Evidence map›Paper›PMID 29607686›Full record

Trial reportIntegrative cancer therapies2018

Use of Integrative Oncology, Involvement in Decision-Making, and Breast Cancer Survivor Health-Related Quality of Life in the First 5 Years Postdiagnosis.

M Robyn Andersen, Erin Sweet, Shelly Hager, Marcia Gaul, Fred Dowd, Leanna J Standish

Abstract readClinical Trial
In one paragraph

Trial report in Integrative cancer therapies, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Article
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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

6 authors.

M Robyn Andersen1 Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Erin Sweet3 Bastyr University, Kenmore, WA, USA.
Shelly Hager1 Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Marcia Gaul1 Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Fred Dowd3 Bastyr University, Kenmore, WA, USA.
Leanna J Standish3 Bastyr University, Kenmore, WA, USA.

Funding

Training in Complementary and Alternative Medical ResearchT32AT000815 · NCCIH · BASTYR UNIVERSITY · PI STANDISH, LEANNA J · 2002 to 2011
$3.2M
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 AT005873NCCIH NIH HHS T32 AT000815
6 · The paper itself

Abstract

objectiveThis study sought to describe changes in the health-related quality of life (HRQOL) of women who do and do not seek naturopathic oncology (NO) complementary and alternative medicine (CAM) care during and immediately after breast cancer treatment, and to explore the predictive role of NO CAM care, demographic characteristics, and involvement in decision-making on HRQOL in breast cancer survivors.

methodsMatched cohorts of breast cancer survivors who did and did not choose to supplement their breast cancer treatment with NO care within 2 years of diagnosis participated. NO users were identified through naturopathic doctors' clinics and usual care (UC) controls with similar prognosis were identified through a cancer registry. The registry provided information about all participants' age, race, ethnicity, marital status, stage of cancer at time of diagnosis, date of diagnosis, and use of conventional medical treatments (surgery, chemotherapy, radiation, and endocrine therapy). Data of participants' self-reported involvement in decision-making and HRQOL were collected at study enrollment and at 6-month follow-up.

resultsAt 6-month follow-up, the NO patients reported significantly more involvement in decision-making about care and better general health than did UC patients ( P < .05). Self-reported involvement in decision-making about cancer treatment was associated with better role-physical, role-emotional, and social-functional well-being ( P < .05). Race, age, marital status, and congruence of preferred and achieved levels of involvement also predicted aspects of HRQOL in breast cancer survivors ( P < .05).

conclusionsBoth NO CAM care and involvement in decision-making about cancer treatment may be associated with better HRQOL in breast cancer survivors.

Indexed as

Breast NeoplasmsCancer SurvivorsClinical Decision-MakingEmotionsFemaleHumansIntegrative OncologyMiddle AgedQuality of LifeSocial Skillsbreast cancerCAMintegrative oncologyquality of lifesurvivorship

Identifiers

PMID29607686
PMCPMC6142088

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Registered trials

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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.