Evidence map›Paper›PMID 28667389›Full record

ArticleJournal of cancer research and clinical oncology2017

Unmonitored use of herbal medicine by patients with breast cancer: reframing expectations.

Noah Samuels, Eran Ben-Arye, Yair Maimon, Raanan Berger

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03954509 (Needs Assessment of Cancer Patients With Complementary and Alternative Medicines), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
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.

NCT03954509 completednot on this mapstarted 2018, after this paper: background citation

Needs Assessment of Cancer Patients With Complementary and Alternative Medicines

TypeobservationalSponsorFondation Hôpital Saint-JosephRan2018 to 2023Enrolled64ConditionsCancer, Chemotherapy Effect
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Integrative Medicine for Ovarian Cancer.Current oncology reports · 2023
    Review
  8. Article
  9. Trends in integrative medicine and health consults: differences between cancer survivors and patients without cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  10. Review
  11. Article
  12. News from the European Association for Cancer Education: a Long-standing Partner of AACE.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018
    Article
  13. Article
  14. Understanding CAM Use in Lebanon: Findings from a National Survey.Evidence-based complementary and alternative medicine : eCAM · 2018
    Article
  15. Article
  16. Article
  17. 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

4 authors at 2 institutions in 1 country.

Noah SamuelsTal Center for Integrative Oncology, Institute of Oncology, Sheba Medical Center, 2 Derech Sheba Road, Tel-Hashomer, 52621, Ramat Gan, Israel. noah.samuels@sheba.health.gov.il.ORCID http://orcid.org/0000-0002-1122-9607
Eran Ben-AryeIntegrative Oncology Program, Oncology Service and Lin Medical Center, Clalit Health Services, Haifa and Western Galilee District, Haifa, Israel.
Yair MaimonTal Center for Integrative Oncology, Institute of Oncology, Sheba Medical Center, 2 Derech Sheba Road, Tel-Hashomer, 52621, Ramat Gan, Israel.
Raanan BergerInstitute of Oncology, Sheba Medical Center, Tel Hashomer, Israel.
Sheba Medical Center · ILTechnion – Israel Institute of Technology · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify the unmonitored use of herbal medicine by female patients with breast cancer, examining the impact of an integrative physician (IP) consultation on this practice.

methodsThe files of 269 female patients with breast cancer following an IP consultation were surveyed retrospectively for use of herbal medicine for cancer-related goals. Expectations from the IP consultation and adherence to the IP-guided treatments were examined as well.

resultsAmong the cohort, 111 (41.3%) reported using herbal medicine for cancer-related goals, unmonitored by their oncology healthcare professional. Factors predicting herbal medicine use were the adoption of dietary changes (odds ratio = 13.6, p < 0.001, CI 7.16-26.0) and the expectation that the IP consultation and treatments would address cancer-related goals (odds ratio = 3.29, p = 0.001, CI 1.64-6.6). Patients with metastatic disease were more likely to be using herbal medicine than non-users (34.5 vs. 22.8%; p = 0.088), as were those who had consulted with a complementary/alternative medicine practitioner (54.9 vs. 20.8%; p = 0.005). The IP advised 17 patients (15.3%) to stop taking specific herbal products due to safety-related concerns; and 10 patients to take dietary supplements for relief of specific symptoms. Herbal medicine users were less likely than non-users to adhere to the IP-recommended treatment program (34.7 vs. 48.3%; p = 0.037).

conclusionsUnmonitored use of herbal medicine by patients with breast cancer is more frequent among those adopting dietary changes for cancer-related goals. Integrative physicians provide evidence-based guidance on the safe and effective use of herbal products, and reframe patient expectations from cancer-related goals to reducing symptoms and improving quality of life.

Indexed as

Patient ComplianceQuality of LifeBreast NeoplasmsComplementary TherapiesFemaleFollow-Up StudiesHerbal MedicineHumansMiddle AgedNeoplasm InvasivenessNeoplasm MetastasisPhysiciansPhytotherapyPrognosisRetrospective StudiesBreast cancerComplementary/integrative medicineHerbal medicineHerb–drug interactionSafety

Identifiers

PMID28667389
PMCPMC11819245
OpenAlexW2728399896

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.