Evidence map›Paper›PMID 33057818›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

Trends in integrative medicine and health consults: differences between cancer survivors and patients without cancer.

Noël M Arring, Denise Millstine, Debra L Barton, Karen S Lyons, Marlene Girardo, Amy Hutson, Lillian M Nail

Abstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

7 authors at 4 institutions in 1 country.

Noël M ArringSchool of Nursing, University of Michigan, 400 North Ingalls St, RM 4320, Ann Arbor, MI, 48108, USA. nmarring@med.umich.edu.ORCID http://orcid.org/0000-0003-2824-6064
Denise MillstineDivision of General Internal Medicine, Division of Women's Health Internal Medicine, Mayo Clinic, 13737 North 92nd Street, Scottsdale, AZ, 85260, USA.
Debra L BartonSchool of Nursing, University of Michigan, 400 North Ingalls St, RM 4320, Ann Arbor, MI, 48108, USA.
Karen S LyonsWilliam F. Connell School of Nursing, Boston College, Maloney Hall, 140 Commonwealth Ave, Chestnut Hill, MA, 02467, USA.
Marlene GirardoResearch Biostatistics Division, Mayo Clinic, 13400 E Shea Blvd, Scottsdale, AZ, 85259, USA.
Amy HutsonDepartment of Nursing, Mayo Clinic, 5777 E Mayo Blvd, Phoenix, AZ, 85054, USA.
Lillian M NailOregon Health & Science University, School of Nursing, 3455 SW US Veterans Hospital Rd, OR, 97239, Portland, USA.
Mayo Clinic in Arizona · USUniversity of Michigan · USBoston College · USOregon Health & Science University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objectives were to compare patients with and without cancer who sought an integrative health (IH) consult and reasons for seeking a consult.

designDescriptive cross-sectional study that employed a secondary analysis of an integrative health database supplemented by a retrospective medical record review. SETTING/LOCATION: Integrative Medicine and Health program in a Southwestern United States academic medical center. SUBJECTS: Eight hundred thirty-nine adults over the age of 18 seeking IH consultation.

resultsThe number of complementary therapies reported prior to consult were not significantly different between groups. The most reported complementary therapies used by cancer survivors were multivitamins, exercise, and turmeric. Patients without cancer reported significantly higher pain levels than cancer survivors. Cancer survivors reported significantly higher energy, sleep levels, overall health, spiritual wellbeing, and significantly better relationships compared to patients without cancer. Cancer survivors reported fatigue and cancer as the top reasons for IH consult.

conclusionParticipants without cancer reported higher levels of pain and lower levels of energy, sleep, overall health, spiritual wellbeing, and relationships compared to cancer survivors. However, cancer survivors still reported levels of unmanaged symptoms. Complementary therapy use prior to IMH consult was similar between groups; however, IMH providers recommended more treatments for patients without cancer. Our results highlight that more evidence is needed to guide IMH recommendations, especially for cancer survivors who may still be in treatment. Additionally, our results support evidence-based recommendations that all cancer survivors should be assessed for complementary therapy use and provided counseling by qualified providers on their advantages and limitations.

Indexed as

Cancer SurvivorsCross-Sectional StudiesFemaleHumansIntegrative MedicineMaleMiddle AgedReferral and ConsultationRetrospective StudiesSurveys and QuestionnairesCancerComplementary and alternative medicineIntegrative healthPhysician referralsSymptoms

Identifiers

PMID33057818
OpenAlexW3093041992

What OpenQuestion holds

Textmetadata
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.