington State were asked to enroll in a prospective 5 year observational outcomes study.

methodsMedical records were abstracted to collect treatment recommendations and cost data.

resultsMore than 72 oral or topical, nutritional, botanical, fungal and bacterial-based medicines were prescribed to the cohort during their first year of IO care. Trametes versicolor was prescribed to 63% of the women. Mind-body therapy was recommended to 45% of patients, and 49% received acupuncture. Also, 26% were prescribed injectable therapy, including mistletoe, vitamin B complex (12%), IV ascorbate (12%), IV artesunate (7%), and IV nutrition and hydration (4%). Costs ranged from $1594/year for early-stage breast cancer to $6200/year for stage 4 breast cancer patients. Of the total amount billed for IO care for 1 year for breast cancer patients, 21% was out-of-pocket.

conclusionsIO care for women with breast cancer consists of botanical and mushroom oral therapies, parenteral botanical and nutrient therapy, mind-body medicine and acupuncture. IO clinic visits and acupuncture are partially paid for by medical insurance companies.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsFemaleHumansIntegrative OncologyMiddle AgedNaturopathyProspective StudiesWashingtonbreast cancercommunity oncology carecostsintegrative oncology carenaturopathic medicine

Identifiers

PMID27230757
PMCPMC5736066
OpenAlexW2401442028

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.