Evidence map›Paper›PMID 28595577›Full record

ArticleBMC complementary and alternative medicine2017

Complementary and conventional providers in cancer care: experience of communication with patients and steps to improve communication with other providers.

Trine Stub, Sara A Quandt, Thomas A Arcury, Joanne C Sandberg, Agnete E Kristoffersen

Open access · goldAbstract read
In one paragraph

Article in BMC complementary and alternative medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
4.3field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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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

5 authors at 2 institutions in 2 countries.

Trine StubThe National Research Center in Complementary and Alternative Medicine (NAFKAM), UiT The Arctic University of Norway, Department of Community Medicine, Tromsø, Norway. trine.stub@uit.no.
Sara A QuandtWake Forest School of Medicine, Department of Epidemiology and Prevention, Division of Public Health Sciences, Winston-Salem, NC, 27157, USA.
Thomas A ArcuryWake Forest School of Medicine, Department of Family and Community Medicine, Winston-Salem, NC, 27157, USA.
Joanne C SandbergWake Forest School of Medicine, Department of Family and Community Medicine, Winston-Salem, NC, 27157, USA.
Agnete E KristoffersenThe National Research Center in Complementary and Alternative Medicine (NAFKAM), UiT The Arctic University of Norway, Department of Community Medicine, Tromsø, Norway.
Wake Forest University · USUiT The Arctic University of Norway · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective interdisciplinary communication is important to achieve better quality in health care. The aims of this study were to compare conventional and complementary providers' experience of communication about complementary therapies and conventional medicine with their cancer patients, and to investigate how they experience interdisciplinary communication and cooperation.

methodThis study analyzed data from a self-administrated questionnaire. A total of 606 different health care providers, from four counties in Norway, completed the questionnaire. The survey was developed to describe aspects of the communication pattern among oncology doctors, nurses, family physicians and complementary therapists (acupuncturists, massage therapists and reflexologists/zone-therapists). Between-group differences were analyzed using chi-square, ANOVA and Fisher's exact tests. Significance level was defined as p < 0.05 without adjustment for multiple comparisons.

resultConventional providers and complementary therapists had different patterns of communication with their cancer patients regarding complementary therapies. While complementary therapists advised their patients to apply both complementary and conventional modalities, medical doctors were less supportive of their patients' use of complementary therapies. Of conventional providers, nurses expressed more positive attitudes toward complementary therapies. Opportunities to improve communication between conventional and complementary providers were most strongly supported by complementary providers and nurses; medical doctors were less supportive of such attempts. A number of doctors showed lack of respect for complementary therapists, but asked for more research, guidelines for complementary modalities and training in conventional medicine for complementary therapists.

conclusionFor better quality of care, greater communication about complementary therapy use is needed between cancer patients and their conventional and complementary providers. In addition, more communication between conventional and complementary providers is needed. Nurses may have a crucial role in facilitating communication, as they are positive toward complementary therapies and they have more direct communication with patients about their treatment preferences.

Indexed as

Acupuncture TherapyAdultCommunicationComplementary TherapiesFemaleHealth PersonnelHumansInterprofessional RelationsMassageMiddle AgedNeoplasmsNorwayPatientsWorkforceCancer careComplementary therapiesConventional medicineInterdisciplinary communication

Identifiers

PMID28595577
PMCPMC5465600
OpenAlexW2624372059

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.