Evidence map›Paper›PMID 31261510›Full record

ArticleMedicine2019

Integrative cancer treatment may have a survival benefit in patients with lung cancer: A retrospective cohort study from an integrative cancer center in Korea.

Kyeore Bae, Eunseok Kim, Ji-Sook Kong, Jeehye Kim, So-Jung Park, Hyeong Joon Jun, Chong-Kwan Cho, Mi Kyung Kim, Hwa-Seung Yoo

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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  5. Review of the Chemical Composition, Pharmacological Effects, Pharmacokinetics, and Quality Control ofEvidence-based complementary and alternative medicine : eCAM · 2022
    Review
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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

9 authors at 4 institutions in 2 countries.

Kyeore BaeEast-West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University.
Eunseok KimDepartment of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University, Daejeon.
Ji-Sook KongDivision of Cancer Epidemiology and Management, National Cancer Center, Ilsandong-gu, Goyang.
Jeehye KimEast-West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University.
So-Jung ParkEast-West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University.
Hyeong Joon JunEast-West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University.
Chong-Kwan ChoEast-West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University.
Mi Kyung KimDivision of Cancer Epidemiology and Management, National Cancer Center, Ilsandong-gu, Goyang.
Hwa-Seung YooEast-West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University.
Daejeon University · KRDunsan Korean Medicine Hospital · KRNational Cancer Center · USWest Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Integrative oncology is being increasingly adopted in mainstream cancer care to strengthen anticancer effects and to control cancer-related symptoms.The objective of this study is to identify the characteristics of patients with lung cancer treated at an integrative cancer center in Korea and to determine the effects of integrative cancer treatment (ICT) on survival outcome in traditional Korean medicine (TKM).We reviewed medical records for lung cancer patients who visited a single integrative clinical setting, East-West Cancer Center, between January 2014 and December 2015. We classified the patients into groups according to their ICT and whether or not they underwent anticancer traditional Korean Medicine treatment with a multiherbal formula containing Panax notoginseng Radix, Cordyceps militaris, P ginseng C.A.Mey., and Boswellia carterii BIRDWOOD (HangAmDan-B), with a herbal formula containing Rhus verniciflua Stoke, or with cultivated wild ginseng pharmacopuncture. A descriptive analysis of the characteristics and a survival analysis using the Kaplan-Meier curves with log rank test and a Cox proportional hazard model were performed.A total of 91 patients were included, and the majority had advanced-stage cancer. Of those patients, 45.1% were in the mono-TKM group and 39.6% were integrative group. Patients with advanced stage had significantly higher mortality than patients with early stage (crude hazard ratio [HR]: 4.41, 95% confidence interval [CI]: 1.56-12.5; adjusted HR: 6.31, 95% CI: 1.24-32.1). In the unadjusted model, for patients in the integrative group, the mortality rate was reduced by 50% compared to mono-TKM group with statistical significance. After adjusting confounders, the mortality rate of integrative group was reduced by 6% compared to mono-TKM group, suggesting positive effect on survival probability of integrative group.The results suggest that integration of TKM and conventional cancer treatment may have survival benefits in patients with lung cancer. Even though this study has limitations including heterogeneity between treatment groups, the study results suggest that ICT has positive effect on survival probability. To clarify the impacts of ICT for lung cancer and other cancers on survival outcome, further prospective study with a rigorous study design is required in multiclinical setting.

Indexed as

AgedComplementary TherapiesDisease ProgressionFemaleFollow-Up StudiesHumansIntegrative MedicineKaplan-Meier EstimateLung NeoplasmsMaleMiddle AgedRepublic of KoreaRetrospective StudiesTreatment Outcome

Identifiers

PMID31261510
PMCPMC6617466
OpenAlexW2956116467

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.