Evidence map›Paper›PMID 31046491›Full record

ArticleIntegrative cancer therapies

Potential Interactions of Biologically Based Complementary Medicine in Gynecological Oncology.

Loisa Drozdoff, Evelyn Klein, Matthias Kalder, Christine Brambs, Marion Kiechle, Daniela Paepke

Abstract read
In one paragraph

Article in Integrative cancer therapies. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Real-world Evidence of the Herb-drug Interactions.Journal of food and drug analysis · 2022
    Review
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. 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

6 authors.

Loisa Drozdoff1 Technical University of Munich, Klinikum rechts der Isar, Munich, Germany.ORCID 0000-0002-7006-7572
Evelyn Klein1 Technical University of Munich, Klinikum rechts der Isar, Munich, Germany.
Matthias Kalder2 Philipps-University Marburg, Marburg, Germany.
Christine Brambs2 Philipps-University Marburg, Marburg, Germany.
Marion Kiechle1 Technical University of Munich, Klinikum rechts der Isar, Munich, Germany.
Daniela Paepke1 Technical University of Munich, Klinikum rechts der Isar, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to assess the potential risks of interactions between biologically based complementary and alternative medication (BB-CAM) and conventional drugs during systemic therapy in breast and gynecological cancer patients by analyzing the actual CAM-drug combinations from individual patients' records.

methodsFrom September 2014 to December 2014 and from February 2017 to May 2017, all patients (n = 717) undergoing systemic therapy at the Gynecologic Oncology Day Care Unit in the Gynecology and Obstetrics Department of the Technical University of Munich, Germany, were asked to participate in a questionnaire about all their medications. To assess the potential risk of CAM-drug interactions (CDIs), we initially utilized the Lexicomp drug interaction database. This assessment was then expanded with a systematic search of other digital databases, such as the National Center for Complementary and Integrative Health, Memorial Sloan Kettering Cancer Center, PubMed, and MEDLINE as well as the Cochrane Library.

resultsAmong 448 respondents, 74.1% reported using BB-CAM simultaneously with their systemic therapy. The assessment showed 1 patient with a potentially clinically relevant CDI, where the interaction was based on a self-medicated combination of Echinacea and cyclophosphamide. Furthermore, 81 patients (18.1%) were thought to have interactions because of a combination of BB-CAMs and cytochrome P450 3A4-metabolized anticancer drugs.

conclusionsOur data demonstrated high overall use of BB-CAMs by cancer patients undergoing systemic therapy. The analyses showed only 1 clinically relevant CDI.

Indexed as

Antineoplastic AgentsComplementary TherapiesCross-Sectional StudiesFemaleGenital Neoplasms, FemaleHerb-Drug InteractionsHumansMiddle AgedSurveys and QuestionnairesAntineoplastic AgentsCAMcancerchemotherapycomplementary and alternative medicineherb-drug interactiononcologysupplement-drug interaction

Identifiers

PMID31046491
PMCPMC6501502

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.